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Erin Bogan; Valerie N. Adams-Bass; Lori A. Francis (et al.)
Victor Santana Santos; Thayane Santos Siqueira; Ana I. Cubas Atienzar (et al.)
Data regarding the geographical distribution of cases and risk factors for COVID-19 death in children and adolescents are scarce. We describe the spatial distribution of COVID-19 cases and deaths in paediatric population and their association with social determinants of health in Brazil. This is a population-based ecological study with a spatial analysis of all cases and deaths due to COVID-19 in Brazil among children and adolescents aged 0–19 years from March 2020 to October 2021. The units of analysis were the 5570 municipalities. Data on COVID-19 cases and deaths, social vulnerability, health inequities, and health system capacity were obtained from publicly available databases. Municipalities were stratified from low to very high COVID-19 incidence and mortality using K-means clustering procedures, and spatial clusters and relative risks were estimated using spatial statistics with Poisson probability models. The relationship between COVID-19 estimates and social determinants of health was explored by using multivariate Beta regression techniques.
Ana Cristina Simões e Silva; Mariana A. Vasconcelos; Enrico A. Colosimo (et al.)
Obesity is a well-recognized risk factor for critical illness and death among adult patients with SARS-CoV-2 infection. This study aimed to characterize the clinical outcomes and risk factors of death related to obesity in a cohort of hospitalized paediatric patients with COVID-19. It performed an analysis of all paediatric patients with obesity and COVID-19 registered in SIVEP-Gripe, a Brazilian nationwide surveillance database, between February 2020 and May 2021. The primary outcome was time to death, which was evaluated by using cumulative incidence function.
Rabab Hamoudy Hanon; Rabea Mohsen Ali
In women affected by other coronavirus infections such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV), the mortality rate appeared higher in women affected in pregnancy compared with non-pregnant women. COVID-19 prompted implementation of public health protocols to control the transmission of the virus, many of them required social distancing, hand washing, and lockdown procedures, but has also resulted in creating public anguish and massive fear, especially among the unaffected persons. Objectives: To assess pregnant women's knowledge about who can protect the baby during Brest feeding when mother infected by corona virus before and after implementation of instruction program and to determine the effectiveness of instruction program on pregnant women knowledge about protection methods of neonate during pandemic.
Setareh Mamishi; Babak Pourakbari; Mehrzad Mehdizadeh (et al.)
The rapid worldwide spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections led to public health crises globally and the number of pediatric patients with Coronavirus Disease 2019 (COVID-19) is still rising. The aim of this study was to describe the epidemiological, clinical, laboratory, and imaging features of hospitalized patients with COVID-19 at an Iranian referral pediatrics hospital and to compare these parameters between hospitalized patients with and without severe disease, multisystem inflammatory syndrome in children (MIS-C) and children with acute COVID-19, as well as deceased and discharged cases. This study included hospitalized children and adolescents (≤ 18 years) with suspected COVID-19 who had positive results for SARS-CoV-2.
Eduardo A. Oliveira; Robert H. Mak; Enrico A. Colosimo (et al.)
Diabetes has been recognized as a major comorbidity for COVID-19 severity in adults. This study aimed to characterize the clinical outcomes and risk factors for COVID-19-related death in a large cohort of hospitalized pediatric patients with diabetes. It performed an analysis of all pediatric patients with diabetes and COVID-19 registered in SIVEP-Gripe, a Brazilian nationwide surveillance database, between February 2020 and May 2021. The primary outcome was time to death, which was evaluated considering discharge as a competitive risk by using cumulative incidence function.
Jean B. Nachega; Nadia A. Sam-Agudu; Rhoderick N. Machekano (et al.)
What are the clinical outcomes and associated factors among children and adolescents hospitalized with COVID-19 in sub-Saharan Africa? In this cohort study of 469 children and adolescents hospitalized with COVID-19 in 6 sub-Saharan African countries, morbidity and mortality were substantially higher than reported among those in non-African settings and were independently associated with age younger than 1 year and select noncommunicable disease comorbidities.
Madalina Timircan; Felix Bratosin; Iulia Vidican (et al.)
Keri Carvalho; Anna Kheyfets; Blessing Lawrence (et al.)
Due to the disproportionate impact of COVID-19 on communities of color, racial disparities in maternal mortality and morbidity are likely to increase. However, neighborhood and social support factors have yet to be discussed as potential mechanisms by which COVID-19 can exacerbate racial disparities. This study examined literature on the role of neighborhood factors and social support on maternal health outcomes and provided analytical perspective on the potential impacts of COVID-19 on Black birthing people.
What are the characteristics and outcomes associated with giving birth with COVID-19 over the first year of the pandemic in the US? This cohort study examines 869 079 adult women, including 18 715 women with COVID-19, who underwent childbirth at 499 US medical centers between March 1, 2020, and February 28, 2021. Women with COVID-19 had increased mortality, need for intubation and ventilation, and intensive care unit admission. These findings suggest that COVID-19 was associated with increased risk of morbidity and mortality for women giving birth.
Laura J. Samuel; Darrell J. Gaskin; Antonio, J. Trujillo (et al.)
Communities with more Black or Hispanic residents have higher coronavirus rates than communities with more White residents, but relevant community characteristics are underexplored. The purpose of this study was to investigate poverty-, race- and ethnic-based disparities and associated economic, housing, transit, population health and health care characteristics. Six-month cumulative coronavirus incidence and mortality were examined using adjusted negative binomial models among all U.S. counties (n = 3142). County-level independent variables included percentages in poverty and within racial/ethnic groups (Black, Hispanic, Native American, Asian), and rates of unemployment, lacking a high school diploma, housing cost burden, single parent households, limited English proficiency, diabetes, obesity, smoking, uninsured, preventable hospitalizations, primary care physicians, hospitals, ICU beds and households that were crowded, in multi-unit buildings or without a vehicle.
Rita de Cássia Oliveira de Carvalho‑Sauer; Maria da Conceição N. Costa; Maria Gloria Teixeira (et al.)
Pamela Stratton; Elena Gorodetsky; Janine Clayton
The COVID-19 pandemic and call for social justice is occurring when the United States, unlike its peer countries, has already experienced a steady 20-year rise in maternal morbidity and mortality with pregnant women today facing a 50 percent higher risk of mortality than their mothers. Most vulnerable are women of color, black and American Indian/Alaska Native women, who have experienced longstanding disparities in access to and quality of healthcare and may begin pregnancy with hypertension, diabetes, and obesity, complications known to be more common in women enduring segregation. Initially, the race-related health disparities and resultant disproportionately higher rates of COVID-19 cases and mortality in indigenous communities and black, latins, or other communities of color were mistakenly considered innate racial differences. More recently, these higher rates have been attributed to underlying social, structural, and environmental determinants of health including resource inequities, inadequate housing, and occupational and environmental hazards that result in greater exposure to and less protection from COVID-19.
Mary F. Reyes-Vega; M.Gabriela Soto-Cabezas; Fany Cardenas (et al.)
Ann‑Beth Moller; Joanne Welsh; Mechthild M. Gross (et al.)
UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.
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