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Children and COVID-19 Research Library

UNICEF Innocenti's curated library of COVID-19 + Children research

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Adolescent feelings on COVID-19 distance learning support: associations with mental health, social-emotional health, substance use, and delinquency

AUTHOR(S)
Karen Kwaning; Ayman Ullah; Christopher Biely (et al.)

Published: January 2023   Journal: Journal of Adolescent Health
School social support is associated with improved adolescent wellbeing. However, positive school relationships were potentially disrupted when schools transitioned to distance learning in 2020 to mitigate the spread of COVID-19. This study investigated associations among perceived distance learning school support, mental health, social-emotional wellbeing, substance use, and delinquency among low-income, public high school students. This study analyzed longitudinal survey data, collected between June 2020 and June 2021, from 372 students attending five large urban public high schools. Mixed-effects regression models examined associations among changes in distance learning support and changes in mental health, social-emotional wellbeing, substance use, and delinquency, controlling for time, social-demographics, and baseline health.
Understanding perceived risks and sexual behavior among adolescents and young adults during the COVID-19 pandemic

AUTHOR(S)
Maria Trent; Jamie Perin; Hasiya Yusuf (et al.)

Published: January 2023   Journal: Journal of Adolescent Health
This paper sought to describe the relationship between COVID-19 risk perception and sexual behaviors among urban adolescents and young adults (AYA). Data were collected from 159 urban AYAs on COVID-19 risk perception, COVID-19 infections and deaths, romantic relationships, and sexual behavior during the stay-at-home order using a telephone survey. Seventy-nine percent of the study participants engaged in sexual intercourse during the stay-at-home order. Only 38% of these used condoms during their last sexual encounter. Experiencing COVID-19 positivity within their social circle was not related to COVID-19 testing. Concern for COVID-19 infection or experiencing a COVID-19 diagnosis or death in one's social circles was not associated with sexual intercourse or condom use.
Racial healing during the COVID-19 and anti-Asian pandemics through critical consciousness informed antiracist parenting practices (CCIARP)

AUTHOR(S)
Yuying Tsong; Sapna B. Chopra; Hsiu-Lan Cheng

Published: January 2023   Journal: Asian American Journal of Psychology
Pervasive anti-Asian racism and xenophobia during the COVID-19 pandemic pose risks to Asian Americans’ mental health and wellness. Parents and caregivers play a vital role in children’s identity development and beliefs about race and racism. This article offers an analysis of anti-Asian racism during the COVID-19 pandemic and its impact on Asian American (AA) adults’ and children’s wellness. In addition, based on reviews and analyses of the literature, it proposes a framework of critical consciousness informed antiracist parenting (CCIARP) for AA parents, practitioners, and educators who work with them to understand and heal from existing and continuing racial trauma as well as strategies and tools to enact social change toward a more just future. CCIARP recommendations include (a) cultivating antiracist awareness, (b) building skills and engaging in activism, and (c) fostering an antiracist parent–child relationship. Limitations and future research needed to apply this framework are included in the discussions.
Factors associated with parental COVID-19 vaccine attitudes and intentions among a national sample of United States adults ages 18–45

AUTHOR(S)
Lakeshia Cousin; Stephanie Roberts; Naomi C. Brownstein (et al.)

Published: January 2023   Journal: About Journal of Pediatric Nursing
This study explored factors associated with parents' attitudes and intentions to seek information about the COVID-19 vaccine for their children (ages 0–18) and intentions to vaccinate their age-eligible children. As part of an anonymous online cross-sectional survey, parents' vaccine attitudes, COVID-19 vaccine intentions for their children, health literacy, health numeracy, and sociodemographic variables were assessed. Multivariable ordered logistic regression models identified factors associated with parents' COVID-19 vaccine intentions for their children.
Association between co-occurring anxiety and depression with drug overdose encounters in the emergency department among adolescents and young adults in the era of COVID-19

AUTHOR(S)
Jacob Workman; Jasmine M. Reese; Sarah Sobalvarro (et al.)

Published: January 2023   Journal: Journal of Adolescent Health
COVID-19 risk mitigation efforts could have negatively impacted anxiety, depression, and substance use among adolescents and young adults (AYA). This study analyzed 45,223 emergency department visits from April 2018–March 2022 of patients aged 12-21 in Pinellas County, Florida.
Experiences of same-sex parents during the first year of Covid-19: a qualitative review and analysis of online blogs

AUTHOR(S)
Emily Staite; Katie McIntyre; David Griksaitis

Published: January 2023   Journal: Psychology of Sexualities Review
There are an increasing number of people identifying as part of the LGBT community, with over 165,000 same-sex couples in the US having children in 2019. Research on parenting during the first year of the Covid-19 pandemic has been disseminated. However, there is limited research that examines the experiences of same-sex parents. Therefore, a structured qualitative review of online blogs published during the Covid-19 pandemic, authored by same-sex parents, was conducted. Following thematic analysis, three main themes (and 13 subthemes) emerged: 1) Connection; 2) Contrasting experiences of home schooling; and 3) Pride in family. Similarities between same-sex and different-sex parents were highlighted. However, it is notable that same-sex parents continue to feel stigma and exclusion from the wider parenting community.
Predictors of adolescent resilience during the COVID-19 Pandemic in a Community sample of Hispanic and Latinx youth: expressive suppression and social support

AUTHOR(S)
Kate R. Kuhlman; Elizabeth Antici; Ece Tan (et al.)

Published: January 2023   Journal: Research on Child and Adolescent Psychopathology
The COVID-19 pandemic has created unprecedented disruptions in the daily lives and mental health of adolescents. Less attention has been given to the psychosocial resources that may mitigate the impact of COVID-19 on adolescent mental health, particularly among minoritized populations. In the present study, 259 youth (aged 11–18) were recruited from a community center for integrated prevention and intervention services in a predominantly Latinx and Hispanic community. Youth completed questionnaires about the impact COVID-19 has had on their lives, psychosocial resources (humor, optimism, emotion regulation, social support), and psychiatric symptoms (depressive symptoms, anxiety symptoms, sleep disturbances, aggression). After accounting for age, sex, and exposure to early life adversity, higher reported COVID-19 impact was associated with more depressive symptoms, b = 6.37 (SE = 1.67), 95% CI [3.08, 9.66], p < 0.001, more anxiety symptoms, b = 9.97 (SE = 1.63), 95% CI [6.75, 13.18], p < 0.001, and more sleep disturbances, b = 1.24 (SE = 0.34), 95% CI [0.57, 1.91], p < 0.001.
Child flourishing, school engagement, physical activity and screen time during the COVID-19 pandemic in 2020

AUTHOR(S)
Wei Lyu; George L. Wehby

Published: January 2023   Journal: ACADEMIC PEDIATRICS
This study aims to examine changes in flourishing, school engagement, physical activity, and recreational screen time among school-aged children in the United States during the Coronavirus Disease 2019 (COVID-19) pandemic in 2020. In this cross-sectional study, data come from the 2018–2020 National Survey of Children's Health for 68,203 children aged 6 to 17 years. Flourishing is always/usually curious to learn, resilient and having self-regulation. School engagement is always/usually completing homework and having interest in doing well in school. Other outcomes are daily 60+ minutes physical activity or number of such days, and daily recreational screen time or 2+ hours/day. Weighted regression models compare 2020 to 2019 and 2019 to 2018 adjusting for child/household covariates and state indicators.
Examining civic engagement in ethnic minority youth populations: a literature review and concept analysis

AUTHOR(S)
Van Phan; Bret Kloos

Published: January 2023   Journal: American Journal of Community Psychology
Racial reckoning is defined as the subjugation of Black, Indigenous, and people of Color (BIPOC) to racial hierarchies and subordinate groups that influence multiple well-being outcomes throughout the developmental lifespan and across generations. With the two pandemics of racial reckoning and COVID-19 amidst a growing controversial political landscape, topics around civic engagement have been brought to the forefront of community conversation. Discussions surrounding civic engagement must go beyond addressing issues of public concern and examine the vehicle in which civic engagement may be delivered. This is becoming increasingly important as civic engagement is one of the main avenues of social change through individual and collective action, particularly regarding racial reckoning and healthcare disparities highlighted by COVID-19. The paper focuses on civic engagement among ethnic minority youth and young adults. An integrated model of civic engagement was created based off what was learned through this review. This proposed model of civic engagement is meant to be the first step to addressing the gap in civic engagement literature for ethnic minority youth. Weaknesses and future considerations regarding the model will also be discussed, as well as any implications for ethnic minority youth and young adults.
A look at COVID-19 and transgender youth through a psychoanalytic lens

AUTHOR(S)
Diane Ehrensaft

Published: January 2023   Journal: Psychoanalytic Psychology.
The arrival of COVID-19 pandemic led to a much-publicized mental health crisis for American youth. A subgroup of those youth particularly affected were transgender and gender diverse (TGD) children and adolescents. Yet, a psychoanalytic eye cast on these youth revealed not a crisis, but a dialectic: from a relational and intrapsychic perspective, it was the best of times and the worst of times for TGD young people. This article applies Winnicott’s concepts of mirroring and the author’s constructs of the true gender self, false gender self, and gender creativity to information gleaned from survey studies and clinical observation. These data were then used to analyze why some TGD children and adolescents experienced the shutdown phase of the pandemic as an opportunity to consolidate their gender self, while others experienced the shutdown as a significant environmental impingement and threat to their gender self and overall well-being.
Who is doing the chores and childcare in dual-earner couples during the COVID-19 era of working from home?

AUTHOR(S)
Sabrina Wulff Pabilonia; Victoria Vernon

Published: January 2023   Journal: Review of Economics of the Household
In 2020–21, parents’ work-from-home days increased three-and-a-half-fold following the initial COVID-19 pandemic lockdowns compared to 2015–19. At the same time, many schools offered virtual classrooms and daycares closed, increasing the demand for household-provided childcare. Using weekday workday time diaries from American Time Use Survey and looking at parents in dual-earner couples, this study examines parents’ time allocated to paid work, chores, and childcare in the COVID-19 era by the couple’s joint work location arrangements. It determines the work location of the respondent directly from their diary and predicts the partner’s work-from-home status.
"Mature enough to handle it?": gendered parental interventions in and adolescents' reactions to technology use during the pandemic

AUTHOR(S)
Hillary Steinberg; Stefanie Mollborn; Jennifer Pace

Published: January 2023   Journal: Journal of Family Issues
This study investigated how teenagers reacted to parental regulation of technology. Using longitudinal dyadic interviews with 24 teenagers and their 21 parents in two predominantly white middle-class communities, it explored how teenagers used technology during the COVID-19 pandemic and the differential consequences parental interventions had for teens’ well-being and confidence with technology. Parents’ narratives and actions about technology use were deeply gendered. Boys felt confident about their self-regulation of technology, and parents did not substantially limit boys’ technology use during the pandemic. Girls were less confident about their ability to self-regulate and either worked with their mothers to manage technology, distrusted parents who monitored them, or lacked access to virtual hangout spaces such as video games and social media.
When not helping is nice: children's changing evaluations of helping during COVID-19

AUTHOR(S)
Julia Marshall; Young-eun Lee; Paul Deutchman (et al.)

Published: January 2023   Journal: Developmental Psychology
A key aspect of children’s moral and social understanding involves recognizing the value of helpful behaviors. COVID-19 has complicated this process; behaviors generally considered praiseworthy were considered problematic during the COVID-19 pandemic. The present study examined whether 6- to 12-year-olds (N = 228; residing in the United States) adapt their evaluations of helpful behavior in response to shifting norms. Specifically, we presented children with scenarios featuring helpful and unhelpful actions that involved physical interaction (e.g., hugging) or nonphysical interaction (e.g., recruiting a teacher); although all children were tested during the COVID-19 pandemic, stories portrayed individuals either before or during COVID-19.
Family functioning buffers the consequences of the COVID-19 pandemic for children's quality of life and loneliness

AUTHOR(S)
Micah A. Skeens; Kylie Hill; Anna Olsavsky (et al.)

Published: January 2023   Journal: Frontiers in Psychology
COVID-19 resulted in mass quarantine measures early in the pandemic. This disruption of daily life widened inequities and made children one of the most vulnerable populations during the crisis. This national, cross-sectional “COVID-Kids” study collected data from almost 500 parent–child dyads using standardized measures to better understand the effects of COVID exposure and impact on children’s quality of life and loneliness. Data were collected via social media from May to July 2020. According to parent proxy and child self-report, United States children experienced worse quality of life (p < 0.0001; d = 0.45 and 0.53) and greater child-reported loneliness (p < 0.0001) when compared to normative, healthy samples (i.e., children who do not have a chronic medical condition). Older children (r = 0.16, p = 0.001) and female children (r = 0.11, p = 0.02) reported greater loneliness. Higher child-reported family functioning scores were associated with better quality of life (r = 0.36, p < 0.0001) and less loneliness (r = −0.49, p < 0.0001). Moderated mediation analyses indicated the indirect effect of parent COVID impact on the association between COVID exposure and child quality of life was weaker in the context of better family functioning.
The effects of COVID‐19 pandemic on early childhood care systems in Hawaii in 2020

AUTHOR(S)
Jeffrey K. Okamoto; Keiko Nitta; Kirra Borrello (et al.)

Published: January 2023   Journal: Public Health Challenges
he COVID-19 pandemic caused many effects on the referrals to and the work of governmental agencies working with young children. This article describes the impact on the use of early childhood evaluations and services in the State of Hawaii. It looked at several nonpublic data sets from the Hawaii Department of Health and Department of Human Services, comparing the rates of early intervention referrals, lead level screening, childhood immunizations, and child welfare referrals in 2019 and 2020. It also describes effects on the work processes in various early childhood programs from the COVID-19 stay-at-home and work mandates.
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COVID-19 & Children: Rapid Research Response

UNICEF Innocenti is mobilizing a rapid research response in line with UNICEF’s global response to the COVID-19 crisis. The initiatives we’ve begun will provide the broad range of evidence needed to inform our work to scale up rapid assessment, develop urgent mitigating strategies in programming and advocacy, and preparation of interventions to respond to the medium and longer-term consequences of the COVID-19 crisis. The research projects cover a rapid review of evidence, education analysis, and social and economic policies.