Physical child abuse demands increased awareness during health and socioeconomic crises like COVID-19

Martinkevich, Polina; Larsen, Lise Langeland; Græsholt-Knudsen, Troels; Hesthaven, Gitte; Hellfritzsch, Maja; Petersen, Karin L.; Möller‐Madsen, Bjarne; Rölfing, Jan Duedal

doi:10.1080/17453674.2021.1975912

Cited by 24 publications

(5 citation statements)

References 7 publications

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“…The World Health Organization warned that the COVID‐19 pandemic and society's response to it have a huge impact on the prevalence of violence against children 31 . Potential explanatory pathways include 32 : (i) economic insecurity and poverty‐related stress; (ii) social isolation; (iii) infection‐related insecurity and instability; (iv) exposure to exploitative relationships due to lifestyle changes, and (v) inability to escape the perpetrator temporarily. As has been reported in other countries, 33 our study also demonstrated high distress levels as well as lack of self‐care opportunities among parents/guardians, which may have contributed to the observed increase in abusive behaviors from family members 34,35 and poor mental health reported by children 26,36 .…”

Section: Discussionmentioning

confidence: 99%

Children's daily lives and well‐being: Findings from the CORONA‐CODOMO survey 1st wave

Hangai

Piedvache

Sawada

et al. 2022

Pediatrics International

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Background The coronavirus disease 2019 pandemic has changed people's lives dramatically. Few data on the acute effects of the pandemic on children's daily lives and well‐being have been published to date. This study aimed to capture its effects on Japanese children during the first peak of the outbreak. Methods We conducted a web‐based, anonymous cross‐sectional survey targeting Japanese children aged 7–17 years and parents/guardians of children aged 0–17 years. Eligible individuals were invited to participate in the survey from April 30 to May 31, 2020. This self‐report questionnaire examined daily life and behaviors, psychological symptoms, well‐being, quality of life, and positive parenting or abusive behaviors at the very beginning of the outbreak. Results A total of 2,591 children and 6,116 parents/guardians participated in our survey. Sixty‐two percent of children reported screen time exceeding 2 h. Twenty percent of children reported abusive behaviors by family members. Nine in ten parents/guardians of school‐aged children reported that their child had at least one acute stress symptom in the past month. Average mental health subscale scores from KINDLR questionnaire on quality of life were lower than the national average for all grades. Nearly half of parents/guardians refrained from seeking medical care for the child's symptoms. Conclusions The COVID‐19 pandemic had serious acute impacts on Japanese children's daily lives, well‐being, family relationships, and health‐care utilization, including some impacts that are potentially long‐lasting; thus, proactive interventions and services are needed, as well as longitudinal surveys.

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Section: Discussionmentioning

confidence: 99%

Children's daily lives and well‐being: Findings from the CORONA‐CODOMO survey 1st wave

Hangai

Piedvache

Sawada

et al. 2022

Pediatrics International

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“…18,19 These findings have led to an increased push to improve awareness of this problem for families and healthcare professionals and strategies aimed at decreasing the rate of abuse. 20,21 That orthopaedic injuries are more frequently associated with child abuse during this pandemic should be an incredibly important focal point to address now and before future pandemics or similar situations. Furthermore, an increase in positive drug screens among pediatric patients suggests that access to these substances during the pandemic was heightened.…”

Section: Discussionmentioning

confidence: 99%

The Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study

2022

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Introduction: Stay-at-home orders and other social distancing restrictions had a profound effect on the lives of children during the pandemic. This study characterizes pediatric orthopaedic injuries and in-hospital outcomes during the COVID-19 pandemic and compares them with pre-COVID patterns. Methods: A retrospective review of pediatric patients presenting to hospitals with Pennsylvania Trauma Systems Foundation designations was performed. All patients younger than 18 years who presented with orthopaedic injuries were included. Patient demographics, injuries, hospital stays, and mortality were compared between the COVID and pre-COVID cohorts. Results: Overall, 1112 patients were included. During the pandemic, more injuries occurred at home (44.7% versus 54.9%, P = 0.01) and fewer at sporting areas, parks, and pools (7.8% versus 1.6%, P , 0.01) as well as at schools (3.4% versus 0.5%, P = 0.03). Injuries caused by child abuse were more prevalent during the pandemic (5.6% versus 11.0%, P , 0.01). Finally, the COVID cohort had a longer mean hospital length of stay (3.1 versus 2.4 days, P = 0.01), higher mean number of ICU days (1.0 versus 0.7 days, P = 0.02), and higher mortality rate (3.8% versus 1.3%, P = 0.02). Discussion: Pediatric patients sustained injuries in differing patterns during the pandemic, but these led to worse hospital outcomes, including higher mortality rates.T he COVID-19 pandemic has placed continued stress on patients and hospital systems across the United States. The increased time and economic burden caused by the increasing number of patients with severe acute respiratory syndrome coronavirus 2 has highlighted the need for more resources and better action plans. 1 Early in the pandemic, state and local governments placed stay-at-home orders and other social distancing restrictions, all aimed at curbing the spread of the virus. 2,3 Although this had a profound effect on the lives of the entire population, children, in particular, were forced to alter their lives drastically. Schools were closed,

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“…Parents should be open and honest with their children, as well as reassure them and explain what practical steps they can serve to keep themselves and others safe [13,14] (Fig. 2).…”

Section: Impact Of Covid-19 Among the Pediatric Age Group Positive Im...mentioning

confidence: 99%

Impact of COVID-19 on children

Amin

Parveen

2022

Middle East Curr Psychiatry

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Background The COVID-19 global pandemic has spread throughout the world, posing an extremely dangerous health risk for almost everyone. While dealing with such a large-scale viral disease, the healthcare infrastructure is under strain. Young adults who were thought to have been clinically affected fared better than their older counterparts. This pandemic has affected millions of children, especially those from low-economic backgrounds, who are otherwise highly susceptible and underprivileged. Children of frontline workers and single parents face particular challenges. Children from disadvantaged backgrounds are more vulnerable to infection and may experience long-lasting negative effects of the pandemic, such as child labor, child trafficking, child marriage, sexual exploitation, and even death. To lessen the psychological negative effects of COVID-19 on children and adolescents, parents, physicians, psychologists, social workers, and hospital administrators, government and non-governmental organizations have essential responsibilities to play. Priority one is to ensure that all children from all socioeconomic strata have access to the necessities of life, including social security, health care, and education. Moreover, some positive changes may result from the global crisis. This research paper discusses the potential consequences of this pandemic. Summary Some of the hypotheses being investigated while looking at the low case fatality rate among pediatric age groups include the peak of immunity and differences in immune system response. The vulnerability of the comorbid pediatric age group, on the other hand, is comparable to that of their older counterparts. During the severe acute respiratory syndrome and Middle Eastern respiratory syndrome outbreaks, similar results were observed. The inoculation of a mother during pregnancy was found to be effective in protecting her progeny. Results This is a review article, thus not applicable. Conclusions Children are quite discouraged when school is abruptly stopped, when planned outings are canceled, when they are confined to the house, and when they are afraid of the unknown with regard to the continuing epidemic. Even though almost all studies suggest that COVID-19 has a relatively mild clinical manifestation in children, one must be cautious due to the novel coronavirus’s rapid mutation rate. More research is needed to determine the relationship between COVID-19 and pediatric age groups.

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Physical child abuse demands increased awareness during health and socioeconomic crises like COVID-19

Cited by 24 publications

References 7 publications

Children's daily lives and well‐being: Findings from the CORONA‐CODOMO survey 1st wave

Children's daily lives and well‐being: Findings from the CORONA‐CODOMO survey 1st wave

The Effect of COVID-19 on Pediatric Traumatic Orthopaedic Injuries: A Database Study

Impact of COVID-19 on children

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