Racial and ethnic disparities in adult COVID-19 and the future impact on child health

Fraiman, Yarden S.; Litt, Jonathan S.; Davis, Jonathan M.; Pursley, DeWayne M.

doi:10.1038/s41390-021-01377-x

Cited by 18 publications

(15 citation statements)

References 7 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The COVID-19 pandemic has disproportionately impacted racial and ethnic minorities and low-income individuals, and these impacts are likely to be long-lasting. 19 Research suggests that youth pain trajectories worsened during the COVID-19 pandemic among families who experienced secondary economic stress. 27 These health disparities are likely to further the impact of the COVID-19 pandemic on youth with chronic pain and their families and are not adequately represented in the current sample.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Chronic Pain in the Midst of the COVID-19 Pandemic: Lived Experiences of Youth and Parents

Neville

Lund

Soltani

et al. 2022

The Journal of Pain

View full text Add to dashboard Cite

During the coronavirus 2019 (COVID-19) pandemic youth with chronic pain have experienced additional barriers to accessing treatment and managing their pain. This study explored the experiences of youth with chronic pain and their parents during the COVID-19 pandemic. Individual semi-structured interviews were conducted with 20 youth with chronic pain (aged 13-20 years) and one of their parents, recruited from a tertiary level pediatric chronic pain program. Interviews occurred between the months of June-August 2020 and enabled participants to describe their experiences of the COVID-19 pandemic according to their own unique perspectives. Transcripts were analysed using inductive reflexive thematic analysis. Four themes were generated and labelled: ‘temporality, mental health, and pain’, ‘coping with pain during a global pandemic’, ‘impact on care’, and ‘re-appraisal in the context of development and pandemic life’. Across these themes, youth and parents described their unique challenges of living with pain as they adapted to changing circumstances of the COVID-19 pandemic. Notably, youth experienced increased difficulties managing their mental health and pain, which were intricately connected and related to social isolation, temporality, and uncertainty exacerbated by the COVID-19 pandemic. Restrictions due to the COVID-19 pandemic impacted youth's access to care and their abilities to engage in coping strategies to manage their pain. The COVID-19 pandemic was also perceived to have interrupted youth's development and growing autonomy, prompting youth to re-appraise their current circumstances and imagined futures. Perspective: This manuscript provides an in-depth understanding of the impact of the COVID-19 pandemic on youth with chronic pain and their parents. Youth and their parents perceived the COVID-19 pandemic to have impacted youth's mental health, pain, socio-emotional development, and access to care.

show abstract

Section: Discussionmentioning

confidence: 99%

Pediatric Chronic Pain in the Midst of the COVID-19 Pandemic: Lived Experiences of Youth and Parents

Neville

Lund

Soltani

et al. 2022

The Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Many radiology departments also substantially reduced image services, especially outpatient and nonurgent exams, often in response to government policies to delay nonessential medical care as part of widespread efforts to slow the rate of new infections [ 5 , 18 ]. Access to medical care was reduced for many patients because of these issues, combined with the fact that many patients and families did not feel comfortable coming to medical centers located in urban areas or participating in the care of COVID-19 patients [ 19 , 20 ]. The confluence of all these factors led to distinctive trends in pediatric exam orders and exam completion rates in the pandemic period compared with baseline.…”

Section: Discussionmentioning

confidence: 99%

“…Access to medical care was reduced for many patients because of these issues, combined with the fact that many patients and families did not feel comfortable coming to medical centers located in urban areas or participating in the care of COVID-19 patients [19,20]. The confluence of all these factors led to distinctive trends in pediatric exam orders and exam completion rates in the pandemic period compared with baseline.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Characterization of Pediatric Imaging Trends and Likelihood of Exam Cancellation in the COVID-19 Pandemic

Machado‐Rivas¹,

Bernal²,

Briggs³

et al. 2022

Academic Radiology

View full text Add to dashboard Cite

Background : The COVID-19 pandemic has caused unprecedented changes in radiology practice worldwide. There is a need for a framework of pediatric radiology resource allocation for future acute resource-limited settings. Objective : To quantify and analyze changes in pediatric radiology practice during the COVID-19 pandemic considering demographic and clinical characteristics. Methods : We retrospectively searched our institution's electronic health record for pediatric imaging exams from 09/15/19 to 05/01/20, with 03/15/20 as the dividing date between baseline and pandemic periods. Age, modality, exam indication, need for anesthesia/sedation, and exam completion or cancellation were recorded. All exams were compared between baseline and pandemic periods using a chi-square test and a logistic regression multivariate analysis. Results : 15,424 exams were included for analysis [13,715 baseline period (mean age 10±5 years; 7,440 males); 1,047 COVID-19 period (mean age 9±5 years; 565 males)]. A statistically significantly lower proportion of adolescent exams (45.5% versus 53.3%), radiography modality (62.4% versus 70.4%) and non-traumatic pain indication (39.1% versus 46.3%) was observed during the COVID-19 period. Conversely, we found a higher proportion of neonatal (5.8% versus 3.8%), infant (5.6% vs 4.1%) and early childhood patients (12.9%versus 9.8%), CT (7.4% versus 5.9%) and ultrasound modalities (18.3% versus 13.5%), oncologic (8.8% versus 6.5%) and congenital/development disorder indications (6% versus 3.9%), and studies performed under anesthesia (2.7% versus 1.3%). Regarding exam completion rates, the neonatal age group (OR 1.960 [95% CI 0.353-0.591]; P<0.020) and MRI modality (OR 1.502 [95% CI: 0.214-0.318]; P<0.049) had higher odds of completion during the COVID-19 pandemic, while fluoroscopy modality was associated with lower odds of completion (OR 0.524 [95% CI: 0.328-0.839]; P=0.011). Conclusion : The composition and completion of pediatric radiology exams changed substantially during the COVID-19 pandemic. A sub-set of exams resilient to cancellation was identified.

show abstract

“…In the final article, Palkovitz and Fagan (this issue, 2021 ) draw attention to the impact of the global COVID-19 pandemic on fathers and their families. The pandemic virus has impacted families throughout the world but with a particularly high burden with respect to infection rates and deaths in the USA, especially exacerbating vulnerabilities among children and families already marginalized due to historic, structural, and race-based discrimination and oppression (Fraiman et al, 2021 ; Yip, 2020 ). Palkovitz and Fagan’s commentary stresses the interdependence of family members across the intersection of race, class, culture, and individual characteristics, with the additional interconnectivity with community adjunctive systems as they systemically impact risk and resilience within family dynamics.…”

mentioning

confidence: 99%

Fathers and Families: Risk and Resilience. An Introduction

et al. 2021

View full text Add to dashboard Cite

The articles in this special issue are informed by the historic changes in the twentieth century (i.e., decreasing family size, changing family roles, and youth demonstrating more independent behaviors) that propelled intensive study of fathers’ impacts on child development. The papers are conceptualized within a developmental systems framework and focused on a father’s presence rather than on his absence in the family, going beyond the study of merely father involvement. Papers reflect longitudinal and cross-sectional methods and examine issues related to paternal mental health, parenting behavior, cultural context, and children’s physical and mental health.

show abstract

Racial and ethnic disparities in adult COVID-19 and the future impact on child health

Cited by 18 publications

References 7 publications

Pediatric Chronic Pain in the Midst of the COVID-19 Pandemic: Lived Experiences of Youth and Parents

Pediatric Chronic Pain in the Midst of the COVID-19 Pandemic: Lived Experiences of Youth and Parents

Characterization of Pediatric Imaging Trends and Likelihood of Exam Cancellation in the COVID-19 Pandemic

Fathers and Families: Risk and Resilience. An Introduction

Contact Info

Product

Resources

About