The Impact of COVID-19 on Vulnerable Populations and Implications for Children and Health Care Policy

Siegel, Robert; Mallow, Peter J.

doi:10.1177/0009922820973018

Cited by 44 publications

(45 citation statements)

References 71 publications

(71 reference statements)

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“…In summary, our study shows that the most at-risk population, Medicaid patients, had worse diabetes outcomes during the quarantine phase, which strengthens the conclusion that COVID has disproportionately affected minorities [24] and other vulnerable populations such as those with chronic illness [25]. It also shows that diabetes control worsened, even in those not infected with COVID-19, and strengthens the hypothesis that being in school helped control diabetes among children.…”

Section: Discussionsupporting

confidence: 78%

Effect of Covid-19 quarantine on diabetes Care in Children

Gayoso

Lim

Mulekar

et al. 2021

Clin Diabetes Endocrinol

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Background With the onset of the COVID-19 pandemic and state-mandated school closures in the spring of 2020, the management of type 1 diabetes in children underwent significant changes. The aim of our study was to assess the effect of stay-at-home orders on glycemic control in children. Methods We conducted a retrospective review of 238 children with type 1 and type 2 diabetes who were seen in the Pediatric Endocrinology Clinic at the University of South Alabama. Average Hemoglobin A1c (A1c) levels in the year prior to stay-at home orders (May 2019–April 2020) were compared with A1c values during the quarantine period (May 2020–July 2020) using a paired t-test. We also analyzed the change of A1c level with respect to sex, race, type of diabetes, type of insurance, and mode of insulin administration, using a 2-sample t-test. Results The average A1c significantly increased from 9.2% during the previous year to 9.5% during the quarantine period (p = 0.0097). The increase of A1c was significantly higher in public insurance patients (0.49% increase) compared to private insurance patients (0.03% increase), (p = 0.0137). We also observed a significant association between the direction of change and type of insurance. Forty-eight percent of public insurance patients had an A1c increase of > 0.5% while 54% of private insurance patients had no change or decrease in A1c (p = 0.0079). Conclusions The COVID-19 pandemic resulted in worsening glycemic control in children with type 1 diabetes, with those on public insurance affected in greater proportion than those with private insurance.

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Section: Discussionsupporting

confidence: 78%

Effect of Covid-19 quarantine on diabetes Care in Children

Gayoso

Lim

Mulekar

et al. 2021

Clin Diabetes Endocrinol

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“…Em nossos livros selecionamos um dos capítulos para premiação como forma de incentivo (PAHO, 2020). A doença é causada por um vírus que tem um amplo espectro de características clínicas, que variam de ser assintomático à insuficiência respiratória e morte (SIEGEL, 2021).…”

Section: Prefáciounclassified

Implementação De Ações Educativas E Interventivas Virtuais Às Mães Adstritas À Atenção Primária À Saúde

Silva¹,

Souza²,

Pinheiro³

et al. 2021

A Importância Da Enfermagem Na Pandemia De Covid-19

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“…Due to the psychological burden of the COVID-19 pandemic, it is reasonable to predict that it had a considerably large negative impact on more vulnerable populations [ 30 , 31 ]. The investigation of the impact on unaccompanied minors is thus warranted in order to develop appropriate interventions aimed at preventing maladaptive life outcomes.…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Habilitating Residential Communities for Unaccompanied Minors during the First Lockdown in Italy: The Educators’ Relational Perspective

Isernia

Intra

Bussandri

et al. 2021

IJERPH

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(1) Background: Italian residential communities for unaccompanied minors suffered a long period of closure during the SARS-COV2 lockdown. Professional educators who work inside these institutions with the aim to habilitate children toward life-span achievements faced a great challenge and responsibility during this period. In this context, the psychological well-being and development of unaccompanied children were at high risk. The aim of this study was to investigate the impact of the lockdown on children living in residential communities from the educators’ perspective and to explore whether the educators’ relational lens was related to their perception and sense-making. (2) Methods: We conducted a mix-method study enrolling 21 educators in 10 residential communities who completed an interview and a self-construal scale. (3) Results: The interview was analyzed by a qualitative content method revealing 10 themes (social relationships, stand-by, emotions, new activities, new norms acceptance, end of lockdown, time, space, resilience, and achievements). Moreover, correlation analyses were performed to test the possible association between RISC and themes that emerged from the interviews, showing significant associations with four interview themes. (4) Conclusions: Our study highlights considerable lockdown effects on residential communities and the importance of educators’ relational approach, a tool for habilitating children and a protective factor against emotional overwhelming.

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The Impact of COVID-19 on Vulnerable Populations and Implications for Children and Health Care Policy

Cited by 44 publications

References 71 publications

Effect of Covid-19 quarantine on diabetes Care in Children

Effect of Covid-19 quarantine on diabetes Care in Children

Implementação De Ações Educativas E Interventivas Virtuais Às Mães Adstritas À Atenção Primária À Saúde

Impact of the COVID-19 Pandemic on Habilitating Residential Communities for Unaccompanied Minors during the First Lockdown in Italy: The Educators’ Relational Perspective

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