PHSU Specialized Center in Health Disparities - Impact of COVID-19 on Life Experiences of Vulnerable Children and Families

PHSU 健康差异专业中心 - COVID-19 对弱势儿童和家庭生活经历的影响

基本信息

批准号：
10157420
负责人：
Richard J. Noel
金额：
$ 18.84万
依托单位：
PONCE SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
1997
资助国家：
美国
起止时间：
1997-08-25 至 2024-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10157420
关键词：
2019-nCoV Acute Adult Affect Age-Years Attention Behavioral Biological Biological Markers Birth COVID-19 COVID-19 pandemic Centers for Disease Control and Prevention (U.S.)Cessation of life Child Child Abuse Childhood China Chronic Clinical Cohort Studies Communities Congenital Abnormality Containment Critical Illness Disease Disease Outcome Distress Earthquakes Economics Elderly Emotional Enrollment Ensure Epidemic Event Exposure to Failure Family Future Geographic Distribution Goals Hair Health Health Personnel Health Promotion Hurricane Hydrocortisone Incidence International Island Knowledge Life Experience Life Style Malnutrition Measures Mental Health Microcephaly Minority Groups Morbidity - disease rate Mothers Motor Natural Disasters Outcome Participant Personal Satisfaction Persons Population Poverty Pregnancy Prevention strategy Psyche structure Public Health Puerto Rico Quality of life Quarantine Reporting Research Research Infrastructure Research Personnel Risk Role Sensory Severe Acute Respiratory Syndrome Shelter facility Siblings Social Functioning Societies Specialized Center Stress Syndrome Testing Time United States United States Dept. of Health and Human Services Ursidae Family Vaccines Viral Pneumonia Vulnerable Populations Work World Health Organization ZIKA ZIKV infection Zika Virus behavioral outcome cohort comorbidity disparity reduction effective intervention emotional functioning environmental stressor experience health care quality health disparity health equity high risk high risk population improved mortality nervous system disorder novel coronavirus nutrition pandemic disease prenatal prevent primary caregiver psychologic psychological distress psychosocial public health emergency resilience respiratory response retention rate social socioeconomic disadvantage stressor transmission process

项目摘要

PROJECT SUMMARY SARS CoV2 is the novel coronavirus that presented in Wuhan, China on December of 2019 as a serious disease (COVID-19) associated to a severe acute respiratory syndrome. COVID-19 has spread with unprecedented facility around the world as a pandemic with catastrophic morbidity and mortality rates and widespread social, psychologic, and economic distress. The most severe clinical outcomes of COVID-19, viral pneumonia, severe acute respiratory syndrome, multiorgan failure, and neurologic disease, primarily affect high risk groups, such as the elderly and those with co-morbidities, but critical illness can present in younger persons, including children. Pediatric experts have also expressed concern that children are at higher risk for malnutrition, behavioral and mental problems, child abuse and vaccine preventable diseases during this pandemic. Measures taken to prevent transmission also cause significant distress and increase the risk for long term mental health problems in children and adults. While all in the population are perceiving the biologic, psychological, and systemic stressors of COVID-19, disease outcomes of the most vulnerable in society and those with health disparities are particularly concerning. The main goal of the proposed work is to gain knowledge from “protective responses” and resilience that vulnerable children and families from the Pediatric Outcomes of Prenatal Zika Exposure (POPZE) study are displaying in response to the COVID-19 pandemic. The POPZE children have special needs from a previous biological insult (prenatal Zika) and their mothers and siblings are vulnerable from socio- economic disadvantages and psychological distress. The study will pursue lessons in health equity from the life experiences of these vulnerable children and families through two study aims, Aim 1: To describe the multilevel stressors and needs associated to COVID-19 in a unique group of vulnerable children with prenatal Zika infection consequences and their families, and Aim 2: To determine how COVID-19 associated stressors affect the life experiences of vulnerable children and families and impact their health, family interactions, and quality of life. We expect that the responses that promote resilience will constitute a repertoire of culturally competent solutions that clinical and public health providers can use to promote the health and wellbeing of families at risk for health disparities in the face of adversity.

项目概要 SARS CoV2 是一种新型冠状病毒，于 2019 年 12 月在中国武汉出现，是一种严重疾病（COVID-19）与严重急性呼吸系统综合症相关，已以前所未有的速度传播。世界各地的设施作为一种流行病，具有灾难性的发病率和死亡率以及广泛的社会， COVID-19 最严重的临床后果是病毒性肺炎，严重。急性呼吸综合征、多器官衰竭和神经系统疾病主要影响高危人群，例如例如老年人和患有合并症的人，但危重疾病也可能出现在年轻人（包括儿童）中。儿科专家还表示担心，儿童营养不良、行为和行为方面的风险更高。此次大流行期间的精神问题、虐待儿童和疫苗可预防疾病。防止传播也会造成严重的痛苦并增加长期心理健康问题的风险在儿童和成人中，所有人都在感知生物、心理和系统。 COVID-19 的压力源、社会中最弱势群体和健康差异群体的疾病结果是特别令人担忧的是，拟议工作的主要目标是从“保护性反应”中获取知识。弱势儿童和家庭因产前寨卡病毒暴露而遭受的儿科后果的影响和恢复能力 (POPZE) 研究显示，针对 COVID-19 大流行，POPZE 儿童有特殊需求。她们的母亲和兄弟姐妹很容易受到社会- 该研究将从生活中汲取健康公平的教训。通过两个研究目标，目标 1：描述这些弱势儿童和家庭的多层次经历易受产前寨卡病毒感染的独特儿童群体中与 COVID-19 相关的压力源和需求后果及其家人，以及目标 2：确定与 COVID-19 相关的压力源如何影响生活弱势儿童和家庭的经历，并影响他们的健康、家庭互动和生活质量。期望促进复原力的应对措施将构成一系列文化上有效的解决方案临床和公共卫生提供者可以利用它来促进面临健康风险的家庭的健康和福祉逆境面前的差距。