COVID-19 Vaccinations and School / Community Resources: Children's Longitudinal Health and Education Outcomes Using Linked Administrative Data

COVID-19 疫苗接种和学校/社区资源：使用关联管理数据的儿童纵向健康和教育成果

• 批准号: 10425548
• 负责人: Brian Elbel
• 金额: $ 82.99万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-22 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10425548
• 关键词: Absenteeism; Academic achievement; Achievement; Affect; Age; Anxiety; Asians; Asthma; Authorization documentation; Behavioral; Body mass index; Buffers; COVID-19; COVID-19 pandemic; COVID-19 vaccination; Characteristics; Child; Child Health; Chronic; Chronic Disease; Color; Communities; Data; Data Sources; Development; Diabetes Mellitus; Diet; Economics; Education; Emergency Situation; Enrollment; Ethnic Origin; Event; Food; Health; Health Services; Health education; Health system; Healthcare; Hispanics; Immunization; Incidence; Income; Individual; Inequality; Lead; Learning; Link; Low income; Measures; Medicaid; Mental Health; Mental Health Services; Modern 1601-history; Municipalities; Neighborhoods; New York City; Obesity; Outcome; Personal Satisfaction; Persons; Physical activity; Race; Records; Registries; Research; Resources; Risk; Role; Schools; Services; Shapes; Site; Social Impacts; Source; Special Education; Stress; Student Dropouts; Students; Surveys; System; Time; United States; Vaccination; Vaccines; Variant; achievement test; behavioral economics; cohort; coronavirus disease; elementary school; ethnic disparity; food resource; health disparity; high school; income disparities; insight; longitudinal database; member; pandemic disease; population health; public health priorities; racial and ethnic disparities; resilience; social; time use; vaccine acceptance; vaccine access

PROJECT SUMMARY/ABSTRACT This research will examine how significant disruptions to children’s health, education and overall well-being during the COVID-19 pandemic created lasting influence on health, development and social trajectories through the lifecourse, and the risk for long-term health outcomes. Effects of the pandemic are unevenly distributed amongst children, particularly with respect to race/ethnicity and income, and are anticipated to both reflect and exacerbate the already wide health disparities in the United States. As vaccines continue to roll out, inequality in access to and take up of vaccinations could compound the disparate outcomes. New York City (NYC), where the 1 million public school children are majority Black or Hispanic (66%) and 74% are low-income, is an ideal place to situate this research. In the health domain, changes in diet and physical activity and missed healthcare may increase incidence and exacerbation of chronic diseases like obesity, asthma and diabetes. The pandemic generated stress and anxiety, with fewer of the usual mental health services supports available, posing risk for new and more severe health problems. Even after schools fully return to in-person learning, the educational consequences are expected to be protracted – including declines in academic achievement (test scores), increases in chronic absenteeism, repeating grades, or high school dropout. The research leverages the NYC Student Population Health Registry (SPHR), a uniquely inclusive, longitudinal database of all NYC public school students, created jointly by the NYC Department of Health and Mental Hygiene and NYC Department of Education to examine these and other outcomes. SPHR links multiple municipal data sources at the child-level, allowing us to examine the influence of the COVID pandemic on myriad outcomes. The impact of variation in child-level, classroom-level and school-level vaccination rates will be important to understand, and it is expected that neighborhood and school characteristics (income, vaccination sites, emergency food resources, open space) will mitigate (or exacerbate) sustained impacts. Identifying sources of resilience, at either the individual or neighborhood level, is a public health priority. The specific aims are: • Aim 1: With a focus on disparities, determine health and education changes among children 2-4 years after pandemic onset compared to pre-pandemic using a new, comprehensive and powerful set of linked child-level administrative data. • Aim 2: Determine how child-level, school-level and neighborhood-level COVID vaccination rates influence the course of the COVID pandemic, with a focus on disparities. • Aim 3: Determine the role of neighborhood and school resources in exacerbating or mitigating health and educational disparities due to the COVID pandemic.

项目摘要/摘要 这项研究将研究儿童健康，教育和整体纪律处分 在Covid-19期间大流行对健康，发展和社会轨迹产生了持久的影响 通过生命力和长期健康结果的风险。 分布在儿童中，尤其是在种族/民族和收入方面 反映并加剧了美国已经广泛的健康差异。 不平等接种疫苗可能会使不同的结果加剧。 纽约市（纽约市），100万公立小学生是黑人或西班牙裔（66％）和74％ 低收入是在卫生领域，饮食和身体变化的理想场所。 活动和错过的医疗保健可能会增加和加剧肥胖等慢性疾病， 哮喘和糖尿病。 服务支持可用的，可能会出现新的和更严重的健康问题的风险。 回到面对面学习，预计教育结构将是长时间的下降 在学术成就（考试成绩）中，长期缺勤，重复成绩或高中 辍学。 纽约市卫生部和 精神卫生和纽约教育部检查这些otcomes。 儿童级别的市政数据来源，使我们能够检查有关的大流行 无数的结果。 理解重要的是，它被揭示了邻里和学校特征（收入，收入， 疫苗接种地点，紧急食品资源，开放空间）将减轻（或恶化）持续影响。 在个人或邻里层面上确定弹性来源是一种公共卫生的预期。 具体目的是： •目标1：关注差异，确定2-4岁儿童的健康和教育变化 大流行后，与大流行相比，使用了一套新的，全面和强大的 链接的儿童级行政数据。 •目标2：确定儿童级别，学校级别和社区级别的共同疫苗接种率是如何的 影响互联的大流行的过程，重点是差异。 •目标3：确定邻居和学校资源在加剧或缓解健康方面的作用 和由于共同大流行而导致的教育差异。