Longitudinal study of health outcomes and mitigating factors in the aftermath of the COVID pandemic

新冠疫情大流行后健康结果和缓解因素的纵向研究

• 批准号: 10688144
• 负责人: Joanna Maselko
• 金额: $ 67.06万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-21 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10688144
• 关键词: 2019-nCoV; Adolescent; COVID-19 pandemic; Castes; Child; Child Health; Child Mental Health; Consumption; Data; Data Collection; Data Set; Documentation; Economics; Exposure to; Family; Future; Gender; Goals; Grant; Health; Health Surveys; Health trends; Healthcare; Heterogeneity; Household; Immunization; Income; India; Individual; Inequality; Intervention; Job loss; Knowledge; Longevity; Longitudinal Studies; Mental Health; Occupations; Outcome; Periodicity; Personal Satisfaction; Policies; Population; Primary Health Care; Public Health; Publishing; Research; Research Personnel; Resource-limited setting; Risk Factors; Sampling; Shock; Social Environment; Source; Surveys; Testing; coronavirus disease; economic outcome; evidence base; experience; falls; health care service utilization; health data; improved; innovation; large datasets; member; pandemic disease; pandemic impact; physical conditioning; population health; programs; public-private partnership; school closure; severe COVID-19; social; statistics; stem; stressor

ABSTRACT The global pandemic caused by SARS-CoV-2 has already claimed over 2 million lives and caused economic and social disruption on an unprecedented scale. There is growing concern about long-term consequences of the pandemic on physical and mental health outcomes of children, stemming from both the illness and from associated disruptions in the economic, social, and healthcare domains. Our overall goal is to study trajectories of child/adolescent mental health and primary healthcare utilization including immunization, in the aftermath of the COVID-19 pandemic. Our project, located in India, will test key hypotheses about the pandemic’s impact on health outcomes, vulnerability to future shocks, and sources of heterogeneity in these relationships. A strategic innovation is to create a new health panel dataset - called the SurvEy of HeAlth Trends (SEHAT), which means “health” in Hindi - by leveraging the world’s largest household panel data on consumption and economic outcomes in India. The SEHAT data will be a new health module spanning 9 waves from September 2021 – August 2024 to generate timely evidence on the pandemic’s impact on trajectories of health outcomes. Our project on three COVID-related stressors: (1) disruptions in economic circumstances, (2) disruptions in the social environment, or (3) exposure to severe COVID illness within family networks. We estimate the association between these stressors and (a) mental health, and (b) rates of immunization and primary healthcare utilization. Our second aim is to examine impact of COVID-related stressors on vulnerability to future shocks. Using 9 waves of panel data over a three-year period, we will examine new economic shocks, such as job or income losses in the household, and their cumulative effects on child health outcomes. Our main hypothesis is that the negative impact of future shocks on child health outcomes will be greater in magnitude among children in households that experienced higher levels of COVID-related stressors compared with children from households with lower levels of these stressors. We will also leverage the large amount of data to examine sources of heterogeneity in COVID impacts on child health outcomes, by factors such as gender, caste, or household composition. Our third aim is to make SEHAT panel dataset publicly available to facilitate research and inform policy. Our study aims to collect health data that can be transformative for research and evidence-based policy. We plan to release descriptive statistics on key indicators immediately after every wave, with accompanying policy briefs. After completion of SEHAT data collection in August 2024, we will publicly release microdata by August 2026, prior to end of the grant period. We will also publish detailed documentation to facilitate analysis using the SEHAT data.

抽象的 由SARS-COV-2引起的全球大流行已经夺走了200万以上的生命，并造成了经济 和社会破坏在空前的规模上。人们对长期后果的关注越来越关注 儿童身心健康成果的大流行是由疾病和 经济，社会和医疗保健领域的相关中断。我们的总体目标是学习 儿童/青少年心理健康和初级医疗保健利用的轨迹，包括免疫， 在COVID-19-19大流行之后。我们位于印度的项目将检验有关该项目的关键假设 大流行对健康结果的影响，对未来冲击的脆弱性以及这些的异质性的来源 关系。战略创新是创建一个新的健康面板数据集 - 称为健康调查 趋势（Sehat）在印地语中的意思是“健康” - 利用世界上最大的家庭面板数据 印度的消费和经济成果。 SEHAT数据将是一个跨越9波的新健康模块 从2021年9月至2024年8月，为大流行对轨迹的影响及时提供证据 健康结果。我们针对三个相关压力源的项目：（1）在经济环境中的中断， （2）社会环境中的中断，或（3）家庭网络中严重的covid疾病。我们 估计这些压力源与（a）心理健康之间的关联，以及（b）免疫率和 初级医疗保健利用。我们的第二个目的是检查与共同相关压力源对 对未来冲击的脆弱性。在三年内，使用9浪面板数据，我们将检查新的 经济冲击，例如家庭中的工作或收入损失及其对儿童健康的累积影响 结果。我们的主要假设是，未来冲击对儿童健康结果的负面影响将是 经历了更高水平的共同压力源的家庭中儿童的幅度更大 与这些压力较低的家庭的儿童相比。我们还将利用大型 通过此类因素来检查共同影响儿童健康结果的异质性的数据数量， 作为性别，种姓或家庭组成。我们的第三个目标是公开提供SEHAT面板数据集 促进研究并告知政策。我们的研究旨在收集可以变革的健康数据 研究和循证政策。我们计划立即在关键指标上发布描述性统计信息 每一波浪潮，都有参与政策简介。在2024年8月完成SEHAT数据收集后，我们将 赠款期末之前，到2026年8月，公开发布了微型数据。我们还将发布详细信息 使用SEHAT数据促进分析的文档。