Impact of the COVID-19 pandemic on children and adolescents: determinants and association with quality of life and mental health—a cross-sectional study

Child and Adolescent Psychiatry and Mental Health

Research

Idris Guessous¹  Rémy P. Barbe²  Klara M. Posfay-Barbe³  Elsa Lorthe⁴  María-Eugenia Zaballa⁴  Francesco Pennacchio⁴  Andrea Loizeau⁴  Roxane Dumont⁴  Viviane Richard⁴  Hélène Baysson⁵  Silvia Stringhini⁶ 

[1] Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland;Division and Department of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland;Division of Child and Adolescent Psychiatry, Department of Woman, Child, and Adolescent Medicine, Geneva University Hospitals, Geneva, Switzerland;Division of General Pediatrics, Department of Woman, Child, and Adolescent Medicine, Geneva University Hospitals, Geneva, Switzerland;Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205, Geneva, Switzerland;Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205, Geneva, Switzerland;Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland;Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205, Geneva, Switzerland;Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland;University Center for General Medicine and Public Health, University of Lausanne, Lausanne, Switzerland;

关键词: Family factors;    Quality of life;    Mental health;    COVID-19 pandemic;    Children;    Adolescents;   

DOI  :  10.1186/s13034-023-00563-5

 received in 2022-11-02, accepted in 2023-01-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe medium-term impact of the COVID-19 pandemic on the wellbeing of children and adolescents remains unclear. More than 2 years into the pandemic, we aimed to quantify the frequency and determinants of having been severely impacted by the COVID-19 pandemic and estimate its impact on health-related quality of life (HRQoL) and mental health.MethodsData was drawn from a population-based cohort of children and adolescents, recruited between December 2021 and June 2022, in Geneva, Switzerland. The Coronavirus impact scale was used to assess the multidimensional impact of the pandemic on children through parent’s report. A score higher than one standard deviation above the mean was deemed a severe impact. Parents additionally reported about their offspring HRQoL and mental health with validated scales. Determinants of having been severely impacted were assessed with logistic models, as were the associations between having experienced a severe impact and poor HRQoL or mental health.ResultsOut of 2101 participants aged 2–17, 12.7% had experienced a severe pandemic impact. Having a lasting health condition, a pandemic-related worsening of lifestyle habits or an unfavorable family environment were associated with having been severely impacted by the pandemic, while a previous anti-SARS-CoV-2 infection was not. Participants who had experienced a severe pandemic impact were more likely to present poor HRQoL (aOR = 3.1; 95% CI 2.3–4.4) and poor mental health (aOR = 3.9; 95% CI 2.5–6.2).ConclusionThe COVID-19 pandemic may have persistent consequences on the wellbeing of children and adolescents, especially among those with health and family vulnerabilities.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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