Richard Viviane, Dumont Roxane, Lorthe Elsa, Loizeau Andrea, Baysson Hélène, Zaballa María-Eugenia, Pennacchio Francesco, Barbe Rémy P, Posfay-Barbe Klara M, Guessous Idris, Stringhini Silvia
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.
Child Adolesc Psychiatry Ment Health. 2023 Feb 1;17(1):17. doi: 10.1186/s13034-023-00563-5.
The 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.
Data 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.
Out 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).
The COVID-19 pandemic may have persistent consequences on the wellbeing of children and adolescents, especially among those with health and family vulnerabilities.
新冠疫情对儿童和青少年健康的中期影响仍不明确。在疫情爆发两年多后，我们旨在量化受新冠疫情严重影响的频率和决定因素，并估计其对健康相关生活质量（HRQoL）和心理健康的影响。
数据来自于2021年12月至2022年6月在瑞士日内瓦招募的一个基于人群的儿童和青少年队列。通过家长报告，使用冠状病毒影响量表评估疫情对儿童的多维度影响。高于平均水平一个标准差的分数被视为严重影响。家长还使用经过验证的量表报告了其子女的HRQoL和心理健康情况。使用逻辑模型评估受严重影响的决定因素，以及经历严重影响与HRQoL差或心理健康差之间的关联。
在2101名2至17岁的参与者中，12.7%经历了严重的疫情影响。患有长期健康状况、与疫情相关的生活习惯恶化或不利的家庭环境与受到疫情严重影响相关，而之前的抗SARS-CoV-2感染则无关。经历过严重疫情影响的参与者更有可能出现HRQoL差（调整后比值比[aOR]=3.1；95%置信区间[CI]2.3-4.4）和心理健康差（aOR=3.9；95%CI 2.5-6.2）。
新冠疫情可能对儿童和青少年的健康产生持续影响，尤其是在那些有健康和家庭脆弱性的人群中。
