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Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children
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Variation over Time in Child and Neighborhood Characteristics Associated with COVID-19

Sean Lang1,2, Lori Silveira1, Christiana Smith1,2

  • 1Department of Pediatrics, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA.

Health Equity
|November 1, 2023
PubMed

Insights

COVID-19 disproportionately affected children in immigrant families early in the pandemic. Public health initiatives must address these disparities for vulnerable communities.

Area of Science:

  • Pediatric infectious diseases
  • Public health
  • Epidemiology

Background:

  • The COVID-19 pandemic highlighted existing health disparities.
  • Understanding pediatric COVID-19 (SARS-CoV-2) infection drivers is crucial for targeted interventions.

Purpose of the Study:

  • To investigate associations between child and neighborhood characteristics and pediatric COVID-19 infection incidence.
  • To identify disparities in COVID-19 (SARS-CoV-2) risk among children.

Main Methods:

  • Utilized electronic health records for 7498 pediatric COVID-19 (SARS-CoV-2) cases and census tract data.
  • Employed multinomial logistic and negative binomial regression to analyze associations over three pandemic periods.

Main Results:

  • Spanish preferred language and non-English preferred language were associated with higher COVID-19 (SARS-CoV-2) positivity, especially early in the pandemic.
  • Increasing percentage of internationally born residents in a census tract correlated with higher COVID-19 (SARS-CoV-2) positivity rates throughout the study period.

Conclusions:

  • Identified significant COVID-19 (SARS-CoV-2) disparities among children in immigrant families and communities.
  • Emphasized the need for targeted public health investments to address these disparities.
Abstract

Keywords:
SARS-CoV-2census tracthealth status disparitiesimmigrant healthpediatrics

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