Changes in young children's behavior following COVID-19 pandemic onset: A tale of three cities

Anne Martin1,2, Anna M Wright2, Alan L Mendelsohn1

  • 1Department of Pediatrics, NYU Grossman School of Medicine, New York, NY, United States.

Child Development
|March 27, 2026
PubMed

Insights

Children's behavior changes varied by city post-COVID-19. While New York saw stable or improved behavior, Pittsburgh and Tulsa experienced worsening child behavior problems, highlighting regional differences.

Area of Science:

  • Child Psychology
  • Public Health
  • Sociology

Background:

  • Reports indicate increased child behavior problems post-COVID-19.
  • Few studies used prospective data or focused on diverse, low-income populations.
  • Pandemic hardships disproportionately affected certain groups.

Purpose of the Study:

  • To prospectively examine child behavior changes in diverse, low-income populations across three U.S. cities.
  • To identify city-specific patterns in children's behavioral responses to the pandemic.
  • To understand the impact of the COVID-19 pandemic on young children's behavior.

Main Methods:

  • Longitudinal study tracking 1,124 children (ages 3-7 at pandemic onset) from 2016-2023.
  • Repeated measures of child behavior in New York, Pittsburgh, and Tulsa.
  • Analysis of behavioral changes relative to pandemic onset.

Main Results:

  • Behavioral patterns differed significantly across the three cities.
  • New York: Children's behavior remained stable or slightly improved.
  • Pittsburgh: Children's behavior worsened; Tulsa: Behavior remained stable or slightly worsened.

Conclusions:

  • Child behavior changes during the pandemic exhibit significant regional variation.
  • Future research must account for geographic differences in pandemic impact studies.
  • Low-income, diverse children's behavioral trajectories varied by urban environment.

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