2022
DOI: 10.5694/mja2.51368
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Potential indirect impacts of the COVID‐19 pandemic on children: a narrative review using a community child health lens

Abstract: Summary ▪In this narrative review, we summarise the vast and burgeoning research on the potential and established indirect impacts on children of the COVID‐19 pandemic. We used a community child health lens to organise our findings and to consider how Australia might best respond to the needs of children (aged 0–12 years). ▪We synthesised the literature on previous pandemics, epidemics and natural disasters, and the current COVID‐19 pandemic. We found clear evidence of adverse impacts of the COVID‐19 pandemi… Show more

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Cited by 50 publications
(56 citation statements)
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“…While this study was underpowered to investigate the experience of families living in lower socioeconomic environments, the evidence suggests that inequity is likely to be exacerbated and entrenched by the social and economic disruption of COVID-19. (10, 30, 53, 54) Ongoing follow-up of cohorts is necessary to understand if and how caregivers and children recover from lockdown, and how best to support the population groups who are most adversely affected. Balancing the benefits and harms of lockdown requires planned responses to future outbreaks, and evidence-informed financial and mental health supports.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…While this study was underpowered to investigate the experience of families living in lower socioeconomic environments, the evidence suggests that inequity is likely to be exacerbated and entrenched by the social and economic disruption of COVID-19. (10, 30, 53, 54) Ongoing follow-up of cohorts is necessary to understand if and how caregivers and children recover from lockdown, and how best to support the population groups who are most adversely affected. Balancing the benefits and harms of lockdown requires planned responses to future outbreaks, and evidence-informed financial and mental health supports.…”
Section: Discussionmentioning
confidence: 99%
“…(2) Studies of previous pandemics and from the first months of COVID-19 showed that quarantine and isolation could have indirect and negative impacts on household finances and mental health. (3)(4)(5)(6)(7)(8)(9)(10) This is particularly the case for families with children, where there are mixed views on the balance of harms versus benefits of lockdown. (6,(10)(11)(12)(13) Unlike many high-income countries, Australia's low incidence of COVID-19 in 2020 made it possible to examine the effects of lockdown mostly independent of the compounding disease impacts, which forms the purpose of this paper.…”
Section: Introductionmentioning
confidence: 99%
“…The public's access to health services has been restricted as a result of both government's closure measures and policies aimed at reducing population movement, as well as the resulting economic challenges [11]. Access to health and support services, including early intervention, has grown more limited for at-risk children who are socioeconomically, culturally, and geographically disadvantaged and have developmental issues [12,13]. High-Risk Infant Follow-Up (HRIF) programs highlight the importance of monitoring the effectiveness of clinical services, which have been interrupted during the pandemic, on neonatal outcomes [14].…”
Section: Introductionmentioning
confidence: 99%
“…High-Risk Infant Follow-Up (HRIF) programs highlight the importance of monitoring the effectiveness of clinical services, which have been interrupted during the pandemic, on neonatal outcomes [14]. Pediatric emergency applications decreased by about half during the pandemic, whereas child mental health applications increased [12]. It is critical to investigate changes in a clinical service capacity, patient referrals, and reasons for hospital admissions throughout the pandemic period, which is full of uncertainty.…”
Section: Introductionmentioning
confidence: 99%
“…The indirect effects of the pandemic on children, including the impact of COVID-19 on household family members, schooling, and mental health, are important to note. 2 Hence, understanding the risk of reinfection in children is paramount, including the study finding that the reinfection rate was lowest in those not yet able to access a vaccine in most countries (ie, those younger than age 5 years). The lowest reinfection rate of 0·9 per 100 000 population was found in children younger than age 5 years, compared with 1·9 per 100 000 population in those aged 5–11 years and 5·5 per 100 000 population in those aged 12–16 years.…”
mentioning
confidence: 99%