PHSU Specialized Center in Health Disparities - Impact of COVID-19 on Life Experiences of Vulnerable Children and Families

项目摘要 SARS CoV 2是一种新型冠状病毒，于2019年12月在中国武汉作为一种严重疾病出现 （COVID-19）与严重急性呼吸系统综合征相关。COVID-19以前所未有的速度蔓延 作为一种流行病， 心理和经济上的困扰COVID-19最严重的临床结果，病毒性肺炎，严重 急性呼吸道综合征、多器官衰竭和神经系统疾病主要影响高危人群， 老年人和患有合并症的人也可能患有严重疾病，但包括儿童在内的年轻人也可能患有严重疾病。 儿科专家还表示担心，儿童营养不良、行为和 精神问题、虐待儿童和疫苗可预防的疾病。采取措施 防止传播也会造成严重的痛苦，并增加长期心理健康问题的风险。 儿童和成人。当所有的人都在感知生物的，心理的，和系统的 COVID-19的压力因素，社会中最弱势群体和健康差异人群的疾病结果， 特别是关于。拟议工作的主要目标是从“保护性反应”中获得知识 和韧性，脆弱的儿童和家庭从产前寨卡病毒暴露的儿科结果 （POPZE）研究正在展示以应对COVID-19大流行。POPZE儿童有特殊需要 从以前的生物侮辱（产前寨卡病毒）和他们的母亲和兄弟姐妹是脆弱的社会， 经济困难和心理困扰。这项研究将从生活中汲取健康公平的教训， 这些弱势儿童和家庭的经验，通过两个研究目标，目标1：描述多层次的 一个独特的产前感染寨卡病毒的弱势儿童群体中与COVID-19相关的压力源和需求 目标2：确定COVID-19相关压力源如何影响生活 这将影响弱势儿童和家庭的健康、家庭互动和生活质量。我们 我希望，促进复原力的应对措施将构成一套文化上胜任的解决方案 临床和公共卫生提供者可以用来促进健康风险家庭的健康和福祉 在逆境中的差异。

PROJECT SUMMARY SARS CoV2 is the novel coronavirus that presented in Wuhan, China on December of 2019 as a serious disease (COVID-19) associated to a severe acute respiratory syndrome. COVID-19 has spread with unprecedented facility around the world as a pandemic with catastrophic morbidity and mortality rates and widespread social, psychologic, and economic distress. The most severe clinical outcomes of COVID-19, viral pneumonia, severe acute respiratory syndrome, multiorgan failure, and neurologic disease, primarily affect high risk groups, such as the elderly and those with co-morbidities, but critical illness can present in younger persons, including children. Pediatric experts have also expressed concern that children are at higher risk for malnutrition, behavioral and mental problems, child abuse and vaccine preventable diseases during this pandemic. Measures taken to prevent transmission also cause significant distress and increase the risk for long term mental health problems in children and adults. While all in the population are perceiving the biologic, psychological, and systemic stressors of COVID-19, disease outcomes of the most vulnerable in society and those with health disparities are particularly concerning. The main goal of the proposed work is to gain knowledge from “protective responses” and resilience that vulnerable children and families from the Pediatric Outcomes of Prenatal Zika Exposure (POPZE) study are displaying in response to the COVID-19 pandemic. The POPZE children have special needs from a previous biological insult (prenatal Zika) and their mothers and siblings are vulnerable from socio- economic disadvantages and psychological distress. The study will pursue lessons in health equity from the life experiences of these vulnerable children and families through two study aims, Aim 1: To describe the multilevel stressors and needs associated to COVID-19 in a unique group of vulnerable children with prenatal Zika infection consequences and their families, and Aim 2: To determine how COVID-19 associated stressors affect the life experiences of vulnerable children and families and impact their health, family interactions, and quality of life. We expect that the responses that promote resilience will constitute a repertoire of culturally competent solutions that clinical and public health providers can use to promote the health and wellbeing of families at risk for health disparities in the face of adversity.