Penn State University's Translational Center for Child Maltreatment Studies TCCMS

宾夕法尼亚州立大学儿童虐待研究转化中心 TCCMS

• 批准号: 10176029
• 负责人: JENNIE G NOLL
• 金额: $ 16.05万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-04-20 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10176029
• 关键词: Administrative Supplement; Adolescent; Adult; Adverse effects; Age; Behavioral; COVID-19; COVID-19 pandemic; Caregiver Burden; Caregiver well-being; Caregivers; Cessation of life; Characteristics; Child; Child Abuse and Neglect; Child Health; Child Welfare; Childhood; Data; Data Set; Demographic Factors; Development; Diagnosis; Disease Outbreaks; Domestic Violence; Endocrine; Exposure to; Family; Financial Hardship; Funding; Future; Health; Health Care Costs; Home environment; Immune; Individual; Infection; Inflammation; Inflammatory; Investigation; Knowledge; Life; Light; Link; Measures; Medicaid; Metabolic; National Institute of Child Health and Human Development; Natural experiment; Outcome; Parents; Participant; Patient Self-Report; Personal Satisfaction; Persons; Pharmaceutical Preparations; Physiological; Population; Predisposition; Preventive Intervention; Productivity; Prospective cohort; Psychosocial Factor; Recording of previous events; Records; Reporting; Research Project Grants; Risk; Role; Sampling; Services; Sexual abuse; Societies; Stress; Symptoms; Telephone; Testing; Trauma; Unemployment; Universities; Well in self; Youth; abuse neglect; age group; aged; anxiety symptoms; biopsychosocial; boys; cardiovascular disorder risk; case control; cohort; cost; depressive symptoms; early adolescence; experience; girls; immune function; individual variation; interest; intervention program; maltreatment; mortality; multidimensional data; pandemic disease; peer; physical abuse; primary caregiver; prospective; psychosocial; recruit; resilience; response; social; stressor

PROJECT SUMMARY / ABSTRACT Although emerging data regarding the current COVID-19 pandemic suggest that children and adolescents have a lower risk of being diagnosed with severe COVID-19 infections, serious adverse effects, including death, have been reported in this age group. Additionally, concerns that children and adolescents with mild COVID-19 infections continue to spread infections remain. Despite being less likely to be diagnosed with cases of COVID-19, youth's lives are profoundly impacted by the COVID-19 pandemic in numerous ways, including due to disrupted daily routines and educational experiences, reduced social contacts with peers and families, and, potentially, increased exposures to unsafe home environments, overwhelmed caregivers, incidents of domestic violence, and, possibly, incidents of child maltreatment. This highlights that youth with a history of child maltreatment may be particularly vulnerable to the direct and indirect effects of the COVID-19 pandemic seeing as they are likely to come from families already experiencing multiple hardships. This impacts a large number of youth; over one third of U.S. youth are investigated for child maltreatment (CM) before the age of 18. The proposed project will build on the currently ongoing Child Health Study (CHS; HD089922, PI: Noll, Co-I: Schreier), as part of which 775 youth aged 8-13 years who were recently investigated for CM as well as 225 comparison youth without a history of CM are being recruited and followed prospectively. Taking advantage of this unique and exceptionally well-characterized cohort, we will augment the biopsychosocial data already being collected to examine vulnerability and resilience towards COVID-19 infections among these youth, as well as how the additional stress that is currently being experienced by caregivers in the study may spill over to impact youth well-being throughout and following this pandemic. We will examine whether a broad range of physiological, e.g., endocrine, immune, and metabolic, as well as psychosocial, and demographic characteristics of youth are associated with known infections of COVID-19 or with an absence of known infections in the context of having been in close contact with individuals with known infections. Additionally, we will investigate the influence of added caregiver stress on possible exacerbations of existing youth health problems, physiological markers of stress, and new incidents of child maltreatment. Thus, by shedding light on the current and future experiences of some of society's most vulnerable individuals, the resulting data have the potential to provide a powerful jumping-off point for future intervention programs to support these youth who are and will be transitioning into adulthood in the wake of the COVID-19 pandemic. Importantly, this knowledge will also carry forward into informing responses to possible future pandemics which may have similar effects on the everyday lives of individuals.

项目摘要 /摘要 尽管有关当前Covid-19的大流行的新兴数据表明，儿童和 青少年的风险较低，被诊断出患有严重的Covid-19感染，严重的不良感染 该年龄段的效果（包括死亡）已有报道。此外，担心孩子 患有轻度Covid-19感染的青少年继续传播感染。尽管是 不太可能被诊断出患有1900例19的病例，青年的生活受到了深远的影响 Covid-19以多种方式大流行，包括由于日常工作和教育的破坏 经验，减少与同龄人和家庭的社交联系，并可能增加暴露 对于不安全的家庭环境，不知所措的照顾者，家庭暴力事件以及 可能是虐待儿童的事件。这凸显了有儿童虐待史的青年 可能尤其容易受到19009年大流行的直接和间接影响的影响 他们可能来自已经遇到多种困难的家庭。这会影响一个大的 青年人数；超过三分之一的美国青年对儿童虐待（CM）进行了调查。 18岁。拟议的项目将基于目前正在进行的儿童健康研究（CHS； HD089922，PI：NOLL，CO-I：SCHREIER），作为最近775年的8-13岁青年的一部分 对CM的调查以及225名没有CM病史的比较年轻人正在招募，并且 前瞻性跟随。利用这种独特且异常表征的同类人群 我们将增加已经收集的生物心理社会数据，以检查脆弱性和 对这些年轻人中的共同19感染的韧性，以及如何强调 目前，护理人员在研究中可能会溢出以影响青年福祉 整个大流行。我们将研究是否有广泛的生理学， 例如，内分泌，免疫和代谢，以及心理社会和人口统计学特征 青年与19009年的已知感染有关，或者与没有已知感染的感染有关 与已知感染的人密切接触的背景。此外，我们会的 调查增加护理人员压力对现有青年健康可能加剧的影响 问题，压力的生理标志和儿童虐待的新事件。因此， 阐明某些社会最脆弱的人的当前和未来经历， 由此产生的数据有可能为将来的干预提供强大的起点 支持这些正在并将在成年后过渡到成年的计划 2019冠状病毒病大流行。重要的是，这些知识还将继续向 可能对个人的日常生活产生类似影响的未来大流行。