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.

项目概要/摘要 尽管有关当前 COVID-19 大流行的新数据表明，儿童和 青少年被诊断为严重 COVID-19 感染的风险较低 该年龄组已报告了包括死亡在内的影响。此外，还担心儿童 患有轻度 COVID-19 感染的青少年继续传播感染。尽管是 青少年被诊断出患有 COVID-19 病例的可能性较小，因此他们的生活受到了深刻的影响 COVID-19 大流行有多种原因，包括由于日常生活和教育受到干扰 经验，减少与同龄人和家人的社交接触，并可能增加接触机会 不安全的家庭环境、不堪重负的护理人员、家庭暴力事件，以及， 可能是虐待儿童事件。这凸显了有虐待儿童历史的青少年 可能特别容易受到 COVID-19 大流行的直接和间接影响，因为 他们很可能来自已经经历多重困难的家庭。这影响很大 青年人数；超过三分之一的美国青少年在调查之前接受过虐待儿童 (CM) 调查 18 岁。拟议项目将以目前正在进行的儿童健康研究（CHS； HD089922，PI：Noll，Co-I：Schreier），其中 775 名 8 至 13 岁的青少年最近被 正在招募 225 名没有 CM 病史的对照青少年进行 CM 调查 前瞻性地跟随。利用这个独特且特征鲜明的群体的优势， 我们将扩大已经收集的生物心理社会数据，以检查脆弱性和 这些年轻人对 COVID-19 感染的抵御能力，以及额外的压力如何 研究中的护理人员目前正在经历的可能会影响青少年的福祉 在这次大流行期间和之后。我们将检查是否存在广泛的生理、 例如，内分泌、免疫和代谢，以及社会心理和人口特征 青少年与已知的 COVID-19 感染有关，或与以下地区不存在已知的感染有关 与已知感染者有过密切接触的情况。此外，我们将 调查看护者压力增加对现有青少年健康状况可能恶化的影响 问题、压力的生理标志以及新的虐待儿童事件。因此，通过 揭示社会上一些最弱势群体当前和未来的经历， 由此产生的数据有可能为未来的干预提供强有力的起点 旨在支持这些正在或将要在大流行之后过渡到成年的年轻人的计划 2019冠状病毒病大流行。重要的是，这些知识也将转化为对以下问题的反应： 未来可能发生的流行病可能对个人的日常生活产生类似的影响。