Longitudinal study of health outcomes and mitigating factors in the aftermath of the COVID pandemic

摘要 由SARS-CoV-2引发的全球大流行已造成200多万人死亡，并造成经济损失 以及史无前例的社会混乱。人们越来越担心这样做的长期后果 对儿童身心健康结果的大流行，源于疾病和 经济、社会和医疗保健领域的相关中断。我们的总体目标是研究 儿童/青少年心理健康和初级保健利用的轨迹，包括免疫接种， 在新冠肺炎大流行之后。我们的项目位于印度，将测试关于 大流行对健康结果的影响、对未来冲击的脆弱性以及这些方面的异质性来源 两性关系。一项战略创新是创建一个新的健康小组数据集-称为健康调查 趋势(Sehat)，在印地语中的意思是“健康”-通过利用世界上最大的家庭面板数据 印度的消费和经济成果。Sehat Data将是一个跨越9个浪潮的新健康模块 从2021年9月至2024年8月，及时生成证据，说明大流行对艾滋病流行轨迹的影响 健康结果。我们的项目涉及与COVID相关的三个压力源：(1)经济环境的中断， (2)社会环境的破坏，或(3)在家庭网络中暴露于严重的COVID疾病。我们 估计这些应激源与(A)精神健康和(B)免疫接种率和 初级医疗保健利用率。我们的第二个目标是检查与COVID相关的应激源对 易受未来冲击的影响。使用三年期间的9波面板数据，我们将检验新的 家庭失业或收入损失等经济冲击及其对儿童健康的累积影响 结果。我们的主要假设是，未来冲击对儿童健康结果的负面影响将是 在经历了更高水平的COVID相关应激源的家庭中，儿童的规模更大 与来自这些压力源水平较低的家庭的儿童相比。我们还将利用大型 检查COVID对儿童健康结果影响的异质性来源的数据量，按以下因素 如性别、种姓或家庭组成。我们的第三个目标是使Sehat面板数据集公开可用 以促进研究并为政策提供信息。我们的研究旨在收集健康数据，这些数据可以对 研究和循证政策。我们计划在以下时间立即发布有关主要指标的描述性统计数据 每一次浪潮，伴随着政策简报。在2024年8月完成Sehat数据收集后，我们将 在授权期结束前，于2026年8月前公开发布微数据。我们还将发布详细的 便于使用SEHAT数据进行分析的文件。

ABSTRACT The global pandemic caused by SARS-CoV-2 has already claimed over 2 million lives and caused economic and social disruption on an unprecedented scale. There is growing concern about long-term consequences of the pandemic on physical and mental health outcomes of children, stemming from both the illness and from associated disruptions in the economic, social, and healthcare domains. Our overall goal is to study trajectories of child/adolescent mental health and primary healthcare utilization including immunization, in the aftermath of the COVID-19 pandemic. Our project, located in India, will test key hypotheses about the pandemic’s impact on health outcomes, vulnerability to future shocks, and sources of heterogeneity in these relationships. A strategic innovation is to create a new health panel dataset - called the SurvEy of HeAlth Trends (SEHAT), which means “health” in Hindi - by leveraging the world’s largest household panel data on consumption and economic outcomes in India. The SEHAT data will be a new health module spanning 9 waves from September 2021 – August 2024 to generate timely evidence on the pandemic’s impact on trajectories of health outcomes. Our project on three COVID-related stressors: (1) disruptions in economic circumstances, (2) disruptions in the social environment, or (3) exposure to severe COVID illness within family networks. We estimate the association between these stressors and (a) mental health, and (b) rates of immunization and primary healthcare utilization. Our second aim is to examine impact of COVID-related stressors on vulnerability to future shocks. Using 9 waves of panel data over a three-year period, we will examine new economic shocks, such as job or income losses in the household, and their cumulative effects on child health outcomes. Our main hypothesis is that the negative impact of future shocks on child health outcomes will be greater in magnitude among children in households that experienced higher levels of COVID-related stressors compared with children from households with lower levels of these stressors. We will also leverage the large amount of data to examine sources of heterogeneity in COVID impacts on child health outcomes, by factors such as gender, caste, or household composition. Our third aim is to make SEHAT panel dataset publicly available to facilitate research and inform policy. Our study aims to collect health data that can be transformative for research and evidence-based policy. We plan to release descriptive statistics on key indicators immediately after every wave, with accompanying policy briefs. After completion of SEHAT data collection in August 2024, we will publicly release microdata by August 2026, prior to end of the grant period. We will also publish detailed documentation to facilitate analysis using the SEHAT data.