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

摘要 由SARS-CoV-2引起的全球大流行已经夺去了200多万人的生命， 以及前所未有的社会混乱越来越多的人担心， 这一流行病对儿童的身心健康造成的后果， 经济、社会和医疗保健领域的相关中断。我们的总体目标是学习 儿童/青少年心理健康和初级卫生保健利用的轨迹，包括免疫接种， 在COVID-19大流行之后。我们的项目，位于印度，将测试有关的关键假设 流行病对健康结果的影响，对未来冲击的脆弱性，以及这些因素的异质性来源 关系。一项战略创新是创建一个新的健康面板数据集-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数据将是一个跨越9波的新健康模块 从2021年9月至2024年8月，及时提供证据，说明大流行对 健康成果。我们的项目涉及三个与COVID相关的压力因素：（1）经济环境的破坏， (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 估计这些压力源与（a）心理健康和（B）免疫接种率之间的关系， 初级保健利用率。我们的第二个目标是研究新冠肺炎相关压力因素对 对未来冲击的脆弱性。使用三年期间的9波面板数据，我们将研究新的 经济冲击，如家庭失去工作或收入，及其对儿童健康的累积影响 成果。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相关压力因素的家庭中，儿童的数量更大 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 大量的数据来检查COVID对儿童健康结果影响的异质性来源， 性别、种姓或家庭组成。我们的第三个目标是公开SEHAT面板数据集 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， 研究和循证政策。我们计划在2009年12月1日公布主要指标的描述性统计数字后， 每一波都有政策简报在2024年8月完成SEHAT数据收集后，我们将 在2026年8月之前公开发布微数据，在资助期结束之前。我们还将发布详细的 文件，以方便使用SEHAT数据进行分析。

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.