The longitudinal impact of the COVID-19 pandemic and related multi-level mitigation and contextual factors on health and socioeconomic outcomes of individuals and families from a vulnerable population

2019冠状病毒病大流行，美国各地实施的传播减缓战略和政策 对日常生活造成重大干扰，对个人、家庭和 社区.我们假设，这种流行病将对健康和经济产生广泛的负面影响， 但缓解战略和政策将在短期、中期和长期对参与者产生不同的影响， 基于工作，家庭，社会和健康状况，这只能通过 对大流行之前和整个大流行期间的数据进行纵向分析。我们提出了一个“铲准备”项目， 利用脆弱家庭和儿童福利研究中收集的现有纵向数据 （FFCWS），这是在大流行之前和整个大流行期间收集的运行时间最长的基于人口的美国出生队列 与多层次COVID-19相关的健康、社会和经济措施以及未来COVID-19相关的措施 影响评估，以审查这些问题。FFCWS跟踪了4，898名出生于 1998-2000年在美国大城市和他们的父母超过7波（3,580个家庭参加了最后一波）， 提供社会支持，经济因素和个人，家庭，邻里健康的深厚历史， 市和州一级。由于独特的抽样策略和COVID-19传播模式，超过87%的 FFCWS家庭被认为服务不足或易受COVID-19影响。焦点儿童进入早期 成年期是一个重大逆境可能会破坏这种转变的时期，父母正进入中年， COVID-19对健康和财政资源的影响可能会产生特别大的后果。 我们还将重新采访1,400名受访者（700对父母-成年子女），再进行两轮健康调查， 经济和与COVID-19相关的行为。与COVID财团合作，我们的目标是首先 比较必要工作者（50%的FFCWS父母和36%的年轻人），非必要工作者， 在大流行期间失业的个人（超过20%）在短期健康、经济社会和 行为结果第二，调查COVID缓解工作对中国的直接和下游影响， 人际关系、代际关系和家庭关系以及卫生资源。第三，分析当前和 COVID传播的下游影响，缓解工作，以及COVID相关政策对健康的影响 上下文数据（即，国家、州和地方的政策执行和行为）， 年轻人及其父母的个人健康状况在大流行之前收集，并在整个大流行期间多次收集。 我们还将研究这些对个体的宏观影响如何通过其他背景措施而有所不同，例如 结构性种族主义指标。该项目将：1）分享COVID-19负担和缓解的宏观层面数据 可以与其他研究相关联的策略，2）共享FFCWS COVID-19影响调查数据，3）产生 关于COVID的短期（2020-21），中期（2022-23），长期（2024-26）影响的学术产品- 19在美国大城市出生的儿童及其父母为代表的脆弱人群中流行。

The COVID-19 pandemic, transmission mitigation strategies and policies implemented across the United States led to major disruption in day-to-day life, producing immediate effects on individuals, families and communities. We hypothesize that the pandemic will have broadly negative health and economic consequences, but that mitigation strategies and policies will affect participants differently in the short-, medium- and long-term based on work, family, social, and health circumstances, which can only be thoroughly examined with longitudinal analyses of data prior to and throughout the pandemic. We propose a “shovel ready” project leveraging the existing longitudinal data collected in the Fragile Families and Childhood Wellbeing Study (FFCWS), the longest running population-based US birth cohort, collected before and throughout the pandemic linked with multilevel COVID-19 related health, social and economic measures, and prospective COVID-19 impact assessments to examine these issues. FFCWS follows a representative sample of 4,898 children born 1998-2000 in large US cities and their parents over 7 waves (3,580 families participated at the last wave), providing a deep history of social support, economic factors, and health at the individual, family, neighborhood, city, and state levels. Due to the unique sampling strategy and COVID-19 transmission patterns, over 87% FFCWS families are considered underserved or COVID-19 vulnerable. Focal children are entering early adulthood, a period when major adversity may derail that transition and parents are entering middle age where the impacts of COVID-19 on health and financial resources are likely to have particularly large consequences. We will also reinterview 1,400 respondents (700 parent-adult child pairs) over two additional waves on health, economic, and behavior related to COVID-19. In collaboration with the COVID consortium, our aims are to first compare essential workers (50% of FFCWS parents and 36% of young adults), non-essential workers, and individuals who lost their jobs (over 20%) during the pandemic on short-term health, economic social and behavioral outcomes. Second, to investigate immediate and downstream effects of COVID mitigation efforts on interpersonal, intergenerational and family relationships and health resources. Third, to analyze immediate and downstream effects of COVID transmission, mitigation efforts, and COVID-related policies on health using contextual data (i.e., national, state, and local policy implementation and behavior) linked to measures of individual health in young adults and their parents collected before, and multiple times throughout the pandemic. We will also examine how these macro-level effects on individuals differ by other contextual measures such as indicators of structural racism. This project will: 1) share macro-level data on COVID-19 burden and mitigation strategies that can be linked to other studies, 2) share FFCWS COVID-19 impact survey data, 3) produce scholarly products on the short-term (2020-21), mid-term (2022-23), long-term (2024-26) effects of the COVID- 19 pandemic in a vulnerable population representative of children born in large US cities and their parents.