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      “We want to hug a friend”: the covid-19 pandemic among low-income adolescents

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          ABSTRACT

          OBJECTIVE

          To examine the perceptions of adolescent students from a public school, of both sexes, living in a peripheral region of the city of São Paulo, Brazil, in relation to the covid-19 pandemic, with a special focus on their experiences regarding education and sociability.

          METHODS

          This study is part of the Global Early Adolescent Study. Seven face-to-face focus groups were conducted with adolescents between 13 and 16 years old (19 girls and 15 boys) in 2021.

          RESULTS

          The experience of remote teaching was frustrating for the adolescents, without the daily and personalized monitoring of the teacher(s). In addition to the difficult or impossible access to devices and the lack of support from schools, there is also the domestic environment, which made the schooling process more difficult, especially for girls, who were forced to take on more household and family care tasks. The closed school blocked an important space for socialization and forced family interaction, generating conflicts and stress in the home environment. The abrupt rupture brought feelings of fear, uncertainty, anguish and loneliness. The iterative evocation of the words “stuck”, “alone” and “loneliness” and the phrase “there was no one to talk to” shows how most of the adolescents experienced the period of distancing. The pandemic aggravated the objective and subjective conditions of preexisting feelings, such as “not knowing the future” and the prospects of a life project.

          CONCLUSION

          It has been documented how pandemic control measures implemented in a fragmented way and without support for the most impoverished families have negative effects on other spheres of life, in particular for poor young people. The school is a privileged territory to propose/construct actions that help adolescents to deal with problems aggravated in/by the pandemic.

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          Most cited references39

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          An interactive web-based dashboard to track COVID-19 in real time

          In December, 2019, a local outbreak of pneumonia of initially unknown cause was detected in Wuhan (Hubei, China), and was quickly determined to be caused by a novel coronavirus, 1 namely severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The outbreak has since spread to every province of mainland China as well as 27 other countries and regions, with more than 70 000 confirmed cases as of Feb 17, 2020. 2 In response to this ongoing public health emergency, we developed an online interactive dashboard, hosted by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University, Baltimore, MD, USA, to visualise and track reported cases of coronavirus disease 2019 (COVID-19) in real time. The dashboard, first shared publicly on Jan 22, illustrates the location and number of confirmed COVID-19 cases, deaths, and recoveries for all affected countries. It was developed to provide researchers, public health authorities, and the general public with a user-friendly tool to track the outbreak as it unfolds. All data collected and displayed are made freely available, initially through Google Sheets and now through a GitHub repository, along with the feature layers of the dashboard, which are now included in the Esri Living Atlas. The dashboard reports cases at the province level in China; at the city level in the USA, Australia, and Canada; and at the country level otherwise. During Jan 22–31, all data collection and processing were done manually, and updates were typically done twice a day, morning and night (US Eastern Time). As the outbreak evolved, the manual reporting process became unsustainable; therefore, on Feb 1, we adopted a semi-automated living data stream strategy. Our primary data source is DXY, an online platform run by members of the Chinese medical community, which aggregates local media and government reports to provide cumulative totals of COVID-19 cases in near real time at the province level in China and at the country level otherwise. Every 15 min, the cumulative case counts are updated from DXY for all provinces in China and for other affected countries and regions. For countries and regions outside mainland China (including Hong Kong, Macau, and Taiwan), we found DXY cumulative case counts to frequently lag behind other sources; we therefore manually update these case numbers throughout the day when new cases are identified. To identify new cases, we monitor various Twitter feeds, online news services, and direct communication sent through the dashboard. Before manually updating the dashboard, we confirm the case numbers with regional and local health departments, including the respective centres for disease control and prevention (CDC) of China, Taiwan, and Europe, the Hong Kong Department of Health, the Macau Government, and WHO, as well as city-level and state-level health authorities. For city-level case reports in the USA, Australia, and Canada, which we began reporting on Feb 1, we rely on the US CDC, the government of Canada, the Australian Government Department of Health, and various state or territory health authorities. All manual updates (for countries and regions outside mainland China) are coordinated by a team at Johns Hopkins University. The case data reported on the dashboard aligns with the daily Chinese CDC 3 and WHO situation reports 2 for within and outside of mainland China, respectively (figure ). Furthermore, the dashboard is particularly effective at capturing the timing of the first reported case of COVID-19 in new countries or regions (appendix). With the exception of Australia, Hong Kong, and Italy, the CSSE at Johns Hopkins University has reported newly infected countries ahead of WHO, with Hong Kong and Italy reported within hours of the corresponding WHO situation report. Figure Comparison of COVID-19 case reporting from different sources Daily cumulative case numbers (starting Jan 22, 2020) reported by the Johns Hopkins University Center for Systems Science and Engineering (CSSE), WHO situation reports, and the Chinese Center for Disease Control and Prevention (Chinese CDC) for within (A) and outside (B) mainland China. Given the popularity and impact of the dashboard to date, we plan to continue hosting and managing the tool throughout the entirety of the COVID-19 outbreak and to build out its capabilities to establish a standing tool to monitor and report on future outbreaks. We believe our efforts are crucial to help inform modelling efforts and control measures during the earliest stages of the outbreak.
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            Psychological and Behavioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis

            Abstract Background During the current ongoing COVID-19 pandemic, psychological problems like anxiety, depression, irritability, mood swings, inattention and sleep disturbance are fairly common among quarantined children in several studies. A systematic review of these publications to provide an accurate burden of these psychiatric/behavioral problems is needed for planning mitigating measures by the health authorities. Methods Different electronic databases (MEDLINE, EMBASE, Web of Science, CENTRAL, medRxiv and bioRxiv) were searched for articles describing psychological/behavioral complications in children/adolescents with/without pre-existing behavioral abnormalities and their caregivers related to the COVID-19 pandemic. Only original articles with/without comparator arms and a minimum sample size of 50 were included in the analysis. The pooled estimate of various psychological/behavioral problems was calculated using a random-effect meta-analysis. Results Fifteen studies describing 22 996 children/adolescents fulfilled the eligibility criteria from a total of 219 records. Overall, 34.5%, 41.7%, 42.3% and 30.8% of children were found to be suffering from anxiety, depression, irritability and inattention. Although the behavior/psychological state of a total of 79.4% of children was affected negatively by the pandemic and quarantine, at least 22.5% of children had a significant fear of COVID-19, and 35.2% and 21.3% of children had boredom and sleep disturbance. Similarly, 52.3% and 27.4% of caregivers developed anxiety and depression, respectively, while being in isolation with children. Conclusion Anxiety, depression, irritability, boredom, inattention and fear of COVID-19 are predominant new-onset psychological problems in children during the COVID-19 pandemic. Children with pre-existing behavioral problems like autism and attention deficit hyperactivity disorder have a high probability of worsening of their behavioral symptoms.
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              Adolescents' Perceived Socio-Emotional Impact of COVID-19 and Implications for Mental Health: Results From a U.S.-Based Mixed-Methods Study

              Purpose COVID-19 has disrupted many aspects of adolescents' lives, yet little data are available that document their subjective experiences of the pandemic. In a mixed-methods study of U.S. adolescents, we examined (1) adolescents' perceptions of how their social and emotional lives had changed during COVID-19; and (2) associations between these perceived changes and indices of their mental health, above and beyond their prepandemic mental health status. Methods Four hundred seven U.S. adolescents (M age = 15.24, standard deviation = 1.69; 50% female; 52%, 20% African American, 17% Hispanic/Latinx) completed surveys before (October 2019) and during (April 2020) the COVID-19 pandemic. They provided qualitative and quantitative responses on their experiences with COVID-19 and reports of their mental health. Results Adolescents perceived various changes in their relationships with family and friends (e.g., less perceived friend support) during COVID-19. They also perceived increases in negative affect and decreases in positive affect. These perceived social and emotional changes were associated with elevated depressive symptoms, anxiety symptoms, and loneliness in April 2020, controlling for mental health problems before the pandemic. Conclusions Our findings sensitize clinicians and scholars to the vulnerabilities (changes in friendship dynamics), as well as resiliencies (supportive family contexts), presented to U.S. adolescents during the early months of COVID-19.
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                Author and article information

                Contributors
                Role: Conception, study planning, data analysis and interpretationRole: Preparation or revision of the manuscriptRole: Public responsibility for article contentRole: Final version approval
                Role: Conception, study planning, data analysis and interpretationRole: Data productionRole: Preparation or revision of the manuscriptRole: Public responsibility for article contentRole: Final version approval
                Role: Data productionRole: Preparation or revision of the manuscriptRole: Public responsibility for article contentRole: Final version approval
                Role: Data productionRole: Preparation or revision of the manuscriptRole: Public responsibility for article contentRole: Final version approval
                Role: Preparation or revision of the manuscriptRole: Public responsibility for article contentRole: Final version approval
                Role: Preparation or revision of the manuscriptRole: Public responsibility for article contentRole: Final version approval
                Journal
                Rev Saude Publica
                Rev Saude Publica
                rsp
                Revista de Saúde Pública
                Faculdade de Saúde Pública da Universidade de São Paulo
                0034-8910
                1518-8787
                11 May 2023
                2023
                : 57
                : Suppl 1
                : 5s
                Affiliations
                [I ] orgnameUniversidade de São Paulo orgdiv1Faculdade de Saúde Pública orgdiv2Departamento Saúde, Ciclos de Vida e Sociedade São Paulo SP Brasil originalUniversidade de São Paulo. Faculdade de Saúde Pública. Departamento Saúde, Ciclos de Vida e Sociedade. São Paulo, SP, Brasil
                [II ] orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina São Paulo SP Brasil originalUniversidade de São Paulo. Faculdade de Medicina. São Paulo, SP, Brasil
                [III ] orgnameUniversidade de São Paulo orgdiv1Faculdade de Saúde Pública orgdiv2Programa de Pós-Graduação em Saúde Pública São Paulo SP Brasil originalUniversidade de São Paulo. Faculdade de Saúde Pública. Programa de Pós-Graduação em Saúde Pública. São Paulo, SP, Brasil
                [IV ] orgnameUniversidade de São Paulo orgdiv1Faculdade de Saúde Pública São Paulo SP Brasil originalUniversidade de São Paulo. Faculdade de Saúde Pública. Graduação em Nutrição. São Paulo, SP, Brasil
                [V ] orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem orgdiv2Departamento de Enfermagem em Saúde Coletiva São Paulo SP Brasil originalUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
                [I ] Brasil originalUniversidade de São Paulo. Faculdade de Saúde Pública. Departamento Saúde, Ciclos de Vida e Sociedade. São Paulo, SP, Brasil
                [II ] Brasil originalUniversidade de São Paulo. Faculdade de Medicina. São Paulo, SP, Brasil
                [III ] Brasil originalUniversidade de São Paulo. Faculdade de Saúde Pública. Programa de Pós-Graduação em Saúde Pública. São Paulo, SP, Brasil
                [IV ] Brasil originalUniversidade de São Paulo. Faculdade de Saúde Pública. Graduação em Nutrição. São Paulo, SP, Brasil
                [V ] Brasil originalUniversidade de São Paulo. Escola de Enfermagem. Departamento de Enfermagem em Saúde Coletiva. São Paulo, SP, Brasil
                Author notes
                Correspondence: Faculdade de Saúde Pública – USP Av. Doutor Arnaldo, 715, Cerqueira César 01246-904 São Paulo, SP, Brazil E-mail: Cabralcs@ 123456usp.br

                Conflict of Interest: The authors declare that there is no conflict of interest.

                Correspondência: Cristiane da Silva Cabral Faculdade de Saúde Pública – USP Av. Doutor Arnaldo, 715, Cerqueira César 01246-904 São Paulo, SP, Brasil E-mail: cabralcs@usp.br

                Conflito de Interesses: Os autores declaram não haver conflito de interesses.

                Author information
                https://orcid.org/0000-0003-3025-2404
                https://orcid.org/0000-0002-2175-1378
                https://orcid.org/0000-0002-8848-5422
                https://orcid.org/0000-0002-8792-2491
                https://orcid.org/0000-0002-7004-7301
                https://orcid.org/0000-0002-2807-1762
                Article
                00202
                10.11606/s1518-8787.2023057004778
                10185316
                07f5226c-450e-4b18-9463-5ded376ea608

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 12 April 2022
                : 19 July 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 34
                Funding
                Funded by: Capes
                Award ID: 001
                Funding: Johns Hopkins University (financial support via The Global Early Adolescent Study – Geas). Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brasil (Capes - Funding code 001).
                Categories
                Original Article

                adolescent,emotional adjustment,interpersonal relations,social behavior,education, distance,covid-19

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