Impact of COVID-19, pandemic, and full-scale war on the health of schoolchildren: survey results
DOI:
https://doi.org/10.15574/PP.2024.98.77Keywords:
COVID-19, children, SARS-CoV-2 infection, long COVID, full-scale war, mental health, quality of lifeAbstract
During the COVID-19 pandemic, children not only faced health problems caused by the SARS-CoV-2 virus but also dealt with its consequences, such as long COVID, as well as social isolation, tension, and fear. However, a full-scale war has become an even greater challenge for the children's bodies due to the direct threat to life, uncertainty, and chronic stress.
The aim of the study was to identify and compare the impact of SARS-CoV-2 infection, the COVID-19 pandemic, and full-scale war on the health of schoolchildren, including their mental health, quality of life, as well as access to medical care, education, and leisure.
Materials and methods. We conducted an online survey of schoolchildren. Overall, 200 children aged 9 to 17 of Ternopil school participated in the survey. The questionnaire consisted of 38 questions. Descriptive statistics were used to evaluate the results. Differences between values were considered significant at p<0.05.
Results. Overall, 63.3% of children reported having experienced or possibly experienced SARS-CoV-2 infection. The majority of children (63%) who had COVID-19 contracted it during the first two waves of the pandemic (2020 and winter-spring 2021). Only 9.8% of respondents indicated hospitalization due to COVID-19. Half of the cases had a familial nature. Among children who had COVID-19, 41.3% reported having symptoms after the illness, which were often lasted up to 1 month. In 18.3% of respondents, the duration of symptoms met the criteria for long COVID. Common long COVID symptoms included fatigue, loss of smell and/or taste, sleep disturbances, decreased attention, and general weakness. One in five children noted the impact of the pandemic and full-scale war on access to medical care. The pandemic and war had the greatest impact on children's access to education (70.1% and 77.3% respectively) and leisure (59.5% and 64.5% respectively). Full-scale war significantly affected the mental health of children (70.6% vs. 33.3%, p<0.0001), their quality of life (59.4% vs. 34.2%, p<0.0001), and the sense of direct threat to life (62.1% vs. 29.9%, p<0.0001). During war, children twice as often indicated the need for psychological support than during the COVID-19 pandemic. Overall, 91.4% of children noted the greatest impact of full-scale war on their mental health.
Conclusions. COVID-19 and its consequences, the pandemic, and full-scale war significantly influenced the health, quality of life, and access to basic services for children and adolescents. The impact of the full-scale war on the mental health of children is significantly more substantial than the impact of the COVID-19 pandemic and the direct SARS-CoV-2 infection, even in a region distant from direct combat. These disruptions may have further implications for the physical health of children and the nation.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies.
No conflict of interests was declared by the authors.
References
Andres L, Moawad P, Kraftl P, Denoon-Stevens S, Marais L, Matamanda A et al. (2023), The Impact of COVID-19 on Education, Food & Play-Leisure and Related Adaptations for Children and Young People:International Overview. PANEX-Youth WP2 Short Report. London. URL: https://panexyouth.com.
Andres L, Moawad P, Kraftl P. (2023), The impact of COVID-19 on Education, Food and Play/Leisure and Related Adaptations of Children and Young People in England. London. URL: https://www.ucl.ac.uk/bartlett/planning/sites/bartlett_planning/files/panex_englandreport_execsummary_final.pdf.
Asadi-Pooya AA, Nemati M, Nemati H. (2022). 'Long COVID': Symptom persistence in children hospitalised for COVID-19. J Paediatr Child Health. 58(10): 1836-1840. https://doi.org/10.1111/jpc.16120; PMid:35851732 PMCid:PMC9349535
Boyarchuk O, Koshmaniuk M. (2023). The impact of the Russian invasion on healthcare for people with spina bifida in Ukraine. Disability and Society. 39(3): 817-821. https://doi.org/10.1080/09687599.2023.2255735
Boyarchuk O, Perestiuk V, Kosovska T, Volianska L. (2024). Coagulation profile in hospitalized children with COVID-19: pediatric age dependency and its impact on long COVID development. Front. Immunol. 15: 1363410. https://doi.org/10.3389/fimmu.2024.1363410; PMid:38510249 PMCid:PMC10950941
Boyarchuk O, Stepanovskyy Y, Strelnykova O. (2023). The Impact of the Russian Invasion on Healthcare of Patient with Inborn Errors of Immunity and on the Professional Activity of Immunologists in Ukraine. J Clin Immunol. 43(6): 1152-1154. https://doi.org/10.1007/s10875-023-01516-5; PMid:37188829
Boyarchuk O, Volianska L. (2023). Autoimmunity and long COVID in children. Reumatologia. 61(6): 492-501. https://doi.org/10.5114/reum/176464; PMid:38322108 PMCid:PMC10839920
Goldman RD. (2022). Long COVID in children. Can Fam Physician. 68(4): 263-265. https://doi.org/10.46747/cfp.6804263; PMid:35418390 PMCid:PMC9007126
Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, Somekh E. (2020). Behavioral and Emotional Disorders in Children during the COVID-19 Epidemic. J Pediatr. 221: 264-266.e1. https://doi.org/10.1016/j.jpeds.2020.03.013; PMid:32248989 PMCid:PMC7127630
Howard-Jones AR, Burgner DP, Crawford NW, Goeman E, Gray PE, Hsu P et al. (2022). COVID-19 in children. II: Pathogenesis, disease spectrum and management. J Paediatr Child Health. 58(1): 46-53. https://doi.org/10.1111/jpc.15811; PMid:34694037 PMCid:PMC8662268
Lippi G, Sanchis-Gomar F, Henry BM. (2023). COVID-19 and its long-term sequelae: what do we know in 2023? Pol Arch Intern Med. 133(4): 16402. https://doi.org/10.20452/pamw.16402
Mahmoud A, Kimario A, Anthony J, Magese E, Ezaka E, Volkova A, Nchasi G. (2022). The Russian-Ukraine conflict, mental health, and Covid-19: A triad of concerns for children residing within the conflict zone. Ann Med Surg (Lond). 84: 104815. https://doi.org/10.1016/j.amsu.2022.104815
Markosian C, Layne CM, Petrosyan V, Shekherdimian S, Kennedy CA, Khachadourian V. (2022). War in the COVID-19 era: Mental health concerns in Armenia and Nagorno-Karabakh. International Journal of Social Psychiatry. 68(3): 481-483. https://doi.org/10.1177/00207640211003940; PMid:33736534
Meliante PG, Marcellino A, Altomari R, Testa A, Gallo A, Ralli M et al. (2022). Smell and Taste in Children with Covid-19. Allergy Rhinol (Providence). 13: 21526575221144950. https://doi.org/10.1177/21526575221144950; PMid:36571076 PMCid:PMC9768832
Muñoz-Hernández O, Solórzano-Santos F. (2020). COVID-19 pandemic: a different behavior in children. Bol Med Hosp Infant Mex. 77(5): 219-220. https://doi.org/10.24875/BMHIM.20000168
Pierce CA, Herold KC, Herold BC, Chou J, Randolph A, Kane B et al. (2022). COVID-19 and children. Science. 377(6611): 1144-1149. https://doi.org/10.1126/science.ade1675; PMid:36074833 PMCid:PMC10324476
Seriakova I, Yevtushenko V, Kramarov S, Palatna L, Shpak I, Kaminska T. (2022). Clinical course of COVID-19 in hospitalized children of Ukraine in different pandemic periods. Eur Clin Respir J. 9(1): 2139890. https://doi.org/10.1080/20018525.2022.2139890; PMid:36325478 PMCid:PMC9621244
Sheng JF, Shao L, Wang YL. (2021). Clinical features of children with coronavirus disease 2019 caused by Delta variant infection. Zhongguo Dang Dai Er Ke Za Zhi. 23(12): 1267-1270. English, Chinese. doi: 10.7499/j.issn.1008-8830.2110043.
The Lancet Child Adolescent Health. (2022). Children: innocent victims of war in Ukraine. The Lancet. Child & adolescent health. 6(5): 279. https://doi.org/10.1016/S2352-4642(22)00102-X; PMid:35366398
Trapani G, Verlato G, Bertino E, Maiocco G, Vesentini R, Spadavecchia A et al. (2022). Long COVID-19 in children: an Italian cohort study. Ital J Pediatr. 48(1): 83. https://doi.org/10.1186/s13052-022-01282-x; PMid:35659358 PMCid:PMC9163526
Volianska LA, Burbela EI, Kosovska TM, Perestiuk VO, Boyarchuk OR. (2023). Long COVID in children: frequency and diagnostic challenges. Ukrainian Journal of Perinatology and Pediatrics. 3(95): 10-17. https://doi.org/10.15574/PP.2023.95.101
WHO. (2023). World Health Organization: Post COVID-19 Condition (Long COVID). URL: https://www.who.int/europe/news-room/fact-sheets/item/post-covid-19-condition#:~:text=It%20is%20defined%20as%20the,months%20with%20no%20other%20explanation.
Xie X, Xue Q, Zhou Y, Zhu K, Liu Q, Zhang J, Song R. (2020). Mental Health Status Among Children in Home Confinement During the Coronavirus Disease 2019 Outbreak in Hubei Province, China. JAMA Pediatr. 174(9): 898-900. https://doi.org/10.1001/jamapediatrics.2020.1619; PMid:32329784 PMCid:PMC7182958
Zimmermann P, Pittet LF, Curtis N. (2021). How Common is Long COVID in Children and Adolescents? Pediatr Infect Dis J. 40(12): e482-e487. https://doi.org/10.1097/INF.0000000000003328; PMid:34870392 PMCid:PMC8575095
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