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1.
Paediatrics and Child Health (Canada) ; 27(Supplement 3):e42-e43, 2022.
Article in English | EMBASE | ID: covidwho-2190153

ABSTRACT

BACKGROUND: Public health preventive measures have been a necessary intervention in preventing COVID-19 transmission. OBJECTIVE(S): The objectives of this study were 1) To investigate how the adherence to COVID-19 public health measures among parents and children in Ontario changed over time;2) To determine if provincial lockdowns were associated with higher adherence to public health measures among parents;3) To determine if school closures were associated with higher adherence to public health measures among children. DESIGN/METHODS: A longitudinal study was conducted in children aged 0-10 years and their parents through the TARGet Kids! COVID-19 Study of Children and Families in the Greater Toronto Area, Canada (April 2020 -May 2021). Parents completed weekly questionnaires on sociodemographics and public health practices. The primary exposure was calendar date. Secondary exposures were provincial lockdowns and school closures. The primary outcome was adherence to public health preventive measures (staying home, limiting visitors in the home, avoiding contact with others, socially distancing, and handwashing, measured as number of days practicing per week) measured separately for parents and children. Linear mixed effects regression and piecewise linear splines mixed effects models were conducted. RESULT(S): 819 children and their parents contributed 13,220 observations to the study over 13 months. Mean age was 5.6 years (SD=2.7) and 373 were female (45.5%). 273 children (35.1%) had a parent who worked as an essential worker and 254 (35.4%) of families lived in a COVID-19 'hotspot'. The number of days per week that parents adhered to all 5 public health measures decreased by 0.029 days (p<0.001), and by 0.146 days for children (p<0.001) over the study duration. For parents, adherence to the five public health measures decreased over time during the first lockdown (beta=- 0.06, p<0.001) and first reopening (beta=-0.01, p<0.001), but increased again during the second lockdown (beta=0.01, p<0.001). For children, adherence to the five public health measures decreased over time during the first school closure, increased during the second closure, and decreased during second reopening (beta=-0.04, p<0.01). See Figure 1. CONCLUSION(S): Parents and children both decreased in their adherence to social distancing, staying at home, and avoiding contact with others over time. Lockdown after a period of reopening increased parent adherence to public health measures and school closures increased adherence in children. Supports may be necessary to help children and parents maintain adherence to public measures over prolonged periods of lockdown and school closure. .

2.
Paediatrics and Child Health (Canada) ; 26(SUPPL 1):e28, 2021.
Article in English | EMBASE | ID: covidwho-1584150

ABSTRACT

BACKGROUND: Various studies have examined the general impact of the COVID-19 outbreak on children's health behaviours. The impact of public health measures practised by children during COVID-19 is relatively unknown. OBJECTIVES: The primary objective was to determine the association between physical and social distancing measures and children's outdoor time, sleep duration, and screen time during COVID-19. DESIGN/METHODS: A longitudinal study using repeated measures of exposures and outcomes was conducted in healthy children (0 to 10 years) between April 14 and July 15, 2020. Parents were asked to complete questionnaires about isolation, physical distancing practices, and children's health behaviours. The primary exposure was the average number of days that children practised physical and social distancing measures per week. The three outcomes were children's outdoor time, total screen time, and sleep duration during COVID-19. Linear mixed effects models were fitted using repeated measures of primary exposure and outcomes. RESULTS: This study included 554 observations from 265 children. Physical and social distancing measures were associated with shorter outdoor time (-17.2;95% CI-22.07,-12.40;p < 0.001) and longer total screen time (11.3;95% CI 3.88, 18.79;p = 0.003) during COVID-19. The association with outdoor time was stronger in younger children (< 5 years), and the associations with total screen time were stronger in females and in older children (= 5 years). CONCLUSION: Physical and social distancing measures during COVID-19 have resulted in negative impacts on the health behaviours of Canadian children living in a large metropolitan area.

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