Location matters: Regional variation in association of community burden of COVID-19 with caregiver and youth worry

Andrew T Marshall; Daniel A Hackman; Eric Kan; Shermaine Abad; Fiona C Baker; Arielle Baskin-Sommers; Gayathri J Dowling; Marybel R Gonzalez; Mathieu Guillaume; Orsolya Kiss; Connor J McCabe; Bruce D McCandliss; William E Pelham 3rd; Susan F Tapert; Amandine Van Rinsveld; Elizabeth R Sowell

doi:10.1016/j.healthplace.2022.102885

Location matters: Regional variation in association of community burden of COVID-19 with caregiver and youth worry

Health Place. 2022 Sep:77:102885. doi: 10.1016/j.healthplace.2022.102885. Epub 2022 Aug 9.

Authors

Andrew T Marshall¹, Daniel A Hackman², Eric Kan³, Shermaine Abad⁴, Fiona C Baker⁵, Arielle Baskin-Sommers⁶, Gayathri J Dowling⁷, Marybel R Gonzalez⁸, Mathieu Guillaume⁹, Orsolya Kiss⁵, Connor J McCabe¹⁰, Bruce D McCandliss⁹, William E Pelham 3rd⁸, Susan F Tapert⁸, Amandine Van Rinsveld⁹, Elizabeth R Sowell¹¹

Affiliations

¹ Children's Hospital Los Angeles, and the Department of Pediatrics, University of Southern California, Los Angeles, CA, USA. Electronic address: amarshall@chla.usc.edu.
² USC Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
³ Children's Hospital Los Angeles, and the Department of Pediatrics, University of Southern California, Los Angeles, CA, USA.
⁴ Department of Radiology, University of California, San Diego, CA, USA.
⁵ Center for Health Sciences, SRI International, Menlo Park, CA, USA.
⁶ Department of Psychology, Yale University, New Haven, CT, USA.
⁷ Division of Extramural Research, National Institute on Drug Abuse, Rockville, MD, USA.
⁸ Department of Psychiatry, University of California, San Diego, CA, USA.
⁹ Graduate School of Education, Stanford University, Stanford, CA, USA.
¹⁰ Department of Psychiatry, University of Washington, Seattle, WA, USA.
¹¹ Children's Hospital Los Angeles, and the Department of Pediatrics, University of Southern California, Los Angeles, CA, USA. Electronic address: esowell@chla.usc.edu.

Abstract

Our study characterized associations between three indicators of COVID-19's community-level impact in 20 geographically diverse metropolitan regions and how worried youth and their caregivers in the Adolescent Brain Cognitive Development℠ Study have been about COVID-19. County-level COVID-19 case/death rates and monthly unemployment rates were geocoded to participants' addresses. Caregivers' (vs. youths') COVID-19-related worry was more strongly associated with COVID-19's community impact, independent of sociodemographics and pre-pandemic anxiety levels, with these associations varying by location. Public-health agencies and healthcare providers should avoid adopting uniform "one-size-fits-all" approaches to addressing COVID-19-related emotional distress and must consider specific communities' needs, challenges, and strengths.

Keywords: Adolescent; Anxiety; COVID-19; Caregivers; Residence characteristics.

Publication types

Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Adolescent
Anxiety / epidemiology
Anxiety / psychology
COVID-19* / epidemiology
Caregivers* / psychology
Humans
Pandemics

Abstract

Publication types

MeSH terms

Grants and funding