COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020

Early in the pandemic, in the North American epicenter, we investigated associations between sociodemographic factors and rates of pediatric COVID-19 diagnoses in a non-clinical setting and whether symptoms varied by child age. From 20 April–31 August 2020, COVID-19-related data were collected on 26...

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Autores principales:	Linda G. Kahn, Akhgar Ghassabian, Melanie H. Jacobson, Keunhyung Yu, Leonardo Trasande
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	COVID-19 pediatrics epidemiology cohort study Medicine R
Acceso en línea:	https://doaj.org/article/619cd9c33c0e445dad799c89766b5c7d
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spelling	oai:doaj.org-article:619cd9c33c0e445dad799c89766b5c7d2021-11-25T17:49:12ZCOVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 202010.3390/ijerph1822118861660-46011661-7827https://doaj.org/article/619cd9c33c0e445dad799c89766b5c7d2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11886https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Early in the pandemic, in the North American epicenter, we investigated associations between sociodemographic factors and rates of pediatric COVID-19 diagnoses in a non-clinical setting and whether symptoms varied by child age. From 20 April–31 August 2020, COVID-19-related data were collected on 2694 children aged ≤ 18 years living in households participating in the New York University Children’s Health and Environment Study. We examined differences in rates of subjective and objective diagnoses according to sociodemographic characteristics and differences in reported symptoms by child age. Children of women who were non-Hispanic White, had private health insurance, higher income, or more education were more likely to be diagnosed via WHO criteria or healthcare provider. Children of women who were Hispanic or Asian, reported low income, had less education, or were/lived with an essential worker were more likely to test positive. Older children were less likely to experience cough or runny nose and more likely to experience muscle/body aches, sore throat, headache, and loss of smell or taste than younger children. In conclusion, relying on subjective disease ascertainment methods, especially in the early stage of an outbreak when testing is not universally available, may misrepresent the true prevalence of disease among sociodemographic subgroups. Variations in symptoms by child age should be considered when determining diagnostic criteria.Linda G. KahnAkhgar GhassabianMelanie H. JacobsonKeunhyung YuLeonardo TrasandeMDPI AGarticleCOVID-19pediatricsepidemiologycohort studyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11886, p 11886 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 pediatrics epidemiology cohort study Medicine R
spellingShingle	COVID-19 pediatrics epidemiology cohort study Medicine R Linda G. Kahn Akhgar Ghassabian Melanie H. Jacobson Keunhyung Yu Leonardo Trasande COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020
description	Early in the pandemic, in the North American epicenter, we investigated associations between sociodemographic factors and rates of pediatric COVID-19 diagnoses in a non-clinical setting and whether symptoms varied by child age. From 20 April–31 August 2020, COVID-19-related data were collected on 2694 children aged ≤ 18 years living in households participating in the New York University Children’s Health and Environment Study. We examined differences in rates of subjective and objective diagnoses according to sociodemographic characteristics and differences in reported symptoms by child age. Children of women who were non-Hispanic White, had private health insurance, higher income, or more education were more likely to be diagnosed via WHO criteria or healthcare provider. Children of women who were Hispanic or Asian, reported low income, had less education, or were/lived with an essential worker were more likely to test positive. Older children were less likely to experience cough or runny nose and more likely to experience muscle/body aches, sore throat, headache, and loss of smell or taste than younger children. In conclusion, relying on subjective disease ascertainment methods, especially in the early stage of an outbreak when testing is not universally available, may misrepresent the true prevalence of disease among sociodemographic subgroups. Variations in symptoms by child age should be considered when determining diagnostic criteria.
format	article
author	Linda G. Kahn Akhgar Ghassabian Melanie H. Jacobson Keunhyung Yu Leonardo Trasande
author_facet	Linda G. Kahn Akhgar Ghassabian Melanie H. Jacobson Keunhyung Yu Leonardo Trasande
author_sort	Linda G. Kahn
title	COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020
title_short	COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020
title_full	COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020
title_fullStr	COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020
title_full_unstemmed	COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020
title_sort	covid-19 symptoms and diagnoses among a sociodemographically diverse cohort of children from new york city: lessons from the first wave, spring 2020
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/619cd9c33c0e445dad799c89766b5c7d
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COVID-19 Symptoms and Diagnoses among a Sociodemographically Diverse Cohort of Children from New York City: Lessons from the First Wave, Spring 2020

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