The longitudinal impact of the COVID-19 pandemic and related multi-level mitigation and contextual factors on health and socioeconomic outcomes of individuals and families from a vulnerable population

NIH Pandemic-Era Grants

Pandemic Era Grants

2024

Document text

Principal Investigator: COLTER M.S. MITCHELL
Organization: UNIVERSITY OF MICHIGAN AT ANN ARBOR
Fiscal Year: 2024
Award: $594,081
Funding agency: Eunice Kennedy Shriver National Institute of Child Health and Human Development

The COVID-19 pandemic, transmission mitigation strategies and policies implemented across the United States
led to major disruption in day-to-day life, producing immediate effects on individuals, families and
communities. We hypothesize that the pandemic will have broadly negative health and economic consequences,
but that mitigation strategies and policies will affect participants differently in the short-, medium- and long-term
based on work, family, social, and health circumstances, which can only be thoroughly examined with
longitudinal analyses of data prior to and throughout the pandemic. We propose a “shovel ready” project
leveraging the existing longitudinal data collected in the Fragile Families and Childhood Wellbeing Study
(FFCWS), the longest running population-based US birth cohort, collected before and throughout the pandemic
linked with multilevel COVID-19 related health, social and economic measures, and prospective COVID-19
impact assessments to examine these issues. FFCWS follows a representative sample of 4,898 children born
1998-2000 in large US cities and their parents over 7 waves (3,580 families participated at the last wave),
providing a deep history of social support, economic factors, and health at the individual, family, neighborhood,
city, and state levels. Due to the unique sampling strategy and COVID-19 transmission patterns, over 87%
FFCWS families are considered underserved or COVID-19 vulnerable. Focal children are entering early
adulthood, a period when major adversity may derail that transition and parents are entering middle age where
the impacts of COVID-19 on health and financial resources are likely to have particularly large consequences.
We will also reinterview 1,400 respondents (700 parent-adult child pairs) over two additional waves on health,
economic, and behavior related to COVID-19. In collaboration with the COVID consortium, our aims are to first
compare essential workers (50% of FFCWS parents and 36% of young adults), non-essential workers, and
individuals who lost their jobs (over 20%) during the pandemic on short-term health, economic social and
behavioral outcomes. Second, to investigate immediate and downstream effects of COVID mitigation efforts on
interpersonal, intergenerational and family relationships and health resources. Third, to analyze immediate and
downstream effects of COVID transmission, mitigation efforts, and COVID-related policies on health using
contextual data (i.e., national, state, and local policy implementation and behavior) linked to measures of
individual health in young adults and their parents collected before, and multiple times throughout the pandemic.
We will also examine how these macro-level effects on individuals differ by other contextual measures such as
indicators of structural racism. This project will: 1) share macro-level data on COVID-19 burden and mitigation
strategies that can be linked to other studies, 2) share FFCWS COVID-19 impact survey data, 3) produce
scholarly products on the short-term (2020-21), mid-term (2022-23), long-term (2024-26) effects of the COVID-
19 pandemic in a vulnerable population representative of children born in large US cities and their parents.

Terms: <0-11 years old><21 year old><21 years of age><21+ years old><Adult><Adult Children><Adult Daughters><Adult Human><Adult Offspring><Adult Sons><Affect><African American><Afro American><Afroamerican><Age><Application Context><Behavior><Behavioral><Birth><COVID burden><COVID crisis><COVID epidemic><COVID pandemic><COVID-19><COVID-19 affected><COVID-19 burden><COVID-19 consequence><COVID-19 crisis><COVID-19 disease burden><COVID-19 effect><COVID-19 epidemic><COVID-19 era><COVID-19 exposure><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health burden><COVID-19 health crisis><COVID-19 impact><COVID-19 impacted><COVID-19 pandemic><COVID-19 pandemic affected><COVID-19 pandemic consequence><COVID-19 pandemic effects><COVID-19 pandemic impact><COVID-19 pandemic impacted><COVID-19 period><COVID-19 predisposition><COVID-19 public health crisis><COVID-19 related burden><COVID-19 susceptibility><COVID-19 transmission><COVID-19 virus transmission><COVID-19 vulnerability><COVID-19 years><CV-19><Child><Child Care><Child Youth><Childhood><Children (0-21)><Chronic><Cities><Collaborations><Communities><Coronavirus Infectious Disease 2019><Coronavirus disease 2019 predisposition><Coronavirus disease 2019 susceptibility><Coronavirus disease 2019 vulnerability><Criminal Justice><Data><Data Analyses><Data Analysis><Data Collection><Data Linkages><Economic Factors><Economical Factors><Economics><Essential employee><Essential person><Essential personnel><Essential staff><Essential worker><Family><Family Health><Family Relations><Family Relationship><Family Study><Family health status><Future><Generations><Geography><Health><Health Resources><History><Housing><Impoverished><Individual><Inequality><Interview><Investments><Job Location><Job Place><Job Setting><Job Site><Job loss><Jobs><Latine><Latinx><Life><Link><Living Arrangement><Low income><Manuscripts><Measures><Mental Health><Mental Hygiene><Neighborhoods><Occupations><Outcome><Parents><Participant><Parturition><Pattern><Personal Satisfaction><Policies><Population><Poverty><Predisposed to COVID-19><Predisposed to SARS-CoV-2><Predisposed to Severe acute respiratory syndrome coronavirus 2><Professional Positions><Psychological Health><Psychological Impact><Puericulture><QOL><Quality of life><Record Linkage Study><Recording of previous events><Reporting><Research><Research Resources><Resource Sharing><Resources><Respondent><Running><SARS-CoV-2 burden><SARS-CoV-2 disease burden><SARS-CoV-2 epidemic><SARS-CoV-2 exposure><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 infection burden><SARS-CoV-2 pandemic><SARS-CoV-2 predisposition><SARS-CoV-2 susceptibility><SARS-CoV-2 transmission><SARS-CoV-2 vulnerability><SARS-CoV2 exposure><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Sampling><Security><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 exposure><Severe acute respiratory syndrome coronavirus 2 pandemic><Severe acute respiratory syndrome coronavirus 2 predisposition><Severe acute respiratory syndrome coronavirus 2 susceptibility><Severe acute respiratory syndrome coronavirus 2 vulnerability><Social outcome><Social support><Socio-economic status><Socioeconomic Status><Structural Racism><Survey Instrument><Surveys><Transmission><Underrepresented Groups><Underrepresented Populations><Underserved Population><United States><Vaccinated><Vulnerable Populations><Work><Work Location><Work Place><Work-Site><Workplace><Worksite><adult youth><adulthood><adulthood transition><age 21><age 21 years><ages><analyzing longitudinal><behavior outcome><behavioral outcome><cohesion><cohort><contextual factors><coronavirus disease 2019><coronavirus disease 2019 consequence><coronavirus disease 2019 crisis><coronavirus disease 2019 effect><coronavirus disease 2019 epidemic><coronavirus disease 2019 exposure><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 impact><coronavirus disease 2019 pandemic><coronavirus disease 2019 pandemic consequence><coronavirus disease 2019 pandemic impact><coronavirus disease 2019 public health crisis><coronavirus disease 2019 transmission><coronavirus disease 2019 virus transmission><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19><coronavirus disease-19 global pandemic><coronavirus disease-19 impact><coronavirus disease-19 pandemic><coronavirus infectious disease-19><data interpretation><early adulthood><economic><economic outcome><effects following the COVID-19 pandemic><emerging adult><ethnic minority><exposure to COVID-19><exposure to SARS-CoV-2><exposure to SARS-CoV2><exposure to Severe acute respiratory syndrome coronavirus 2><exposure to coronavirus disease 2019><geographic difference><geographic variation><health economics><histories><impact of the SARS-CoV-2 pandemic><intergenerational><kids><late life><longitudinal analysis><medical vulnerability><member><mid life><mid-life><middle age><middle aged><midlife><offspring><pandemic><pandemic concern><pandemic containment><pandemic control><pandemic disease><pandemic mitigation><pandemic potential><pandemic response><pandemic risk><pandemic threat><parent><pediatric><physical conditioning><physical health><population based><pre-pandemic><predisposed to Coronavirus disease 2019><primary care giver><primary caregiver><prospective><racial minority><racism><response><segregation><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><severe acute respiratory syndrome coronavirus 2 transmission><social><social support network><social vulnerability><socio-economic><socio-economic position><socio-economically><socioeconomic position><socioeconomically><socioeconomics><structural determinants><structural factors><susceptible to COVID-19><susceptible to Coronavirus disease 2019><susceptible to SARS-CoV-2><susceptible to Severe acute respiratory syndrome coronavirus 2><transition from adolescence to adulthood><transition into adulthood><transition to adulthood><transmission process><transmitted COVID-19><transmitted SARS-CoV-2><transmitted coronavirus disease 2019><transmitted severe acute respiratory syndrome coronavirus 2><twenty-one year old><twenty-one years of age><under representation of groups><under represented groups><under represented people><under represented populations><under served group><under served individual><under served people><under served population><underrepresentation of groups><underrepresented people><underserved group><underserved individual><underserved people><unemployment insurance><vulnerable group><vulnerable individual><vulnerable people><vulnerable to COVID-19><vulnerable to Coronavirus disease 2019><vulnerable to SARS-CoV-2><vulnerable to Severe acute respiratory syndrome coronavirus 2><well-being><wellbeing><work setting><young adult><young adulthood><youngster>