A systematic review and meta-analysis on the preventive behaviors in response to the COVID-19 pandemic among children and adolescents

dc.contributor.authorLi, Feifei
dc.contributor.authorLiang, Wei
dc.contributor.authorRhodes, Ryan E.
dc.contributor.authorDuan, Yanping
dc.contributor.authorWang, Xiang
dc.contributor.authorShang, Borui
dc.contributor.authorYang, Yide
dc.contributor.authorJiao, Jiao
dc.contributor.authorYang, Min
dc.contributor.authorSupriya, Rashmi
dc.contributor.authorBaker, Julien S.
dc.contributor.authorYi, Longyan
dc.date.accessioned2023-01-13T23:34:06Z
dc.date.available2023-01-13T23:34:06Z
dc.date.copyright2022en_US
dc.date.issued2022
dc.description.abstractPurpose: The purpose of this review was to synthesize the empirical evidence of relevant studies related to preventive behaviors in response to the COVID-19 pandemic among children and adolescents. Further to this, we aimed to identify the demographic, psychological, and social and environmental correlates of such behaviors. Methods: Following PRISMA guidelines, eligible literature was identified by searching seven databases (PsycINFO, PubMed, MEDLINE, EMBASE, Cochrane Library, PROSPERO registry platform, and ClinicalTrials.gov website) and reference list of included studies and relevant review papers from 1st Jan 2020 to 28th Feb 2021. The standardized mean difference and correlation coefficients r were extracted to estimate the effect sizes. Analyses were conducted using R software. Results: Of the 35,271 original papers, 23 eligible studies were included in the qualitative synthesis and all these studies were of moderate-to-high quality, of which 17 studies were further included into the quantitative analysis. Children and adolescents (6–20 yrs.) showed a poorer practice of COVID-19 preventive behaviors compared to younger adults (21–59 yrs.) with a small-to-medium effect size (SMD = -.25, 95%CI = -.41 to -.09). For the demographic correlates, children and adolescents’ COVID-19 preventive practice was found to be significantly associated with gender (r = .14, 95%CI = .10 to .18), while not with age (r = -.02, 95%CI = -.14 to .10). Narratively, knowledge was found to be consistently and significantly correlated. For the psychological correlates, small-to-medium overall effects were identified for the association with attitudes (r = .26, 95%CI = .21 to .31) and perceived severity (r = .16, 95%CI = .01 to .30). For the family and social correlates, a non-significant association was identified between family economic status and COVID-19 preventive behaviors (r = .004, 95%CI = -.12 to .12). Conclusions: Interventions and relevant policies of promoting children and adolescent’s preventive measures should be a priority. Further, empirical studies identifying the demographic, psychological, and family and social correlates of children and adolescents’ preventive behaviors are needed.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipNational Natural Science Foundation of China (81903336), the Hunan Provincial Natural Science Foundation of China (2019JJ50376), Scientific Research Project of Hunan Provincial Health Commission (202112031516).en_US
dc.identifier.citationLi, F., Liang, W., Rhodes, R. E., Duan, Y., Wang, X., Shang, B., . . . Yi, L. (2022). “A systematic review and meta-analysis on the preventive behaviors in response to the COVID-19 pandemic among children and adolescents.” BMC Public Health, 22(1201). https://doi.org/10.1186/s12889-022-13585-zen_US
dc.identifier.urihttps://doi.org/10.1186/s12889-022-13585-z
dc.identifier.urihttp://hdl.handle.net/1828/14668
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectPreventive behaviors
dc.subjectCOVID-19
dc.subjectChildren and adolescents
dc.subjectDemographics
dc.subjectPsychosocial factors
dc.subjectSocial and environmental factors
dc.subjectReview and meta-analysis
dc.subject.departmentSchool of Exercise Science, Physical and Health Education
dc.titleA systematic review and meta-analysis on the preventive behaviors in response to the COVID-19 pandemic among children and adolescentsen_US
dc.typeArticleen_US

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