Coronavirus Disease 2019 (COVID-19) Lockdown: Morbidity, Perception, Behaviors, and Attitudes in French Families From the PARIS Birth Cohort

Antoine Citerne; Fanny Rancière; Célina Roda; Isabelle Momas

doi:10.3389/fpubh.2022.907456

Coronavirus Disease 2019 (COVID-19) Lockdown: Morbidity, Perception, Behaviors, and Attitudes in French Families From the PARIS Birth Cohort

Front Public Health. 2022 May 24:10:907456. doi: 10.3389/fpubh.2022.907456. eCollection 2022.

Authors

Antoine Citerne¹, Fanny Rancière^{1

2}, Célina Roda^{1

2}, Isabelle Momas^{1

2

3}

Affiliations

¹ Health Environmental Risk Assessment (HERA) Team, Centre of Research in Epidemiology and Statistics (CRESS), Inserm, National Research Institute for Agriculture, Food and the Environment (INRAE), Université de Paris, Paris, France.
² Faculté de Pharmacie de Paris, Université de Paris, Paris, France.
³ Cellule Cohorte, Direction de l'Action Sociale de l'Enfance et de la Santé, Mairie de Paris, Paris, France.

Abstract

Background: Few studies have examined the overall experience of adolescents and their families during COVID-19 lockdowns. This study describes COVID-19-related morbidity in the PARIS birth cohort families during the first lockdown in France and identifies family profiles in terms of morbidity, perception, behaviors, and attitudes.

Methods: Online questionnaires were sent to adolescents of the PARIS birth cohort and their parents. Possible COVID-19 was defined by symptoms using the ECDC definition. Household transmission was estimated by calculating the observed clinical secondary attack rates. Perception, behaviors and attitudes were assessed by levels of stress, degree of satisfaction regarding levels of information about COVID-19, degree of agreement with the lockdown and preventive measures. COVID-19 morbidity in adolescents and parents was compared using chi-squared or Student's t-tests. Within each family, perception, behaviors, and attitudes were compared between adolescents and parents using matched-pairs tests. To identify contrasting family profiles, a K-means cluster analysis was implemented.

Results: Of 1,549 families contacted, 1,051 (68%) participated. Adolescents were less affected by possible COVID-19 than their parents (138.7 vs. 192.7 per 1,00,000 person-days). Household transmission of possible COVID-19 was higher when possible COVID-19 came from adults than from adolescents. Most families implemented preventive measures. Adolescents and parents generally shared the same attitudes, but adolescents were less compliant with restrictive measures. Four family profiles were identified which differed mainly regarding family stress, COVID-19 in the household, and compliance with preventive measures.

Conclusion: Improving information dissemination to parents and adolescents, including dedicated adolescent messages, would increase adherence to preventive measures.

Keywords: COVID-19; COVID-19 lockdown; adolescents; birth cohort; cluster analysis; household transmission; preventive measures; stress.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Attitude
Birth Cohort
COVID-19* / epidemiology
Communicable Disease Control
Humans
Morbidity
Perception