Geography of children's worry during the COVID-19 pandemic: insights into variations, influences, and implications

Children face many threats that have implications for their future. Empirical evidence on the effect of the COVID-19 pandemic on children's health and its variation across geography remains limited. Parents (n = 340) and their primary school-aged children in five Australian states completed anonymised online questionnaires early during the pandemic in mid-2020. COVID-19-related forms of worry were measured, and contributing variables were examined. Most children were worried: 89% were worried about contracting the virus, and 79% were worried about playing outdoors. Forms of worry varied by ethnic background. There were geographical patterns in variables contributing to children's worry aligning with COVID-19 morbidity and mortality across all states. Parents' characteristics of age and history of distress symptoms, daily exposure to pandemic-related news, and parents themselves being worried predicted children's worry. Technology use lacked predictive power. The outcome has implications with international relevance: children living in stressful environments, such as during the COVID-19 pandemic, are highly vulnerable despite not personally being at a high health risk. During health crises, parents are urged to limit children's exposure to unfiltered news and care for their children's and their own mental health. Timely intervention and better access to mental health care may help mitigate the impact of health crises on children. Listening to children's voices and addressing the diverse needs of all communities can promote equitable children's well-being.