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Kidney Week

Abstract: SA-PO676

COVID-19-Associated Worry and Emotional Distress in Children with CKD

Session Information

  • Pediatric Nephrology - 2
    October 26, 2024 | Location: Exhibit Hall, Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Pediatric Nephrology

  • 1900 Pediatric Nephrology

Authors

  • Carlson, Joann M., Rutgers University New Brunswick, New Brunswick, New Jersey, United States
  • Jones, Erin Marie, Emory University School of Medicine, Atlanta, Georgia, United States
  • Matheson, Matthew, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States
  • Manne, Sharon L., Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
  • Wong, Cynthia, Stanford University, Stanford, California, United States
  • Wilson, Camille, Nationwide Children's Hospital, Columbus, Ohio, United States
  • Kogon, Amy, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
  • Jerry-Fluker, Judith, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, United States
  • Lande, Marc, University of Rochester, Rochester, New York, United States
  • Harshman, Lyndsay, University of Iowa Health Care, Iowa City, Iowa, United States
  • Furth, Susan L., The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
  • Warady, Bradley A., Children's Mercy Kansas City, Kansas City, Missouri, United States
  • Hooper, Stephen R., The University of North Carolina at Chapel Hill Libraries, Chapel Hill, North Carolina, United States
  • Johnson, Rebecca J., Children's Mercy Kansas City, Kansas City, Missouri, United States
Background

The COVID-19 (C19) pandemic impacted youth mental/behavioral health, with 26% reporting significant emotional distress. Little is known about the emotional impact of C19 for youth with chronic kidney disease (CKD). We examined rates of C19 associated worry and emotional distress in youth with CKD and associations with socioeconomic and disease-related variables.

Methods

Caregivers completed the C19 questionnaire adapted from the Women’s Interagency HIV Study and Multicenter AIDS Cohort Study. Covariate data was collected at or prior to C19 questionnaire. Analyses examined rates of C19 emotional distress and worry and included logistic regression to identify associations with covariates.

Results

Sample included 320 participants from the Chronic Kidney Disease in Children Study: 63% male,18% African American, 10% Hispanic, median age 16 years, median estimated GFR 52 ml/min/1.73m2 among pre-ESKD participants and median urine P:C 0.27. 27% were post-kidney replacement, 29% had household income <$36,000 and 29% had maternal education of high school or less. 19% and 17% endorsed C19 emotional distress and worry, respectively (see Figure 1). Having eGFR <30 pre-KRT was associated with endorsement of emotional distress (OR 3.34; p= 0.046). Low household income was associated with endorsement of C19 worry (OR 5.43; p=0.01).

Conclusion

Youth with CKD endorsed C19 associated emotional distress and worry at rates lower than what has been observed nationally. Being pre-KRT with eGFR <30 was associated with increased C19 emotional distress, and low household income was significantly associated with C19 worry. This study did not assess social-emotional health broadly among youth with CKD but suggests those with poorer kidney function and lower income were more likely to endorse distress and worry related to C19.

Funding

  • NIDDK Support