Multiple impacts on adolescent well-being during COVID-19 school closures: insights from professionals for future policy using a conceptual framework

Nicola Gray, Catherine Chabot, Shraddha Manandhar, Insa Backhaus, Miranda Beck, Graca Carvalho, Regina Alves, Min Chien Tsai, Sachi Tomokawa, Didier Jourdan, Terje Eikemo

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: This study explores the impacts of school closures during the COVID-19 pandemic on the domains of adolescent well-being from the UN H6+ framework, reported by health and educational professionals worldwide.

Methods: Semi-structured individual online interviews were conducted in 6 languages during the second wave of the COVID-19 pandemic (March-December 2021) with health and education professionals who volunteered for follow-up after participating in an anonymous online survey. The UN H6+ 5-domain conceptual framework of adolescent well-being was used as a framework for the directed content analysis of the combined interview dataset.

Results: 60 interviews – translated into English - were analysed from 38 education and 22 health professionals in 28 countries/territories. Participant reports showed impacts on all five adolescent well-being domains, but mainly Domain 1 (good health and nutrition), Domain 3 (safety and a supportive environment) and Domain 4 (learning, competence, education, skills and employability). Reflections of 2-connectedness and 5-agency were also present. Their reports included mainly negative impacts, but also some positive insights to take forward.

Discussion: Policymakers must recognise impacts of school closures during the pandemic on multiple domains of adolescent well-being and the potential for widening inequalities. Schools play a critical mitigating role that goes beyond education. The call to action for the adolescent health community is to recognise and address ongoing potential long-term impacts on well-being and inequalities in their everyday practice. It is also important to advocate locally, nationally and globally for careful consideration of the consequences of school closures in future health crises.
Original languageEnglish
JournalJournal of Adolescent Health
Publication statusAccepted/In press - 23 Apr 2025

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