It Is Time to End the Debate Over School Reopening | Pediatrics | JAMA Network Open | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Views 7,842
Citations 0
April 29, 2021

It Is Time to End the Debate Over School Reopening

Author Affiliations
  • 1Child Health Advocacy Institute, Division of General Pediatrics and Community Health, Children’s National Hospital, Washington, DC
  • 2Seattle Children’s Research Institute, Center for Child Health, Behavior, and Development, Seattle, Washington
  • 3Editor, JAMA Pediatrics
JAMA Netw Open. 2021;4(4):e2111125. doi:10.1001/jamanetworkopen.2021.11125

The study by Raviv and colleagues1 examines the association between the COVID-19 pandemic and caregivers’ perceptions of the psychological well-being of their school-aged children. The authors partnered with Chicago Public Schools (CPS) during the summer of 2020 to design and administer an anonymous electronic survey of caregivers of CPS students. The survey assessed attitudes about returning to in-person instruction, caregiver reports of mental health concerns (eg, agitated or angry, lonely, anxious, stressed, depressed or low mood, self-harm, and thoughts of suicide) and positive adjustment characteristics (relaxed, interacts positively with siblings or family members, positive peer or social relationships, talks about plans for the future, and hopeful or positive) in their children, COVID-19 exposure and illness among family members, and the effect of COVID-19 on social determinants of health, such as employment and food access. The survey was translated into multiple languages, and responses were received from more than 32 000 caregivers reporting on behalf of more than 40 000 students in CPS, a district that serves more than 340 000 students.2 Using a retrospective pre-post design, the study found that caregivers reported an increase in child mental health concerns and a decrease in positive adjustment characteristics comparing the periods before and after the end of in-person instruction. COVID-19 exposure and social stressors were associated with increases in mental health concerns and decreases in positive adjustment characteristics.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words