Table 2 Longitudinal Trajectory of Mental Health Symptoms, Social Risks, and School Modality from August 2020 to July 2021 during the COVID-19 Pandemic Compared to the 6 months pre-pandemic (September 2019 – February 2020)
| Â | Pre-pandemic (start Sep-2020) | Wave 11 (start Aug-2020) | Wave 21 (start Dec-2020) | Wave 31 (start Mar-2020) |
|---|---|---|---|---|
Child emotional and behavioral symptoms | ||||
 PSC-17 total score |  |  |  |  |
  Median score (IQR) | 4 (1, 9) | 6 (3, 13)*** | 6 (3, 11)*** | 5 (2, 11)*** |
  Mean score (SD) | 5.62 (5.80) | 7.99 (6.41)*** | 7.70 (5.97)*** | 7.03 (6.03)*** |
  % positive | 7.9% | 17.6%** | 14.7% | 11.9% |
Social risks (THRIVE) | ||||
 Median score (IQR) | 0 (0, 5) | 2 (0, 6)*** | 1 (0, 6)*** | 1 (0, 6)*** |
 Mean score (SD) | 0.87 (1.46) | 1.76 (1.87)*** | 1.67 (1.78)*** | 1.48 (1.69)*** |
 Specific risks |  |  |  |  |
  % housing insecure | 2.9% | 11.5%** | 12.5%** | 8.8%* |
  % food insecure | 15.7% | 50.0%*** | 40.1%*** | 34.3%*** |
  % difficulty affording medications | 5.7% | 9.0% | 8.3% | 8.1% |
  % difficulty with transportation | 12.1% | 13.0% | 9.5% | 11.1% |
  % difficulty paying bills | 15.8% | 36.6%*** | 33.3%** | 30.6% |
  % difficulty with dependent care | 0.8% | 10.2%** | 7.5%** | 5.9%* |
  % unemployed | 13.9% | 23.2%* | 25.3%* | 21.6% |
  % interested in more education | 20.3% | 38.5%*** | 33.6%* | 29.4% |
School modality | ||||
 Remote only | 0%2 | 100%3 | 63.9% | 43.6% |
 Hybrid | 0%2 | 0%3 | 25.7% | 24.8% |
 In-person only | 100%2 | 0%3 | 10.4% | 31.6% |