PT  - JOURNAL ARTICLE
AU  - Eric Waselewski
AU  - Marika Waselewski
AU  - Chloe Harper
AU  - Sarah Dickey
AU  - Sue Anne Bell
AU  - Tammy Chang
TI  - Perspectives of US Youth During Initial Month of the COVID-19 Pandemic
AID  - 10.1370/afm.2642
DP  - 2021 Mar 01
TA  - The Annals of Family Medicine
PG  - 141--147
VI  - 19
IP  - 2
4099  - http://www.annfammed.org/content/19/2/141.short
4100  - http://www.annfammed.org/content/19/2/141.full
SO  - Ann Fam Med2021 Mar 01; 19
AB  - PURPOSE Asymptomatic youth in the United States acting as “silent spreaders” during the coronavirus disease 2019 (COVID-19) pandemic are an ongoing public health concern, particularly given their depiction as unengaged with recommendations. Our goal was to understand the knowledge, beliefs, and experiences of US youth at the onset of the COVID-19 pandemic.METHODS We posed 2 open-ended surveys to the national MyVoice text message cohort of youth, aged 14-24 years. On March 6, 2020, 4 questions were asked regarding knowledge and experiences during the COVID-19 pandemic with 3 questions repeated on March 20, 2020. Qualitative responses were coded using thematic analysis and summarized with descriptive statistics.RESULTS Of 1,174 youth, 1,087 responded to at least 1 question (response rate of 88%). The average age of respondents was 19 (SD 2.8) years with 52% female and 56% non-Hispanic White respondents. On March 6, 2020, most (70%) respondents reported knowing about COVID-19 and primarily cited the news (46%) as their source of information. Nearly all (95%) respondents reported impact by March 20, 2020, and respondents expressing worry increased from 25% to 51%. In both surveys, worried youth primarily cited concern for others (26% and 34%). Regarding preparation, respondents primarily reported doing nothing (36%) on March 6, 2020, and practicing social distancing (50%) on March 20, 2020.CONCLUSIONS Many youths in our sample are engaged with the COVID-19 pandemic and most are feeling knowledgeable, are concerned about its impacts on others, and are practicing social distancing. Sustained public health efforts should focus on maintaining youth engagement with accurate public information and youth-centered messaging promoting prevention measures to protect the health and well-being of youth and their friends and family.