{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:42:48Z","timestamp":1787766168307,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,5,16]],"date-time":"2021-05-16T00:00:00Z","timestamp":1621123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006939","name":"Emory University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006939","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100001136","name":"Glenn Family Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001136","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Top public health experts and organizations strongly recommend universal masking for children older than 2\u2009years old during the COVID\u201019 pandemic, but speculate it may be difficult for young children. This study sought to assess the usage of cloth face masks in grades pre\u2010K\u20102 and identify associated characteristics and adverse events. It is the first data to assess mask wearing by young children in school.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>This online, prospective, observational, survey in multiple schools within a single school district in a major metropolitan area measured adherence to face covering mandates by students in grades pre\u2010K\u20102 as measured by percentage of day with appropriate face mask wearing per report via daily teacher surveys for the first 4\u2009weeks of school.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The primary outcome was percent of the day that the entire class was wearing their masks appropriately. Of the estimated almost 1000 students and 1048 classroom days reported, the mean percentage of the school day with appropriate mask usage was 76.9%.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>For a majority of the day while conducting in\u2010person instruction, children in grades pre\u2010K\u20102 are able to adhere to mask wearing as a key mitigation strategy for limiting SARS\u2010CoV2 infection spread and possible future use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13033","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T05:26:25Z","timestamp":1621229185000},"page":"555-561","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Adherence to Masking Requirement During the <scp>COVID<\/scp>\u201019 Pandemic by Early Elementary School Children"],"prefix":"10.1111","volume":"91","author":[{"given":"Geoffrey E.","family":"Mickells","sequence":"first","affiliation":[{"name":"Children's Healthcare of Atlanta  1001 Johnson Ferry Road NE Atlanta GA 30342"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Figueroa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Emory University School of Medicine  2015 Upper Gate Road Atlanta GA 30322"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly Withers","family":"West","sequence":"additional","affiliation":[{"name":"North Atlanta Pediatric Associates, The Pavilion at Lake Hearn  Suite 100, 1100 Lake Hearn Drive Atlanta GA 30342"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Emory University School of Medicine  2015 Upper Gate Road Atlanta GA 30322"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3305-2208","authenticated-orcid":false,"given":"Barbara O.","family":"McElhanon","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Emory University School of Medicine and Children's Healthcare of Atlanta  1400 Tullie Rd., Office 8327B Atlanta GA 30329"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24885"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2006100"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.1948"},{"key":"e_1_2_7_5_1","first-page":"D5140","article-title":"De rol van kinderen in de transmissie van SARS\u2010CoV\u20102 [The role of children in the transmission of SARS\u2010CoV\u20102]","volume":"164","author":"Hoek W","year":"2020","journal-title":"Ned Tijdschr Geneeskd"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15371"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-1576"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-004879"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.5052"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.4573"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6939e2"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6931e1"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31142-9"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6928e2"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.12897"},{"key":"e_1_2_7_16_1","unstructured":"US Centers for Disease Control and Prevention.COVID\u201019: Considerations for Wearing Masks.2020. 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