{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:05:02Z","timestamp":1789671902920,"version":"4.0.1"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"abstract":"<jats:p>Pediatric long COVID is a chronic, multisystem condition with potential physical, cognitive, and psychosocial effects. Although children in under-resourced communities experienced a disproportionate COVID-19 burden, access to post-COVID specialty care may be uneven. We conducted a retrospective cross-sectional study of 194 pediatric long COVID patients from Washington, DC, Maryland, and Virginia, who presented to a multidisciplinary tertiary care clinic between May 2021 and January 2024. Patients had a mean age of 12.8 years; 57% were female and 63% were non-Hispanic white. Most patients lived in very high-opportunity areas, while few lived in low-opportunity areas. Spatial hotspots were identified in urban and suburban census tracts, including parts of Maryland, Virginia, and Washington, DC; cold spots were identified in rural and exurban areas. These findings suggest that clinic-based pediatric long COVID presentation may reflect access to specialty evaluation as well as underlying disease burden. Broader screening and community-based approaches may help identify unmet need in under-resourced communities.<\/jats:p>","DOI":"10.1177\/00099228261487907","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:48:20Z","timestamp":1789465700000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Child Opportunity Index: Paradoxical Risk of Pediatric Long COVID Cases"],"prefix":"10.1177","author":[{"given":"Erin","family":"McLaughlin","sequence":"first","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra B.","family":"Yonts","sequence":"additional","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences, DC, USA"},{"name":"Division of Infectious Disease, Children\u2019s National Hospital, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4344-7032","authenticated-orcid":false,"given":"Anand","family":"Gourishankar","sequence":"additional","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences, DC, USA"},{"name":"Pediatric Hospital Medicine, Children\u2019s National Hospital, Washington, DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2021.686029"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-039849"},{"key":"e_1_3_2_4_2","unstructured":"Noelke C McArdle N DeVoe B et al. Child Opportunity Index 3.0 technical documentation. Brandeis University; 2024. Accessed September 3 2026. https:\/\/www.diversitydatakids.org\/research-library\/coi-30-technical-documentation"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192013382"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjnph-2021-000375"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-2702-1574"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2025.5485"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.51151"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261487907","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228261487907","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228261487907","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T18:19:51Z","timestamp":1789669191000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228261487907"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,15]]},"references-count":8,"alternative-id":["10.1177\/00099228261487907"],"URL":"https:\/\/doi.org\/10.1177\/00099228261487907","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,15]]},"article-number":"00099228261487907"}}