Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UK

Abstract Background Long COVID in children and young people (CYP) has posed significant challenges for health systems worldwide. Despite its impact on well-being and development, policies addressing the needs of CYP remain underdeveloped. This study examines UK Long COVID policies using ethical fram...

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Main Authors: Macarena Chepo, Sam Martin, Noémie Déom, Ahmad Firas Khalid, Cecilia Vindrola-Padros
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-22563-0
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author Macarena Chepo
Sam Martin
Noémie Déom
Ahmad Firas Khalid
Cecilia Vindrola-Padros
author_facet Macarena Chepo
Sam Martin
Noémie Déom
Ahmad Firas Khalid
Cecilia Vindrola-Padros
author_sort Macarena Chepo
collection DOAJ
description Abstract Background Long COVID in children and young people (CYP) has posed significant challenges for health systems worldwide. Despite its impact on well-being and development, policies addressing the needs of CYP remain underdeveloped. This study examines UK Long COVID policies using ethical frameworks, integrating policy and social media analyses to explore public and professional concerns. Methods A mixed-methods approach was applied. Policy documents were reviewed using Thompson et al.'s pandemic preparedness framework and Campbell and Carnevale’s child-inclusive ethical model. Social media discourse (12,650 posts) was analysed using Brandwatch™ to identify key themes around CYP and Long COVID policies. Data was collected and triangulated through the LISTEN method, which integrates policy analysis with social media discourse to ensure a holistic understanding of systemic gaps and public perceptions. Results Analysis highlighted gaps in accountability, inclusiveness, and transparency in policy development. Social media data reflected significant public dissatisfaction, primarily critiquing government accountability (90% of posts) and delayed policy responsiveness (29% of posts). Key ethical challenges included limited CYP representation and unequal access to services. Conclusions Recommendations include improving transparency, incorporating CYP perspectives in policymaking, and ensuring equitable access to care. These findings provide a foundation for ethically sound and inclusive policies addressing Long COVID in CYP.
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spelling doaj-art-53abfd5ebc8a4d94b1cc7fe3fa6782d52025-08-20T02:11:49ZengBMCBMC Public Health1471-24582025-04-0125111310.1186/s12889-025-22563-0Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UKMacarena Chepo0Sam Martin1Noémie Déom2Ahmad Firas Khalid3Cecilia Vindrola-Padros4School of Nursing, Universidad Andrés BelloDepartment of Targeted Intervention, University College London (UCL)Department of Targeted Intervention, University College London (UCL)Centre for Implementation Research, Canadian Institutes of Health Research Health System Impact Fellowship, Ottawa Hospital Research InstituteDepartment of Targeted Intervention, University College London (UCL)Abstract Background Long COVID in children and young people (CYP) has posed significant challenges for health systems worldwide. Despite its impact on well-being and development, policies addressing the needs of CYP remain underdeveloped. This study examines UK Long COVID policies using ethical frameworks, integrating policy and social media analyses to explore public and professional concerns. Methods A mixed-methods approach was applied. Policy documents were reviewed using Thompson et al.'s pandemic preparedness framework and Campbell and Carnevale’s child-inclusive ethical model. Social media discourse (12,650 posts) was analysed using Brandwatch™ to identify key themes around CYP and Long COVID policies. Data was collected and triangulated through the LISTEN method, which integrates policy analysis with social media discourse to ensure a holistic understanding of systemic gaps and public perceptions. Results Analysis highlighted gaps in accountability, inclusiveness, and transparency in policy development. Social media data reflected significant public dissatisfaction, primarily critiquing government accountability (90% of posts) and delayed policy responsiveness (29% of posts). Key ethical challenges included limited CYP representation and unequal access to services. Conclusions Recommendations include improving transparency, incorporating CYP perspectives in policymaking, and ensuring equitable access to care. These findings provide a foundation for ethically sound and inclusive policies addressing Long COVID in CYP.https://doi.org/10.1186/s12889-025-22563-0Long COVIDChildren and young people (CYP)COVID- 19UK health policySocial media discourse analysis
spellingShingle Macarena Chepo
Sam Martin
Noémie Déom
Ahmad Firas Khalid
Cecilia Vindrola-Padros
Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UK
BMC Public Health
Long COVID
Children and young people (CYP)
COVID- 19
UK health policy
Social media discourse analysis
title Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UK
title_full Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UK
title_fullStr Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UK
title_full_unstemmed Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UK
title_short Mind the gap: examining policy and social media discourse on Long COVID in children and young people in the UK
title_sort mind the gap examining policy and social media discourse on long covid in children and young people in the uk
topic Long COVID
Children and young people (CYP)
COVID- 19
UK health policy
Social media discourse analysis
url https://doi.org/10.1186/s12889-025-22563-0
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