Evidence map›Paper›PMID 33997986›Full record

ArticleThe Journal of school health2021

Adherence to Masking Requirement During the COVID-19 Pandemic by Early Elementary School Children.

Geoffrey E Mickells, Janet Figueroa, Kelly Withers West, Anna Wood, Barbara O McElhanon

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of school health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Risks and benefits of face masks in children.Frontiers in pediatrics · 2026
    Review
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  13. Review
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  15. Impact of Using Facemasks on Literacy Learning: The Perception of Early Childhood Education Teachers.European journal of investigation in health, psychology and education · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Geoffrey E MickellsChildren's Healthcare of Atlanta, 1001 Johnson Ferry Road NE, Atlanta, GA, 30342.
Janet FigueroaDepartment of Pediatrics, Emory University School of Medicine, 2015 Upper Gate Road, Atlanta, GA, 30322.
Kelly Withers WestNorth Atlanta Pediatric Associates, The Pavilion at Lake Hearn, Suite 100, 1100 Lake Hearn Drive, Atlanta, GA, 30342.
Anna WoodDepartment of Pediatrics, Emory University School of Medicine, 2015 Upper Gate Road, Atlanta, GA, 30322.
Barbara O McElhanonDepartment of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, 1400 Tullie Rd., Office 8327B, Atlanta, GA, 30329.ORCID 0000-0002-3305-2208
Emory University · USChildren's Healthcare of Atlanta · USHearst (United States) · US

Funding

Emory UniversityGlenn Family Foundation
6 · The paper itself

Abstract

backgroundTop public health experts and organizations strongly recommend universal masking for children older than 2 years old during the COVID-19 pandemic, but speculate it may be difficult for young children. This study sought to assess the usage of cloth face masks in grades pre-K-2 and identify associated characteristics and adverse events. It is the first data to assess mask wearing by young children in school.

methodsThis 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-K-2 as measured by percentage of day with appropriate face mask wearing per report via daily teacher surveys for the first 4 weeks of school.

resultsThe 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%.

conclusionsFor a majority of the day while conducting in-person instruction, children in grades pre-K-2 are able to adhere to mask wearing as a key mitigation strategy for limiting SARS-CoV2 infection spread and possible future use.

Indexed as

ChildChild, PreschoolChild WelfareCOVID-19Disease Transmission, InfectiousHealth BehaviorHumansMaleMasksPhysical DistancingProspective StudiesSchool Health ServicesStudentsUnited Statescommunicables diseasecoronavirusCOVID-19infection preventionmedical compliancenonpharmaceutical interventions

Identifiers

PMID33997986
PMCPMC8206918
OpenAlexW3161822860

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.