- Marshall, Andrew T;
- Hackman, Daniel A;
- Kan, Eric;
- Abad, Shermaine;
- Baker, Fiona C;
- Baskin-Sommers, Arielle;
- Dowling, Gayathri J;
- Gonzalez, Marybel R;
- Guillaume, Mathieu;
- Kiss, Orsolya;
- McCabe, Connor J;
- McCandliss, Bruce D;
- Pelham, William E;
- Tapert, Susan F;
- Van Rinsveld, Amandine;
- Sowell, Elizabeth R
Our study characterized associations between three indicators of COVID-19's community-level impact in 20 geographically diverse metropolitan regions and how worried youth and their caregivers in the Adolescent Brain Cognitive Developmentā Study have been about COVID-19. County-level COVID-19 case/death rates and monthly unemployment rates were geocoded to participants' addresses. Caregivers' (vs. youths') COVID-19-related worry was more strongly associated with COVID-19's community impact, independent of sociodemographics and pre-pandemic anxiety levels, with these associations varying by location. Public-health agencies and healthcare providers should avoid adopting uniform "one-size-fits-all" approaches to addressing COVID-19-related emotional distress and must consider specific communities' needs, challenges, and strengths.