{"title":"Age-specific COVID-19 case dynamics during school closure periods: Evidence from 12 european countries.","authors":"Damien Dupré, Edgar Morgenroth","doi":"10.1007/s10198-026-01997-2","DOIUrl":null,"url":null,"abstract":"<p><p>School closures were among the most widely adopted non-pharmaceutical interventions against COVID-19, yet evidence on their association with infection dynamics remains uncertain given their substantial economic and educational costs. This observational study describes age-specific COVID-19 case dynamics during school closure periods across 12 European countries using Generalised Additive Models with zero-crossing derivative analysis and Transfer Entropy. Case dynamics were heterogeneous and non-monotonic across age groups: case counts declined early but rose again within the window among the youngest cohorts (0-4 and 5-9 years). By contrast, the 10-14 group rose steadily with no turning point, and older adolescents and young adults (15-19 and 20-24 years) rose early and then declined. Transfer Entropy analysis, with Benjamini-Hochberg correction, revealed asymmetric directional relationship between age cohorts that varied across national contexts. These patterns indicate that case trajectories during closure periods were not uniform across youth age groups, with no age group showing a sustained, uninterrupted decline. Interpreted cautiously, they raise questions about the cost-benefit balance of blanket closure policies when weighed against their documented economic, educational, and distributional costs, and motivate more targeted, age-sensitive quasi-experimental evaluation for future pandemic preparedness.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Health Economics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10198-026-01997-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ECONOMICS","Score":null,"Total":0}
引用次数: 0
Abstract
School closures were among the most widely adopted non-pharmaceutical interventions against COVID-19, yet evidence on their association with infection dynamics remains uncertain given their substantial economic and educational costs. This observational study describes age-specific COVID-19 case dynamics during school closure periods across 12 European countries using Generalised Additive Models with zero-crossing derivative analysis and Transfer Entropy. Case dynamics were heterogeneous and non-monotonic across age groups: case counts declined early but rose again within the window among the youngest cohorts (0-4 and 5-9 years). By contrast, the 10-14 group rose steadily with no turning point, and older adolescents and young adults (15-19 and 20-24 years) rose early and then declined. Transfer Entropy analysis, with Benjamini-Hochberg correction, revealed asymmetric directional relationship between age cohorts that varied across national contexts. These patterns indicate that case trajectories during closure periods were not uniform across youth age groups, with no age group showing a sustained, uninterrupted decline. Interpreted cautiously, they raise questions about the cost-benefit balance of blanket closure policies when weighed against their documented economic, educational, and distributional costs, and motivate more targeted, age-sensitive quasi-experimental evaluation for future pandemic preparedness.
期刊介绍:
The European Journal of Health Economics is a journal of Health Economics and associated disciplines. The growing demand for health economics and the introduction of new guidelines in various European countries were the motivation to generate a highly scientific and at the same time practice oriented journal considering the requirements of various health care systems in Europe. The international scientific board of opinion leaders guarantees high-quality, peer-reviewed publications as well as articles for pragmatic approaches in the field of health economics. We intend to cover all aspects of health economics:
• Basics of health economic approaches and methods
• Pharmacoeconomics
• Health Care Systems
• Pricing and Reimbursement Systems
• Quality-of-Life-Studies The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfill the above-mentioned requirements.
Officially cited as: Eur J Health Econ