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1.
Med J Malaysia ; 79(Suppl 1): 96-103, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38555892

RESUMO

INTRODUCTION: COVID-19 still wreaking havoc in Malaysia, with 3,221,680 cases and 32,326 deaths as of 20 February 2022. In the Oil and Gas industry, implementing quarantine before mobilising to or after mobilising from onshore and offshore locations was mandatory to help stop the spread of the virus. However, previous studies have shown that quarantine can significantly impact public mental health. This study intends to assess the psychosocial stress experienced by Oil and Gas industry employees during periods of quarantine in various regions (PMA: Terengganu, SBA: Sabah, SKA: Sarawak) and between onshore and offshore employees. Additionally, it aims to identify the factors that are linked to psychosocial stress in this workforce. MATERIALS AND METHODS: A cross-sectional study involving 86 respondents was conducted using an online survey between the middle of March and April 2022. The Perceived Stress Scale (PSS) developed by Cohen et al., (1983) was used to assess the stress levels of individuals. Data analysis was carried out using the SPSS statistical program, which included descriptive statistics, Mann-Whitney, Kruskal Wallis and Linear Regression tests. RESULTS: The majority of respondents, 75.6% (n=65) reported moderate stress levels, while 14.0% (n=12) declared severe stress levels. The Mann-Whitney test showed no significant difference in psychosocial stress scores among workers between onshore and offshore (χ2=-0.523, p=0.601), whereas the Kruskal Wallis test showed a significant difference in psychosocial stress scores among workers between states (PMA, SKA, and SBA) (χ2=6.415, p=0.040). According to the regression test, workers with medical histories of diabetes and Covid-19 (R2=0.158) (p<0.005) are two factors linked to psychosocial stress. CONCLUSION: The study found that there were significant differences in psychosocial stress among oil and gas workers between SKA, SBA, and PMA due to quarantine activity. Mobile workers and those with certain medical histories were identified as being particularly vulnerable to psychosocial stress. However, it was noted that the overall improvement in the quarantine period had a positive impact on the mental health of these workers.


Assuntos
COVID-19 , Testes Psicológicos , Autorrelato , Humanos , COVID-19/prevenção & controle , Malásia/epidemiologia , Quarentena/psicologia , Estudos Transversais , Surtos de Doenças
2.
PLoS One ; 19(2): e0297293, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38324541

RESUMO

Improving cruise ports of call is essential for enhancing the overall cruise experience for passengers, promoting tourism, and supporting the economic development of the regions served by these ports. Therefore, this article aims to assess selection factors (SFs) for the cruise port of call from the perspective of cruise operators (COs) and port operators (POs). In doing so, this paper first identifies SFs for the cruise port of call and establishes their hierarchical structure thanks to the extensive literature and expert brainstorming. Afterwards, The Modified Fuzzy Analytic Hierarchy Process (MFAHP) is developed to gauge the discrepancy in SFs between COs and POs. Empirical results from MFAHP pinpoint two significant SFs for POs to improve and attract their customers: customs, immigration control and quarantine (CIQ), and incentive measures. Besides, theoretical and managerial implications, and potential limitations for the next research are discussed.


Assuntos
Processo de Hierarquia Analítica , Surtos de Doenças , Navios , Quarentena/métodos , Turismo
3.
Front Public Health ; 11: 1208751, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38045981

RESUMO

Background: In November 2019, an infectious agent that caused a severe acute respiratory illness was first detected in China. Its rapid spread resulted in a global lockdown with negative economic impacts. In this regard, we expose the solutions proposed by a multinational financial institution that maintained their workers on premises, so this methodology can be applied to possible future health crisis. Objectives: To ensure a secure workplace for the personnel on premises employing biomedical prevention measures and computational tools. Methods: Professionals were subjected to recurrent COVID-19 diagnostic tests during the pandemic. The sanitary team implemented an individual following to all personnel and introduced the information in databases. The data collected were used for clustering algorithms, decision trees, and networking diagrams to predict outbreaks in the workplace. Individualized control panels assisted the decision-making process to increase, maintain, or relax restrictive measures. Results: 55,789 diagnostic tests were performed. A positive correlation was observed between the cumulative incidence reported by Madrid's Ministry of Health and the headcount. No correlation was observed for occupational infections, representing 1.9% of the total positives. An overall 1.7% of the cases continued testing positive for COVID-19 after 14 days of quarantine. Conclusion: Based on a combined approach of medical and computational science tools, we propose a management model that can be extended to other industries that can be applied to possible future health crises. This work shows that this model resulted in a safe workplace with a low probability of infection among workers during the pandemic.


Assuntos
COVID-19 , Pandemias , Humanos , Pandemias/prevenção & controle , COVID-19/epidemiologia , Local de Trabalho , Quarentena , Computadores
4.
J Surg Orthop Adv ; 32(2): 102-106, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37668646

RESUMO

This study aimed to describe hospital resource utilization of an orthopaedic trauma service and the injury epidemiology during the 2019-2020 coronavirus pandemic to help plan future non-trauma crises. A retrospective chart review was performed on adult patients > 18 years of age who presented to our Level I Trauma Center for musculoskeletal trauma from March 30, 2020 to May 8, 2020 (stay-at-home order) and from March 30, 2019 to May 8, 2019 (comparison group). There were 182 patient encounters and 274 fractures in the 2020 stay-at-home period, and there were 210 patient encounters and 337 fractures in the 2019 control group. There was no statistical difference found comparing the proportion of patient encounters in the stay-at-home period to the control period (p > 0.05). The similar volume of consultations and surgeries justifies maintenance of standard resource allocation. (Journal of Surgical Orthopaedic Advances 32(2):102-106, 2023).


Assuntos
Procedimentos Ortopédicos , Alocação de Recursos , Fraturas Ósseas/cirurgia , Humanos , Estudos Retrospectivos , Centros de Traumatologia , Quarentena , COVID-19 , Pandemias
5.
Am J Orthopsychiatry ; 93(6): 504-515, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37616093

RESUMO

Self-isolation and quarantine are common and effective measures to contain the spread of COVID-19. However, it may have detrimental implications on young children's adaptation and mental health. The present study explores the prevalence of home quarantines among young children in Israel and their associations with children's maladaptive behaviors. The analysis is based on self-reported data obtained by 374 parents of young children in November 2021. Participants completed questionnaires, assessing the prevalence of home quarantines among children (aged 3-11 years old), and maladaptive behaviors, including rage outbursts, physical violence against family or friends, and panic attacks. Multivariate regression models were used to determine the relationships between the number of child quarantines and their maladaptive behaviors. Our results suggest that 51% of parents reported having their child quarantined more than once, which did not differ across socioeconomic characteristics. Furthermore, 66% of parents reported that during the pandemic, their child exhibited maladaptive behaviors at least once. Children who were quarantined more than once were more likely to exhibit rage outbursts, physical violence, and/or panic attacks. The associations between children's quarantine and physical violence were slightly stronger among families living in high-density households. Repeated experiences of home quarantine may operate as exposure to accumulative risk and have a lasting effect on young children's development. Practice and policy recommendations for interventions for young children and their families who experience home quarantines are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Pais , Quarentena , Criança , Humanos , Pré-Escolar , Receptor para Produtos Finais de Glicação Avançada , Pais/psicologia , Fatores Socioeconômicos , Características da Família
6.
Sci Rep ; 13(1): 12842, 2023 08 08.
Artigo em Inglês | MEDLINE | ID: mdl-37553397

RESUMO

It is imperative that resources are channelled towards programs that are efficient and cost effective in combating the spread of COVID-19, the disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). This study proposed and analyzed control strategies for that purpose. We developed a mathematical disease model within an optimal control framework that allows us to investigate the best approach for curbing COVID-19 epidemic. We address the following research question: what is the role of community compliance as a measure for COVID-19 control? Analyzing the impact of community compliance of recommended guidelines by health authorities-examples, social distancing, face mask use, and sanitizing-coupled with efforts by health authorities in areas of vaccine provision and effective quarantine-showed that the best intervention in addition to implementing vaccination programs and effective quarantine measures, is the active incorporation of individuals' collective behaviours, and that resources should also be directed towards community campaigns on the importance of face mask use, social distancing, and frequent sanitizing, and any other collective activities. We also demonstrated that collective behavioral response of individuals influences the disease dynamics; implying that recommended health policy should be contextualized.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , SARS-CoV-2 , Modelos Teóricos , Quarentena , Políticas , Progressão da Doença
7.
PLoS One ; 18(7): e0288632, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37459318

RESUMO

Optimizing the trade-off between economic growth and public health is a major goal of public administration, especially during public health events. Although containment measures are widely used to combat the Covid-19 outbreak, it is still debated how the measures affect the economy. Using a simplified susceptible-infected-recovered (SIR) model, this study investigates the dynamic impact of lockdown policy on social costs during the epidemic and the underlying mechanism, revealing that the lockdown policy has both a "shutdown effect" and an "anti-epidemic effect", and should be implemented and lifted in a timely manner. Based on a micro-level dataset of 57,547 private enterprises in China in 2020, this study provided empirical evidence for the presence of negative "shutdown effect" and positive "anti-epidemic effect" of lockdown on reopening, both of which are in part mediated by labor input, factor mobility, and market demand recovery. Furthermore, the shutdown effect is weaker in regions with sufficient testing and quarantine resources, government capacity and preference for targeted response, whereas the anti-epidemic effect is stronger in densely populated areas with relatively low public compliance. Additionally, digital measures can aid in the containment of epidemics. The findings not only contribute to a better understanding of the rationality and effectiveness of the lockdown policy, but also provides practical evidence and implications for the government to improve the synergistic efficiency of epidemic control tools and strengthen the resilience of local economic growth.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , SARS-CoV-2 , Controle de Doenças Transmissíveis , Quarentena , China/epidemiologia
8.
J Public Health (Oxf) ; 45(4): 794-798, 2023 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-37291062

RESUMO

BACKGROUND: The objective was to analyse the risk of partial school closure by economic level in Barcelona city. METHODS: In this ecological study, the risk of partial school closure for the academic years 2020-21 and 2021-22 was estimated by dividing the total number of days that each child was in quarantine or isolation by the total number of days that each child was at risk to be in quarantine or isolation in the academic year. The association between partial school closure risk and mean income by district was estimated with the Spearman rho. RESULTS: The lower the mean income, the higher the risk of partial closure (Spearman rho = 0.83; P-value = 0.003) during the academic year 2020-21. Specifically, the children from the district with the lowest income had a six times greater risk of partial school closure compared with those from the highest-income district. This risk did not show a significant socioeconomic gradient in the academic year 2021-22. CONCLUSIONS: The risk of partial school closure presented an inverse socioeconomic gradient in the city of Barcelona according to average income by district in the academic year 2020-21. This distribution was not observed in the academic year 2021-22.


Assuntos
COVID-19 , Disparidades em Assistência à Saúde , Quarentena , Criança , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Renda , Pobreza , Instituições Acadêmicas , Fatores Socioeconômicos
9.
Int J Drug Policy ; 117: 104048, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-37182349

RESUMO

BACKGROUND: As with other areas of life, drug markets have been impacted by the COVID-19 pandemic and related restrictions. This article examines how structurally vulnerable people who use drugs (PWUD) experienced and adapted to changes in street drug markets caused by lockdown measures. METHODS: The article builds on ethnographic fieldwork in two Danish cities in 2020, including in-depth interviews with 22 PWUD, and interviews with 20 service providers, including low-threshold service providers and outreach workers. RESULTS: The most consistently reported effect of lockdown measures on local drug markets related to increases in cannabis prices. Accounts of changes in drug availability varied greatly, with some participants reporting changing availability while others described the situation as similar to pre-lockdown conditions. Rather than a long-term drug shortage, changes reported by participants related to the anticipated disruption of local markets and drug scarcity, restrictions in access to cash and sellers seeking to capitalize on the crisis. CONCLUSION: Although no long-term drug scarcity was seen, the anticipation of a shortage was sufficient to impact on local drug market dynamics. Heterogeneity in PWUDs' experiences of access to drug markets during lockdown can to some degree be explained in terms of their varied embeddedness in social networks. While local markets proved resilient to lockdown measures, PWUD less embedded in social networks were more vulnerable to shifts in drug availability and to sellers' over-pricing of drugs.


Assuntos
Antecipação Psicológica , COVID-19 , Comércio , Usuários de Drogas , Drogas Ilícitas , Quarentena , Feminino , Humanos , Masculino , Cidades , Comércio/economia , COVID-19/epidemiologia , Dinamarca/epidemiologia , Usuários de Drogas/psicologia , Drogas Ilícitas/economia , Drogas Ilícitas/provisão & distribuição , Internacionalidade
10.
Saudi Med J ; 44(3): 231-236, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36940962

RESUMO

Quarantine is a common public health intervention that is often used to curb pandemics of infectious diseases. Quarantine is the intentional separation of people who are either suspected or confirmed to be infected with a contagious virus from the uninfected population. The goal of this study was to determine the expected economic cost for healthcare systems due to quarantine in the case of the monkeypox virus. A systematic literature review of studies on similar virus outbreaks was performed. The findings affirm that quarantine effectively mitigates the spread of a virus outbreak, but it has high direct and indirect costs that can only be justifiable for a dangerous virus with high mortality. The monkeypox virus presents moderate risk, unlike high-risk diseases for which quarantine is mandatory. The study recommends the introduction of mass vaccination programs and public awareness and sensitization forums to inform the population about the best behavioral practices to curb the spread of monkeypox virus.


Assuntos
Vírus da Varíola dos Macacos , Quarentena , Humanos , Estresse Financeiro , Surtos de Doenças , Atenção à Saúde
12.
Front Public Health ; 11: 1101986, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36908469

RESUMO

Background: Border control mitigates local infections but bears a heavy economic cost, especially for tourism-reliant countries. While studies have supported the efficacy of border control in suppressing cross-border transmission, the trade-off between costs from imported and secondary cases and from lost economic activities has not been studied. This case study of Singapore during the COVID-19 pandemic aims to understand the impacts of varying quarantine length and testing strategies on the economy and health system. Additionally, we explored the impact of permitting unvaccinated travelers to address emerging equity concerns. We assumed that community transmission is stable and vaccination rates are high enough that inbound travelers are not dissuaded from traveling. Methods: The number of travelers was predicted considering that longer quarantine reduces willingness to travel. A micro-simulation model predicted the number of COVID-19 cases among travelers, the resultant secondary cases, and the probability of being symptomatic in each group. The incremental net monetary benefit (INB) of Singapore was quantified under each border-opening policy compared to pre-opening status, based on tourism receipts, cost/profit from testing and quarantine, and cost and health loss due to COVID-19 cases. Results: Compared to polymerase chain reaction (PCR), rapid antigen test (ART) detects fewer imported cases but results in fewer secondary cases. Longer quarantine results in fewer cases but lower INB due to reduced tourism receipts. Assuming the proportion of unvaccinated travelers is small (8% locally and 24% globally), allowing unvaccinated travelers will accrue higher INB without exceeding the intensive care unit (ICU) capacity. The highest monthly INB from all travelers is $2,236.24 m, with 46.69 ICU cases per month, achieved with ARTs at pre-departure and on arrival without quarantine. The optimal policy in terms of highest INB is robust under changes to various model assumptions. Among all cost-benefit components, the top driver for INB is tourism receipts. Conclusions: With high vaccination rates locally and globally alongside stable community transmission, opening borders to travelers regardless of vaccination status will increase economic growth in the destination country. The caseloads remain manageable without exceeding ICU capacity, and costs of cases are offset by the economic value generated from travelers.


Assuntos
COVID-19 , Humanos , Quarentena , Análise Custo-Benefício , Singapura , Pandemias/prevenção & controle
13.
J Stud Alcohol Drugs ; 84(3): 424-433, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-36971766

RESUMO

OBJECTIVE: Government alcohol sales data were used to investigate associations between estimates of per capita age 15+ alcohol consumption, policy restrictiveness, and area-level deprivation. METHOD: We analyzed weekly consumption data (expressed as per capita age 15+ Canadian standard drinks [13.45 g of pure ethanol]) collected from all 89 local health areas in British Columbia, Canada, between April 2017 and April 2021. Our analyses were stratified by outlet type (total, on-premise, and off-premise). Our intervention was alcohol policy restrictiveness (operationalized by the Restrictiveness of Alcohol Policy Index), and our moderator was area-level deprivation (Canadian Index of Multiple Deprivation). The Restrictiveness of Alcohol Policy Index included hours of trading, the number of people permitted on site for on-premise venues, the proportion of outlets in operation, and the extent of permissible home delivery. RESULTS: Higher policy restrictiveness was associated with decreased consumption across all outlet types (ps < .001): when the most restrictive policies were implemented, consumption was reduced by 9% and 100% in off- and on-premise outlets, respectively. Area-based deprivation level modified the effect of policy restriction on per capita alcohol consumption (ps < .007): for total and off-premise consumption, the decrease was greatest among more economically deprived areas (ps < .001); for on-premise outlets, areas with a high proportion of racial and ethnic minorities increased their consumption (ps < .001). CONCLUSIONS: Alcohol-specific policy restrictions implemented in response to the COVID-19 pandemic were associated with reduced consumption. However, the magnitude and direction of change was moderated by area-based deprivation level, albeit inconsistently across various deprivation measures.


Assuntos
Consumo de Bebidas Alcoólicas , COVID-19 , Comércio , Etanol , Política de Saúde , Quarentena , COVID-19/epidemiologia , Etanol/economia , Consumo de Bebidas Alcoólicas/economia , Consumo de Bebidas Alcoólicas/epidemiologia , Colúmbia Britânica/epidemiologia , Comércio/estatística & dados numéricos , Humanos , Adolescente , Adulto Jovem , Adulto , Quarentena/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Pessoa de Meia-Idade
14.
Front Public Health ; 11: 1123894, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36860383

RESUMO

Introduction: COVID-19 is a virus that has spread rapidly and brought economic and social crises all around the world. The current study aimed to investigate the impact of COVID-19 quarantine on dietary habits, physical activity, food purchasing, smoking, and sleeping patterns in the United Arab Emirates. Methods: A cross-sectional study was conducted using an online questionnaire between November 1st, 2020 and the end of January 2021. Citizens and residents of the UAE aged ≥ 18 years old were asked to complete an anonymous electronic questionnaire created via Google Forms and distributed on various platforms, such as WhatsApp, Twitter, and email. A total of 1682 subjects participated in the study. Results: The results included that during the COVID-19 lockdown, more participants (44.4%) reported an increase in weight. This gain seems to be linked to increased food consumption [(Adjusted Odd Ratio) AOR = 1.68, 95% (Confidence Interval) CI = 1.12, 2.54, p = 0.022], decreased physical activity (AOR = 2.25, 95% CI = 1.58, 3.21, p < 0.001), and increased smoking (AOR = 1.90, 95% CI = 1.04, 3.50, p = 0.038). The groups that were most likely to gain weight included those who consumed more cereals (AOR = 1.67, 95% CI = 1.08, 2.57, p = 0.011), had an increased desire for sweets (AOR = 2.19, 95% CI = 1.50, 3.19, p < 0.001), and an increased desire for food (hunger) (AOR = 2.19, 95% CI = 1.53, 3.14, p < 0.001). In contrast, those who exercised more were more likely to lose weight (AOR = 0.61, 95% CI = 0.44, 0.86, p < 0.001) as well as those who slept over 9 h a day (AOR = 1.90, 95% CI = 0.45, 0.88, p = 0.006). Discussion: Overall, it is essential to promote healthy habits and methods of healthy diet maintenance during stressful and unusual times when people might find it difficult to put effort into their health.


Assuntos
COVID-19 , Humanos , Adolescente , Emirados Árabes Unidos/epidemiologia , COVID-19/epidemiologia , Controle de Doenças Transmissíveis , Estudos Transversais , Quarentena , Estilo de Vida
15.
Scand J Psychol ; 64(5): 543-551, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36871196

RESUMO

BACKGROUND: The COVID-19 pandemic was a global health and economic crisis. In the early phase of the pandemic, studies found that populations were reporting lower levels of mental well-being and high levels of distress and worry. This study investigated potential protective and risk factors such as sociodemographics and psychological factors such as adaptation/coping. METHODS: Two convenience samples from Norway and Denmark were recruited during the early phase of the first lockdown in May 2020 using snowball sampling primarily by social media. Measures included the Patient Health Questionnaire-4 (PHQ-4) for screening anxiety and depression, COVID-19 distress, and coping strategies applied during the lockdown. Descriptive analyses were applied as well as bivariate correlations for associations between coping and mental health measures. RESULTS: Levels of anxiety and depression were not alarmingly high, but being young, single, and female constituted a higher risk for poorer mental health. Applying positive reframing strategies was negatively associated with poor mental health and high COVID-19 stress, whereas distraction coping strategies were positively correlated with poor mental health and high COVID-19 stress. CONCLUSION: Applying positive reframing as a coping strategy may constitute a protective factor for mental health in the early phase of a crisis such as a pandemic. This knowledge may inform public health agencies on how to promote mental health in similar situations in the future. However, longitudinal and qualitative studies are needed to investigate the long-term effects of the different coping strategies applied.


Assuntos
COVID-19 , Saúde Mental , Quarentena , Populações Escandinavas e Nórdicas , Feminino , Humanos , Adaptação Psicológica , Ansiedade/epidemiologia , Ansiedade/psicologia , Controle de Doenças Transmissíveis/estatística & dados numéricos , Depressão/epidemiologia , Depressão/psicologia , Saúde Mental/estatística & dados numéricos , Pandemias , Fatores de Risco , Populações Escandinavas e Nórdicas/psicologia , Populações Escandinavas e Nórdicas/estatística & dados numéricos , Quarentena/psicologia , Fatores de Proteção
16.
Chaos ; 33(1): 013110, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36725628

RESUMO

Social interactions have become more complicated and changeable under the influence of information technology revolution. We, thereby, propose a multi-layer activity-driven network with attractiveness considering the heterogeneity of activated individual edge numbers, which aims to explore the role of heterogeneous behaviors in the time-varying network. Specifically, three types of individual behaviors are introduced: (i) self-quarantine of infected individuals, (ii) safe social distancing between infected and susceptible individuals, and (iii) information spreading of aware individuals. Epidemic threshold is theoretically derived in terms of the microscopic Markov chain approach and the mean-field approach. The results demonstrate that performing self-quarantine and maintaining safe social distance can effectively raise the epidemic threshold and suppress the spread of diseases. Interestingly, individuals' activity and individuals' attractiveness have an equivalent effect on epidemic threshold under the same condition. In addition, a similar result can be obtained regardless of the activated individual edge numbers. The epidemic outbreak earlier in a situation of the stronger heterogeneity of activated individual edge numbers.


Assuntos
Epidemias , Humanos , Surtos de Doenças , Quarentena , Cadeias de Markov , Suscetibilidade a Doenças
17.
Womens Health (Lond) ; 19: 17455057221147382, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36633116

RESUMO

BACKGROUND: The COVID-19 pandemic has impacted access to and use of maternal, newborn, and child health services. Due to lockdowns and travel restrictions implemented during the first wave of the pandemic, the provision of essential maternal health services such as family planning was critically affected. Unlike most healthcare, contraception-related services are impractical for virtual care provision as women need to attend the clinic in person. Therefore, most women across the world might have been left with an unmet need for contraception during the lockdown period. Interruptions in contraception services have led to an increased number of unintended pregnancies. With the emergence of several pocket studies, it is essential to pool the available evidence reporting the effects of COVID-19 on contraception to inform maternal health policy and practice. OBJECTIVE: The aims of this review are (1) to determine the effects of the COVID-19 pandemic on access to contraceptives among sexually active women and (2) to identify the magnitude of unintended pregnancy linked to interruptions of contraceptives due to the COVID-19 pandemic. METHODS: The protocol for this systematic review was registered in PROSPERO (CRD42021267077). Electronic databases such as MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, and Google Scholar will be searched for articles using appropriate key terms. The identified articles will be assessed against the eligibility criteria. Two reviewers (A.B. and T.B.) will independently screen titles and abstracts of all retrieved articles followed by a full-text review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The quality of the papers will be assessed by using the Risk of Bias Assessment tool for Non-Randomized Studies. Quantitative findings will be pooled using a random-effects model meta-analysis, while qualitative findings will be presented using a narrative synthesis. ETHICS AND DISSEMINATION: Ethical approval is not required. The findings will be disseminated through conference presentations and peer-reviewed publications. DISCUSSION: This systematic review will present current data needed to design evidence-based programmes for improving access to contraception and preventing unintended pregnancy during the COVID-19 pandemic and future emergencies. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42021267077.


Assuntos
COVID-19 , Anticoncepção , Anticoncepcionais , Acesso aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Gravidez não Planejada , Feminino , Humanos , Gravidez , Controle de Doenças Transmissíveis/métodos , Anticoncepcionais/administração & dosagem , Metanálise como Assunto , Pandemias , Literatura de Revisão como Assunto , Revisões Sistemáticas como Assunto , Quarentena
18.
Artigo em Inglês | MEDLINE | ID: mdl-36673700

RESUMO

The global outbreak of COVID-19 has been wreaking havoc on all aspects of human societies. In addition to pharmaceutical interventions, non-pharmaceutical intervention policies have been proven to be crucial in slowing down the spread of the virus and reducing the impact of the outbreak on economic development, daily life, and social stability. However, no studies have focused on which non-pharmaceutical intervention policies are more effective; this is the focus of our study. We used data samples from 102 countries and regions around the world and selected seven categories of related policies, including work and school suspensions, assembly restrictions, movement restrictions, home isolation, international population movement restrictions, income subsidies, and testing and screening as the condition variables. A susceptible-exposed-infected-quarantined-recovered (SEIQR) model considering non-pharmaceutical intervention policies and latency with infectiousness was constructed to calculate the epidemic transmission rate as the outcome variable, and a fuzzy set qualitative comparative analysis (fsQCA) method was applied to explore the multiple concurrent causal relationships and multiple governance paths of non-pharmaceutical intervention policies for epidemics from the configuration perspective. We found a total of four non-pharmaceutical intervention policy pathways. Among them, L1 was highly suppressive, L2 was moderately suppressive, and L3 was externally suppressive. The results also showed that individual non-pharmaceutical intervention policy could not effectively suppress the spread of the pandemic. Moreover, three specific non-pharmaceutical intervention policies, including work stoppage and school closure, testing and screening, and economic subsidies, had a universal effect in the policies grouping for effective control of the pandemic transmission.


Assuntos
COVID-19 , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Pandemias/prevenção & controle , SARS-CoV-2 , Quarentena , Políticas
19.
Clin Dermatol ; 41(1): 207-214, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36336317

RESUMO

The COVID-19 pandemic has caused significant changes in dermatologic care, likely exacerbating health disparities for specific minority populations. The use of teledermatology has also become more prevalent during this period. The aim of this study was to determine if the proportion of teledermatology versus office-based visits varied significantly during three study periods of the COVID-19 pandemic. The secondary objective was to determine whether there are significant differences in the use of office-based dermatology versus teledermatology care across the following demographic subgroups: insurance type, race/ethnicity, age, and language during the same periods. A chart review of dermatology visits in electronic medical records at a tertiary referral center in Washington, DC, was conducted. The overall telehealth visit rate was 0% in the prequarantine period, 61.12% during the quarantine period, and 10.59% in the postquarantine period. After assessing telehealth utilization rates among the demographic subgroups, we noted that Medicaid users, Black patients, 64-year-olds or older, and English speakers may benefit the least from telehealth services. Teledermatology use necessitated by the COVID-19 pandemic may have promoted health care disparities for specific marginalized populations.


Assuntos
COVID-19 , Dermatologia , Telemedicina , Estados Unidos , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Quarentena , Pandemias/prevenção & controle , Assistência Ambulatorial , Estudos Retrospectivos
20.
Psicol. ciênc. prof ; 43: e243766, 2023. graf
Artigo em Português | LILACS, INDEXPSI | ID: biblio-1431119

RESUMO

A pandemia da covid-19 impôs transformações no cotidiano mundial, em âmbito micro e macroestrutural. Seu impacto psicológico desestabiliza e evidencia desigualdades e vulnerabilidades psicossociais brasileiras. Configura-se como um estudo de perspectiva crítica, com base na Psicologia Sócio-histórica, com o objetivo de mapear os posicionamentos da Psicologia, vindos de diferentes campos, diante das ações de saúde mental. Para tanto, utiliza-se o site do Conselho Federal de Psicologia para a análise de 62 documentos, que resultaram em dois eixos de produção crítica: 1) a relação da Psicologia com o Conselho Federal de Psicologia; e 2) da Psicologia com a sociedade. Revela-se o abismo social entre segmentos da sociedade brasileira; formas de exclusão da população carcerária; violência doméstica contra as mulheres e as crianças; dificuldades de acesso a estratégias sociais, na educação e na saúde, e de superação dos impasses acirrados com a infecção global pelo novo coronavírus. Conclui-se que a diversidade de públicos, temáticas, áreas de atuação e referenciais teóricos materializa um compromisso crítico e científico da Psicologia.(AU)


The COVID-19 pandemic imposed transformations in the world daily life, at the micro and macrostructural levels. Its psychological impact destabilizes and highlights Brazilian inequalities and psychosocial vulnerabilities. This is a critical perspective study, based in socio-historical Psychology, aiming to map the positions of Psychology, from different fields, in the face of mental health actions. To this end, the Federal Council of Psychology website is utilized to analyze 62 documents, which resulted in two axes of critical production: 1) the relation between Psychology and the Federal Council of Psychology; and 2) Psychology with society. They reveal the social gap between segments of Brazilian society; ways of excluding prison po7pulation; domestic violence against women and children; and difficulties in accessing social strategies, in education and health, and in overcoming impasses aggravated by the global infection by the new coronavirus. In conclusion, the diversity of public, themes, areas of professional performance, and theoretical references materialize Psychology's critical and scientific commitment.(AU)


La pandemia del COVID-19 provocó transformaciones globales en lo cotidiano a nivel micro y macroestructural. Su impacto psicológico desestabiliza y destaca las desigualdades y vulnerabilidades psicosociales en Brasil. Esta es una investigación en la perspectiva crítica, basada en la psicología sociohistórica, con el objetivo de mapear las posiciones de la Psicología, procedentes de diferentes campos, frente a las acciones de salud mental. Para este fin, se utiliza el sitio web del Consejo Federal de Psicología para el análisis de 62 documentos, lo que resultó en dos ejes de producción crítica: 1) la relación de la Psicología con el Consejo Federal de Psicología; y 2) de la Psicología con la sociedad. Se revelan la brecha social entre los segmentos de la sociedad brasileña; las formas de exclusión de la población carcelaria; la violencia doméstica contra las mujeres y los niños; y las dificultades para acceder a las estrategias sociales, en la educación y la salud, para superar los impasses agravados por la infección global por el nuevo coronavirus. Se concluye que la diversidad de públicos, temáticas, áreas de actividad y referentes teóricos materializa un compromiso crítico y científico de la Psicología.(AU)


Assuntos
Humanos , Masculino , Feminino , Fatores Socioeconômicos , Pandemias , COVID-19 , Ansiedade , Dor , Pneumonia Viral , Pobreza , Psicologia , Política Pública , Qualidade de Vida , Refugiados , Pesquisa , Papel (figurativo) , Segurança , Comportamento Sexual , Autoritarismo , Isolamento Social , Problemas Sociais , Esportes , Tortura , Características da População , Socorro Alimentar , Pessoas Mal Alojadas , Casamento , Áreas de Pobreza , Maus-Tratos Infantis , Proteção da Criança , Quarentena , Saúde Pública , Fome , Codependência Psicológica , Infecções por Coronavirus , Distúrbios de Guerra , Congressos como Assunto , Crime , Conflitos Armados , Resgate, Assistência e Proteção em Desastres , Acesso à Informação , Poder Judiciário , Estado , Desumanização , Violações dos Direitos Humanos , Depressão , Países em Desenvolvimento , Poluição do Ar , Educação , Abuso de Idosos , Emergências , Capacitação Profissional , Tecnologia da Informação , Emigrantes e Imigrantes , Marginalização Social , Comportamento de Busca de Ajuda , Abuso Físico , Segregação Social , Violência de Gênero , Direitos Culturais , Intervenção Baseada em Internet , Angústia Psicológica , Identidade de Gênero , Abuso Emocional , Coesão Social , Vulnerabilidade Social , Crise Humanitária , Apoio Familiar , Síndrome Pós-COVID-19 Aguda , Transtornos Pós-Infecções , Promoção da Saúde , Direitos Humanos , Jurisprudência , Imperícia
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