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1.
BMC Psychol ; 10(1): 130, 2022 May 22.
Article in English | MEDLINE | ID: covidwho-1849788

ABSTRACT

BACKGROUND: Individual differences in one's perceived vulnerability to infectious diseases are implicated in psychological distress, social and behavioral disease avoidance phenomena. The Perceived Vulnerability to Disease Questionnaire (PVD) is the most extensively used measure when it comes to assessing subjective vulnerability to infectious diseases. However, this measure is not yet accessible to the Portuguese population. The present study aimed to adapt and validate the PVD with 136 Portuguese participants. METHODS: Factorial, convergent and discriminant validity (of both the scale and between each factor), and reliability analysis were assessed. RESULTS: A modified bifactorial model, comprised of Perceived Infectability and Germ Aversion factors, was obtained, with acceptable goodness-of-fit indices, adequate convergent and discriminant validity, and good internal consistencies. CONCLUSIONS: Overall, the 10-items European-Portuguese PVD appears to be a reliable and valid measure of one's perceived vulnerability to disease, with potential relevance for application in both research and clinical practice pertaining to disease-avoidance processes.


Subject(s)
Communicable Diseases , Humans , Portugal , Psychometrics , Reproducibility of Results , Surveys and Questionnaires
2.
BMC Med Inform Decis Mak ; 22(1): 191, 2022 07 24.
Article in English | MEDLINE | ID: covidwho-1965798

ABSTRACT

BACKGROUND: Despite the high usage of mobile phones in daily life in developing countries like Bangladesh, the adoption and usage of mHealth services have been significantly low among the elderly population. When searching previous studies, the researchers have found that no studies have empirically investigated whether the quality of life and service quality are significant for mHealth adoption by elderlies in Bangladesh. Hence, this study aimed to extend the Unified Theory of Acceptance and Use of Technology by adding service quality and the quality of life to empirically find the key factors that influence elderlies' intention to adopt and use mHealth services in Bangladesh. METHODS: A face-to-face structured questionnaire survey method was used to collect data from 493 elderlies (aged 60 years and above) in Bangladesh. The data were analyzed with the Structural Equations Modelling (SEM) and Fuzzy Set Qualitative Comparative Analysis (fsQCA). RESULTS: SEM results suggested that Social Influence, Hedonic Motivation, Price Value, Habit, and Service Quality had significant impact (p < 0.05) on the elderlies' behavioral intention to adopt mHealth services. Service Quality, Quality of Life, and elderlies' Habit were found significant in explaining the Use Behavior of mHealth services. Quality of Life did not show significant (p > 0.05) effect on Behavioral Intention, which is inconsistent with existing literature. In addition, fsQCA findings suggest how the intensity of the influencers may contribute to high versus low m-health behavioral outcomes. CONCLUSIONS: The findings have significant implications for theory, practice and future research as explained in the paper. The originality of this study is the integration of quality of life and service quality into UTUAT2 to explain the users' behavioural intention and use behaviour. Overall, the findings may contribute to shaping appropriate policies for designing and implementing mHealth services effectively for elderlies in developing countries.


Subject(s)
Cell Phone , Telemedicine , Aged , Humans , Intention , Quality of Life , Surveys and Questionnaires
3.
Graefes Arch Clin Exp Ophthalmol ; 260(10): 3313-3319, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-1864182

ABSTRACT

PURPOSE: This study aimed to investigate the effect of day-long face mask wearing on non-invasive tear break-up time (NI-BUT) in health care staff due to working schedules. METHODS: Seventy-four right eyes of 74 participants were included in the study. Participants completed the Ocular Surface Disease Index (OSDI) questionnaire, and NI-BUT measurements were performed between 08.30-09.00 and 16.30-17.00 h. Participants with an initial NI-BUT measurement below 17 s were classified as group-1, and those over 17 s were classified as group-2. NI-BUT changes during the day and correlation to age, gender, and OSDI results were evaluated. RESULTS: Thirty-eight women and 36 men, with a mean age of 30.9 ± 8.5 years, were included in the study. The mean OSDI score of the participants was 28.6 ± 17.1. NI-BUT means of group-1 at baseline and 8th hour were 11.4 ± 3.3 and 7.9 ± 3.6 s, respectively, and the mean NI-BUT at the 8th hour was statistically significantly lower than the baseline (p < 0.0001). Also, 24.2% (8 people) of those in group-2 had the 8th-hour NI-BUT value fallen into the measurable range (below 17 s). No significant correlation was found between the decrease in NI-BUT value and age, gender, and OSDI (p = 0.08, p = 0.3, and p = 0.2, respectively). CONCLUSION: The use of face masks throughout the day leads to a significant reduction in NI-BUT, regardless of age, gender, and OSDI score. Prolonged use of face masks should be considered as a risk factor for evaporative dry eye disease.


Subject(s)
Dry Eye Syndromes , Tears , Adult , Dry Eye Syndromes/etiology , Dry Eye Syndromes/prevention & control , Eye , Female , Humans , Male , Surveys and Questionnaires , Young Adult
4.
BMC Psychiatry ; 22(1): 380, 2022 06 06.
Article in English | MEDLINE | ID: covidwho-1881211

ABSTRACT

BACKGROUND: Demand for mental health services in New Zealand and internationally is growing. Little is known about how psychiatrists are faring in this environment. This study aimed to investigate wellbeing of psychiatrists working in the public health system in New Zealand, identify the main risk factors for work-related stress, gauge perceptions of how workload has changed over time, assess job satisfaction and whether individuals intend or desire to leave their work. METHODS: Psychiatrists working in New Zealand who were also members of the Association of Salaried Medical Specialists were invited to participate in an online survey. Main outcome measures were degree of burnout and stress experienced at work. Supplementary measures included perceived workplace demands and levels of support. Predictor variables included perceptions of changes to workloads over time, degree of job satisfaction and intentions to leave work. Logistic regression assessed characteristics associated with burnout and job satisfaction as well as intentions to leave work. Free text comments were analysed thematically alongside quantitative trends. RESULTS: 368/526 responded (70% response rate). 34.6% met the criteria for burnout and 35.3% scored with high work stress. There were no significant patterns of association with demographic variables but significant correlation with all but one predictor variable; having experienced a change to the demands of the on-call workload. 45% agreed they would leave their current job if able and 87% disagreed that they are working in a well-resourced mental health service. Respondents emphasised the impact of growing workloads and expressed concerns about their ability to provide optimal care in these circumstances. CONCLUSIONS: High burnout appears to affect one in three psychiatrists in New Zealand. Many attribute their feelings of burnout to demand for their services. These findings may assist with better workforce planning for psychiatry and emphasises potential consequences of demand for and poor resourcing of mental health services for the retention and wellbeing of doctors in psychiatry worldwide.


Subject(s)
Burnout, Professional , Occupational Stress , Psychiatry , Burnout, Professional/psychology , Cross-Sectional Studies , Humans , Intention , Job Satisfaction , New Zealand , Surveys and Questionnaires
5.
PLoS One ; 17(10): e0275579, 2022.
Article in English | MEDLINE | ID: covidwho-2162563

ABSTRACT

INTRODUCTION: Health literacy is a powerful predictor of health outcomes, but remains a global challenge. There is a paucity of published data and limited understanding of the health literacy of patients in the Middle East. The purpose of this study was to assess the patient health literacy levels in the United Arab Emirates (UAE) and identify associated demographic characteristics. METHODS: A cross-sectional survey of adult patients attending public and private hospitals and primary care clinics was conducted across the UAE between January 2019 and May 2020. Chi-square test was used to analyze the association between health literacy and demographic variables. Ordinal regression was adopted to analyze the data for statistically significant independent variables. RESULTS: 2349 of 2971 patients responded (79% response rate). Slightly less than one-quarter (23.9%) of patients surveyed demonstrated adequate health literacy. Over a third of women respondents (31.7%) possessed adequate health literacy, as compared to only 13% of men surveyed (p<0.001). Participant age was significantly (p<0.001) associated with health literacy levels, with approximately 50% of participants above age 50 years (51-75 years) demonstrating inadequate health literacy. Education was also positively correlated with health literacy. Adequate health literacy levels were twofold higher (30.5%, p<0.001) in patients with high school education, as compared to patients without secondary education. CONCLUSIONS: The high proportion of patients with inadequate health literacy in our study confirms that the health literacy deficit is a challenge in the UAE. Targeted interventions are needed to improve health literacy, particularly for older individuals, to optimize healthcare utilization and improve individual and population health outcomes.


Subject(s)
Health Literacy , Adult , Arabs , Cross-Sectional Studies , Female , Humans , Income , Male , Middle Aged , Surveys and Questionnaires
6.
Ann Plast Surg ; 89(5): 552-559, 2022 11 01.
Article in English | MEDLINE | ID: covidwho-2152281

ABSTRACT

PURPOSE: The 2020-2021 interview cycle for integrated plastic surgery applicants was the first to be held virtually because of the COVID-19 pandemic. Here, we detail the largest study on integrated plastic surgery applicant perceptions after the virtual interview cycle. METHODS: A 35-question institutional review board-approved survey was distributed to medical students who had applied to the Johns Hopkins/University of Maryland or University of California San Diego integrated residency programs during the 2020-2021 interview cycle. Survey questions assessed the structure, strengths, and weaknesses of the exclusively virtual interview process. Survey administration and data collection were performed using the Qualtrics platform. RESULTS: Of 318 distributed surveys, 94 were completed. In addition, 91.5% of respondents preferred in-person interviews before the interview season, whereas 54.3% preferred in-person interviews afterward. Applicants who favored virtual interviews did not view being unable to physically meet with program staff as a detriment (P = .001) and felt they could effectively advocate for themselves (P = .002). Overall, the most cited strengths were the ability to complete more interviews (P = .01) and cost benefits (P = .02). Criticisms were directed at the impersonal nature of the exchange (86.2%), lack of physical tour (56.4%), and difficulties at self-advocacy (52.1%). CONCLUSION: Preference for virtual interviews increased from 7.5% to 34.0% after the virtual interview cycle. For several students, the ideal interview structure permits both in-person and virtual interviews to maximize flexibility. Augmenting with virtual city tours and one-on-one interviews may mitigate the impersonal nature of virtual interviews as perceived by some applicants.


Subject(s)
COVID-19 , Internship and Residency , Students, Medical , Surgery, Plastic , Humans , Surgery, Plastic/education , Pandemics , Surveys and Questionnaires
7.
Vaccine ; 40(30): 3989-3990, 2022 06 26.
Article in English | MEDLINE | ID: covidwho-2150756
9.
Elife ; 92020 08 21.
Article in English | MEDLINE | ID: covidwho-2155740

ABSTRACT

We conducted voluntary Covid-19 testing programmes for symptomatic and asymptomatic staff at a UK teaching hospital using naso-/oro-pharyngeal PCR testing and immunoassays for IgG antibodies. 1128/10,034 (11.2%) staff had evidence of Covid-19 at some time. Using questionnaire data provided on potential risk-factors, staff with a confirmed household contact were at greatest risk (adjusted odds ratio [aOR] 4.82 [95%CI 3.45-6.72]). Higher rates of Covid-19 were seen in staff working in Covid-19-facing areas (22.6% vs. 8.6% elsewhere) (aOR 2.47 [1.99-3.08]). Controlling for Covid-19-facing status, risks were heterogenous across the hospital, with higher rates in acute medicine (1.52 [1.07-2.16]) and sporadic outbreaks in areas with few or no Covid-19 patients. Covid-19 intensive care unit staff were relatively protected (0.44 [0.28-0.69]), likely by a bundle of PPE-related measures. Positive results were more likely in Black (1.66 [1.25-2.21]) and Asian (1.51 [1.28-1.77]) staff, independent of role or working location, and in porters and cleaners (2.06 [1.34-3.15]).


Subject(s)
Coronavirus Infections/epidemiology , Health Personnel/statistics & numerical data , Pneumonia, Viral/epidemiology , Adolescent , Adult , Age Factors , Aged , Asymptomatic Infections/epidemiology , Betacoronavirus/isolation & purification , COVID-19 , Coronavirus Infections/transmission , Coronavirus Infections/virology , Female , Hospitals, Teaching/statistics & numerical data , Humans , Incidence , Infectious Disease Transmission, Patient-to-Professional/statistics & numerical data , Intensive Care Units/statistics & numerical data , Male , Middle Aged , Pandemics , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Risk , SARS-CoV-2 , Surveys and Questionnaires , United Kingdom/epidemiology , Young Adult
10.
Interface (Botucatu, Online) ; 25(supl.1): e210007, 2021. tab, graf
Article in Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-2154441

ABSTRACT

No Brasil, além do Coronavírus, enfrentam-se escassez de de equipamentos de proteção individual (EPIs), manutenção da mesma força de trabalho na linha de frente e política pública de saúde instável, com informações discordantes, tornando esse período extremamente desgastante. Esta pesquisa avalia as repercussões da pandemia da Covid-19 sobre os diferentes perfis de profissionais e estudantes da Saúde no estado de São Paulo. Utilizou-se questionário on-line semiestruturado validado, com análise quantitativa, via processamento de dados pelo software STATA 13.0, e qualitativa, por análise de conteúdo proposta por Bardin. Os achados corroboram a prevalência de importante sobrecarga nos estudantes e profissionais da Saúde, manifestada por alterações em humor, sono e cognição, ansiedade, desconforto físico, pessimismo e aumento de pesadelos. Como contraponto aos desafios, a pandemia trouxe potente processo de aprendizagem e a possibilidade prática de compreender a necessidade de adaptação e reconhecer a importância da pesquisa científica.(AU)


En Brasil, además del coronavirus, hay que enfrentar la escasez de Equipos de Protección Individual (EPI), el mantenimiento de la misma fuerza de trabajo en la línea de frente y una política pública de salud inestable, con informaciones discordantes, haciendo que ese episodio sea extremadamente desgastante. Esta encuesta evalúa las repercusiones de la pandemia de Covid-19 sobre los diferentes perfiles de profesionales y estudiantes de la salud en el estado de São Paulo. Se utilizó un cuestionario online semiestructurado, validado, con análisis cuantitativo vía procesamiento de datos por el software STATA 13.0, y cualitativa, por medio de análisis de contenido propuesto por Bardin. Los hallazgos corroboran la prevalencia de una importante sobrecarga en los estudiantes y profesionales de la salud, manifestada por alteraciones en el humor, sueño y cognición, ansiedad, incómodo físico, pesimismo y aumento de pesadillas. Como contrapunto a los desafíos, la pandemia brindó un potente proceso de aprendizaje y la posibilidad práctica de comprender la necesidad de adaptación y reconocer la importancia de la investigación científica.(AU)


Brazilian health workers and students must face, added to the coronavirus, the lack of Personal Protective Equipments (PPEs), keeping of same work force in the frontlines, as well as an unstable and uninformative public health policy, contributing to an exhausting endeavor. This research evaluates the effects of the Covid-19 pandemic on the different profiles of healthcare workers and students in the state of São Paulo. The online semi structured validated survey was applied, with quantitative analysis through data processing by STATA 13.0, and qualitative, through content analysis according to Bardin. Our findings corroborate the prevalence of an important overload within the students and healthcare workers, manifested through mood, sleep and cognition alteration, anxiety, physical discomfort, pessimism and increase in nightmares. As a counterpoint to these challenges, the pandemic has brought a powerful learning process, by understanding the need to adapt and the importance of scientific research.(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Students, Health Occupations/psychology , Mental Health , Health Personnel/psychology , COVID-19/psychology , Burnout, Professional , Surveys and Questionnaires
11.
Int J Environ Res Public Health ; 19(22)2022 Nov 18.
Article in English | MEDLINE | ID: covidwho-2143130

ABSTRACT

Stress research has widely documented how uncertainty represents a strong stressor that, in general, is negatively associated with well-being. While the literature on job insecurity about this topic is extensive and exhaustive, empirical research on the outcomes of life uncertainty, namely the perception and feeling of precariousness regarding the present and future of one's own life, is yet to be fully explored. In the present paper, we aimed to investigate the relationships among job insecurity, life uncertainty, and psychosocial well-being outcomes, specifically, with a focus on job satisfaction and burnout. The participants were 357 workers (M = 146 and F = 211), with an average age of 41.78 y.o. (SD = 13.49), who completed an online questionnaire containing, in addition to sociodemographics information, measures of the study variables, namely job insecurity, life uncertainty, job satisfaction, and burnout. The results pointed out negative relationships of both job insecurity and life uncertainty with individual well-being, as they were negatively associated with job satisfaction and positively related to burnout. In a path analysis with latent variables, life uncertainty proved to fully mediate the relationship between job insecurity and psychosocial well-being.


Subject(s)
Burnout, Professional , Employment , Humans , Adult , Uncertainty , Employment/psychology , Job Satisfaction , Burnout, Professional/epidemiology , Burnout, Professional/psychology , Surveys and Questionnaires
12.
Int J Environ Res Public Health ; 19(20)2022 Oct 12.
Article in English | MEDLINE | ID: covidwho-2142971

ABSTRACT

Many studies have investigated the state of the health of healthcare workers during the acute period of the pandemic. Yet, few studies have assessed the health of such professionals after the pandemic and in a less dramatic period. This study involved a particular sample represented by residents in anaesthesia-resuscitation and psychiatry at a university in northern Italy particularly affected by the pandemic. The objectives were to investigate some indicators of health and well-being and compare the two groups of trainees. Using Google Forms, the following tests were proposed: the General Health Questionnaire, Maslach Burnout Inventory, Subjective Happiness Scale, Satisfaction with Life Scale, Coping Inventory for Stressful Situations, Brief Resilience Scale, State-Trait Anxiety Inventory, as well as an ad hoc questionnaire. A qualifying element of the work was the discussion of the results with the trainees. Various strengths have emerged, such as high values of resilience and job satisfaction; a positive assessment of the support received from the work team; an articulate use of coping strategies; and good levels of happiness and satisfaction with life, in both specialities. However, a widespread anxiety also emerged, which appears to be more attributable to concerns about professional evaluation, rather than the pandemic itself. In summary, the trainees seem to have found a fair amount of personal balance, whereas the relationship with the patient seems to be more compromised. In the comparison between specialities, the only significant differences are the levels of depersonalisation and resilience, both of which are higher in anaesthetists.


Subject(s)
Burnout, Professional , COVID-19 , Humans , COVID-19/epidemiology , Cities , Burnout, Professional/epidemiology , Pandemics , Health Personnel , Surveys and Questionnaires
13.
Int J Environ Res Public Health ; 19(20)2022 Oct 12.
Article in English | MEDLINE | ID: covidwho-2142970

ABSTRACT

The main objective of the present study is to examine the impact of job stress, role ambiguity, work-life imbalance and burnout on employee turnover intention. Moreover, the mediating role of burnout between job stress, role ambiguity, work-life imbalance and turnover intention is also examined. The data collection for this quantitative research was conducted through the "Questionnaire" technique. The questionnaire was developed based on previously established questions available in the literature. The data were collected using simple random sampling from the healthcare workers of KSA. From the distributed questionnaire, 73.5% of the usable questionnaires were returned. This study used SPSS and PLS for the analysis of the data to highlight the most significant variables that impact the employees' turnover intentions among KSA health workers. The findings show that job burnout is clearly related to turnover intentions and is positively affected by both role stress and role ambiguity. Moreover, a statistically positive association is found between work-life imbalance and burnout among the healthcare workers in KSA. Furthermore, the mediating role of burnout is also confirmed in this study. The study also indicates that role ambiguity and role stress due to COVID-19 may create burnout among employees, which may lead to turnover intention among healthcare workers. There is a lack of research on the assessment of the impact of the novel COVID-19-related job stress, role ambiguity and work-life imbalance on the medical staff's turnover intentions in hospitals. This study fills the gap of the limited studies conducted regarding the identification of the factors that can create turnover intention among healthcare workers of KSA by providing empirical evidence from a Gulf country, Saudi Arabia. This study provides managerial implications for hospital management and health policymakers to develop a strategy to retain the employees. Furthermore, healthcare administrators need to pay close attention to front line workers' turnover intentions as these medical heroes are the vital part of our society who assist patients to receive their initial treatment during the COVID-19 pandemic.


Subject(s)
Burnout, Professional , COVID-19 , Occupational Stress , Humans , Personnel Turnover , Intention , COVID-19/epidemiology , Job Satisfaction , Saudi Arabia/epidemiology , Pandemics , Cross-Sectional Studies , Occupational Stress/epidemiology , Burnout, Professional/epidemiology , Health Personnel , Surveys and Questionnaires
14.
Int J Environ Res Public Health ; 19(12)2022 06 13.
Article in English | MEDLINE | ID: covidwho-2142782

ABSTRACT

Research indicates that while nurses are aware of the benefits of physical activity (PA), their adherence to PA is low. The results of workplace interventions that increase PA are inconsistent. The study aim was identification the sociodemographic, professional, and incentive factors influencing nurses' PA and investigation its relationship with the level of PA that they report. This study was based on observational cross-sectional research conducted among professionally active nurses working in a clinical setting (n = 350). The self-reported questionnaire was used to collect sociodemographic and employment data and motivators and barriers of participating in PA. The level of PA was assessed using International Physical Activity Questionnaire. The analysis revealed significant differences in the Total Physical Activity Score (TPAS) depending on the variables related to professional activity (working in a management position: p = 0.015; workplace: p = 0.01; shift type: p ≤ 0.002). Cluster analysis revealed that the most important statement in the group division about motivation was fear of the pain occurring after exercise. Nurses who were more motivated to be active showed a higher level of leisure-time PA than less motivated nurses. The recommendation of PA in the nursing population should be focused on increasing the leisure time PA, ensuring the appropriate time to recovery, and compliance with the principles of work ergonomics to prevent musculoskeletal disorders.


Subject(s)
Exercise , Motivation , Cross-Sectional Studies , Humans , Self Report , Surveys and Questionnaires , Workplace
15.
Front Public Health ; 10: 1020801, 2022.
Article in English | MEDLINE | ID: covidwho-2142352

ABSTRACT

Introduction: While most governments instituted several interventions to stall the spread of COVID-19, little is known regarding the continued observance of the non-pharmaceutical COVID-19 preventive measures particularly in Sub-Saharan Africa (SSA). We investigated adherence to these preventive measures during the initial 6 months of the COVID-19 outbreak in some SSA countries. Methods: Between March and August 2020, the International Citizen Project on COVID-19 consortium (www.icpcovid.com) conducted online surveys in six SSA countries: Benin, Cameroon, Democratic Republic of Congo, Mozambique, Somalia, and Uganda. A five-point individual adherence score was constituted by scoring respondents' observance of the following measures: mask use, physical distancing, hand hygiene, coughing hygiene, and avoiding to touch one's face. Community behaviors (going to public places, traveling during the pandemic) were also assessed. Data were analyzed in two time periods: Period 1 (March-May) and Period 2 (June-August). Results: Responses from 26,678 respondents were analyzed (mean age: 31.0 ± 11.1 years; 54.1% males). Mean individual adherence score decreased from 3.80 ± 1.37 during Period 1, to 3.57 ± 1.43 during Period 2; p < 0.001. At the community level, public events/places were significantly more attended with increased travels during Period 2 compared to Period 1 (p < 0.001). Using linear mixed models, predictors of increased individual adherence included: higher age (Coef = 0.005; 95% CI: 0.003-0.007), female gender (Coef = 0.071; 95% CI: 0.039-0.104), higher educational level (Coef = 0.999; 95% CI: 0.885-1.113), and working in the healthcare sector (Coef = 0.418; 95% CI: 0.380-0.456). Conclusion: Decreasing adherence to non-pharmaceutical measures over time constitutes a risk for the persistence of COVID-19 in SSA. Younger persons and those with lower education levels constitute target groups for improving adherence to such measures.


Subject(s)
COVID-19 , Pandemics , Male , Female , Humans , Young Adult , Adult , Pandemics/prevention & control , COVID-19/epidemiology , COVID-19/prevention & control , Africa South of the Sahara/epidemiology , Surveys and Questionnaires , Disease Outbreaks
16.
Front Public Health ; 10: 1003876, 2022.
Article in English | MEDLINE | ID: covidwho-2142340

ABSTRACT

Background: Over the course of the COVID-19 pandemic, previous studies have shown that the physical as well as the mental health of children and adolescents significantly deteriorated. Future anxiety caused by the COVID-19 pandemic and its associations with quality of life has not previously been examined in school children. Methods: As part of a cross-sectional web-based survey at schools in Mecklenburg-Western Pomerania, Germany, two years after the outbreak of the pandemic, school children were asked about COVID-19-related future anxiety using the German epidemic-related Dark Future Scale for children (eDFS-K). Health-related quality of life (HRQoL) was assessed using the self-reported KIDSCREEN-10. The eDFS-K was psychometrically analyzed (internal consistency and confirmatory factor analysis) and thereafter examined as a predictor of HRQoL in a general linear regression model. Results: A total of N = 840 8-18-year-old children and adolescents were included in the analysis. The eDFS-K demonstrated adequate internal consistency reliability (Cronbach's α = 0.77), and the confirmatory factor analysis further supported the one-factor structure of the four-item scale with an acceptable model fit. Over 43% of students were found to have low HRQoL. In addition, 47% of the students sometimes to often reported COVID-19-related fears about the future. Children with COVID-19-related future anxiety had significantly lower HRQoL (B = - 0.94, p < 0.001). Other predictors of lower HRQoL were older age (B = - 0.63, p < 0.001), and female (B = - 3.12, p < 0.001) and diverse (B = - 6.82, p < 0.001) gender. Conclusion: Two years after the outbreak of the pandemic, school-aged children continue to exhibit low HRQoL, which is further exacerbated in the presence of COVID-19-related future anxiety. Intervention programs with an increased focus on mental health also addressing future anxiety should be provided.


Subject(s)
COVID-19 , Quality of Life , Child , Humans , Adolescent , Female , Quality of Life/psychology , Cross-Sectional Studies , COVID-19/epidemiology , Surveys and Questionnaires , Reproducibility of Results , Pandemics , Anxiety/epidemiology
17.
Front Public Health ; 10: 958189, 2022.
Article in English | MEDLINE | ID: covidwho-2142322

ABSTRACT

Background: Group-based physical activity is an important positive factor assisting the middle-aged to older population to be regularly physically active, especially inside a society with a large population and highly sociable environment. However, when group-based physical activity is restricted during a public health crisis such as the infectious disease pandemic, the influence of social distancing on physical activity among this vulnerable group needs to be recognized. Objectives: This study aimed to investigate the influence of social distancing on physical activity among the middle-aged to older Chinese population at the national level. Methods: Data from a nationally representative social follow-up survey (China Family Panel Studies, CFPS) for 2018 and 2020 were used. Physical activity level in year 2018 was set as the baseline to be compared with that for each individual in 2020, when China implemented social distancing during the COVID-19. Chinese population with an age greater than 45 years were included, and three levels of physical activity were established. Logistic models were developed to identify sociodemographic characteristic that may be associated with a higher probability of worse PA behaviors during the social distancing. Results: Over 46% respondents could be described as being Physically Inactivity during 2018 and this proportion increased to 67.2% in 2020. Respondents who live in the Northeast or rural regions, having a spouse, being employed, having a low level of education, and being of low-income level showed a higher decrease in physical activity compared to other groups. However, individuals living with chronic diseases emerge as being more likely to maintain positive habits with respect to physical activity in this context. Conclusion: Social distancing during the COVID-19 pandemic has significantly influenced the extent of physical activity among middle-aged to older Chinese residents. This is especially true in respect to middle-aged and elderly people who are at increased risk of chronic diseases. Given this, there is a clear need to consider effective modalities for physical activity in the context of social distancing based on home quarantine and city lockdown. Furthermore, specific health-related strategies need to be considered in relation to different regions and populations.


Subject(s)
COVID-19 , Physical Distancing , Humans , Middle Aged , Aged , Pandemics/prevention & control , COVID-19/epidemiology , COVID-19/prevention & control , Communicable Disease Control , China/epidemiology , Exercise , Surveys and Questionnaires , Chronic Disease
18.
Front Public Health ; 10: 935405, 2022.
Article in English | MEDLINE | ID: covidwho-2142316

ABSTRACT

Purpose: To determine the prevalence and factors associated with computer vision syndrome in medical students at a private university in Paraguay. Methods: A survey study was conducted in 2021 in a sample of 228 medical students from the Universidad del Pacífico, Paraguay. The dependent variable was CVS, measured with the Computer Visual Syndrome Questionnaire (CVS-Q). Its association with covariates (hours of daily use of notebook, smartphone, tablet and PC, taking breaks when using equipment, use of preventive visual measures, use of glasses, etc.) was examined. Results: The mean age was 22.3 years and 71.5% were women. CVS was present in 82.5% of participants. Higher prevalence of CVS was associated with wearing a framed lens (PR = 1.11, 95% CI: 1.03-1.20). In contrast, taking a break when using electronic equipment at least every 20 min and every 1 h reduced 7% (PR = 0.93, 95% CI: 0.87-0.99) and 6% (PR = 0.94, 95% CI: 0.89-0.99) the prevalence of CVS, respectively. Conclusion: Eight out of 10 students experienced CVS during the COVID-19 pandemic. The use of framed lenses increased the presence of CVS, while taking breaks when using electronic equipment at least every 20 min and every 1 h reduced CVS.


Subject(s)
COVID-19 , Occupational Diseases , Students, Medical , Adult , Computers , Cross-Sectional Studies , Ergonomics , Female , Humans , Male , Occupational Diseases/epidemiology , Pandemics , Paraguay/epidemiology , Surveys and Questionnaires , Syndrome , Universities , Young Adult
19.
Orv Hetil ; 163(29): 1159-1165, 2022 Jul 17.
Article in English | MEDLINE | ID: covidwho-2140891

ABSTRACT

INTRODUCTION: The impact of digitalisation on healthcare has become one of the most important research areas in recent years. The COVID-19 epidemic has been a major driver in this process. OBJECTIVE: In our nationally representative, population-based survey (n = 1500), we sought to find out how patients in Hungary use digital health tools, what the advantages and disadvantages of introducing and using these technologies are, and how this is transforming the doctor-patient relationship. METHODS: We conducted a national representative telephone questionnaire survey (CATI). The sample is representative of the adult population of Hungary in terms of gender, age, type of settlement and education. RESULTS: 81.3% of the respondents use the internet - 87.6% of whom use it in relation to health and illness, too. This is 71.2% of the total sample. Websites (76.3%) and social media (47.3%) are the main sources of information on the internet; e-prescription and online appointment booking are the most known by patients (92.6% and 85.2%, respectively), while almost half of the respondents would like to try telehealth and would welcome a recommendation from their doctor on reliable websites, apps and sensors. Our results highlighted that the effect of the type of settlement on access to digital health is not significant, but that the effect of age, education and gender is decisive. CONCLUSION: Data from our national representative population survey indicate that the use of digital health solutions is already an integral part of care and that there is a strong demand for further digital options. Orv Hetil. 2022; 163(29): 1159-1165.


Subject(s)
COVID-19 , Digitalis , Telemedicine , Adult , COVID-19/epidemiology , Humans , Hungary , Physician-Patient Relations , Surveys and Questionnaires , Telemedicine/methods
20.
PLoS One ; 17(11): e0277645, 2022.
Article in English | MEDLINE | ID: covidwho-2140657

ABSTRACT

BACKGROUND: Dance provides a range of beneficial effects for older adults including individuals with age-related neurological conditions such as Parkinson's disease (PD). The COVID-19 pandemic accelerated the development of at-home dance programs delivered digitally through live and pre-recorded media, but little is known about how participants may engage with and benefit from these resources. OBJECTIVE: This study explored experiences and potential benefits of digital dance participation among healthy older adults and people with PD. METHODS: An online survey consisting of fixed-choice and open questions was designed in collaboration with dance program providers and distributed between June and November 2020. RESULTS: Healthy older adults (N = 149) and people with PD (N = 178) participating in at-home dance programs reported frequent engagement and a range of benefits. People with PD reported greater levels of motor (e.g., ease of movement, balance) than non-motor (e.g., energy, confidence) outcomes, while healthy older adults reported similar numbers of motor and non-motor outcomes. Positive outcomes were associated with the use of movement imagery during dance in both groups, while singing was associated with benefits in people with PD and vocalising was associated with benefits in older adults. At-home dance resources were found to offer convenience and flexibility, but participants missed the interaction, support, and routine provided by in-person classes. The majority expressed a preference to continue with both digital and in-person participation in the future. Qualitative analysis of participants' comments further revealed that digital participation could help to maintain connection and well-being, as well as identifying further considerations for improving accessibility and facilitating digital engagement. CONCLUSIONS: At-home dance appears to be accessible, engaging, and potentially beneficial for older adults and people with PD, although barriers to participation should be addressed. Digital resources will be increasingly important to enable cost-effective, large-scale provision of home-based therapeutic activities.


Subject(s)
COVID-19 , Dance Therapy , Parkinson Disease , Humans , Aged , Parkinson Disease/therapy , Pandemics , Surveys and Questionnaires
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