Determinant factors of the improvement of nutritional status (based on height-for-age index category) in children during the COVID-19 pandemic: a cohort study of children's growth and development in Bogor

The COVID-19 pandemic is predicted to trigger a global economic and food supply crisis, which further affects children's nutritional status as a vulnerable group. This study aimed to observe alterations in nutritional status before and during the COVID-19 pandemic (during 2019-2021) and determinant factors involved in the improvement of nutritional status (based on the height-for-age Z-score (HAZ) index category) during the COVID-19 pandemic. The findings were intended as evidence-based suggestions for policy formulation concerning the improvement of child nutritional status and stunting reductions. This study was part of a cohort study of children's growth and development conducted by National Institute of Health Research and Development (NIHRD) in Bogor city-Indonesia. The analysis was conducted on 565 children under five in 2019 with height measurement data in 2019 and 2021, environmental conditions, parental education, consumption habits, and social assistance. Children were classified as having an improved nutritional status if the HAZ category increased in 2021 compared to 2019. In addition, multiple logistic regression analyses were performed to predict determinant factors involved in improving the child's nutritional status. In this study, 17.5% of children had improved nutritional status, and 79.3% had a steady nutritional status. However, there were 3.2% of children with decreased nutritional status. Model factors determinant related to improved nutritional status includes consumption more than once per week of red meat (adjusted odds ratio (aOR) = 2.15;95% confidence interval (CI): 1.06-4.35, p=0.034), milk consumption more than once per week (aOR = 1.56;95% CI: 0.89-2.74, p=0.119), and age under 5 years old (aOR = 1.86;95% CI: 1.14-3.15, p=0.016). Children under five years old, the consumption of red meat and milk more than once a week have the opportunity to improve nutritional status (by height-for-age index) in children.

Social determinants in association with postpartum blues during the transition period of COVID-19 pandemic

Background:The COVID-19 pandemic has considerably impacted individuals' lives, extensively from mental and socioeconomic aspects, that requires someone to adapt. For postpartum mothers who also need to go through the maternal psychological adaptation phase, the pandemic could impose overwhelming emotional tension on them, increasing the risk of experiencing postpartum blues. This study aims to analyze the relationship between social factors that are affected during a pandemic with the incidence of postpartum blues on screening test results during the transition period of the COVID-19 pandemic in Banyumanik, Semarang. Subjects and Method: This was a cross-sectional study conducted in Banyumanik, Semarang, from November to December 2022.39 subjects were selected using a consecutive sampling technique. The dependent variable is postpartum blues. The independent variables include marital status, employment status of the mother, employment status of the spouse, and family income level. The study instrument was EPDS questionnaire. The data were analyzed used Chi-square. Results: Out of 39 subjects, 13 (33.3%) were experiencing postpartum blues, and 26 (66.7%) were not experiencing it. Mother's employment status associated with postpartum blues. Mothers who unemployed have a risk of experiencing postpartum blues 1.65 times compared to employed, but these were not statistically significant (OR= 1.65;95% CI= 0.40 to 6.77;p= 0.727). Family income level associated with postpartum blues. Mothers with low to moderate family income reduced postpartum blues by 0.73 times compared to mothers with high income levels, but these were not statistically significant (OR= 0.73;95%CI= 0.19 to 2.80;p= 0.908). Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues. Conclusion: Mother's employment status and family income status associated with postpartum blues. Meanwhile, marital status and spouse employment status were not related to the incidence of postpartum blues.

The pandemic within systemic injustice: Intersectional cultural dimensions of women's aging, health, and case stories of COVID-19

This book chapter delves into the intersectional cultural dimensions of COVID-19 and explores how pandemics expose and amplify past and current health inequities and disparities for minoritized women. In this chapter, the authors question how gender reflects and intersects with health determinants of oppressed and privileged identities to produce disparate health outcomes, affecting discourse, ideologies, and women's activity as they age. Additionally, issues of racism, classism, ageism, and other "isms" are examined to understand the challenges faced by aging women as they strive to stay healthy. The chapter concludes with case story narratives of women diagnosed with COVID-19, showing the virus' effect on marginalized women aging within a stratified society. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023. All rights reserved.

Current Healthcare Systems in Light of Hyperendemic NCDs and the COVID-19 Pandemic: Time to Change.

Despite the significant achievements of current healthcare systems (CHCSs) in curing or treating several acute conditions, there has been far less success coping with noncommunicable diseases (NCDs), which have complex roots and nonconventional transmission vectors. Owing to the impact of the invisible hyperendemic NCDs and the COVID-19 pandemic, the limitations of CHCSs have been exposed. In contrast, the advent of omics-based technologies and big data science has raised global hope of curing or treating NCDs and improving overall healthcare outcomes. However, challenges related to their use and effectiveness must be addressed. Additionally, while such advancements intend to improve quality of life, they can also contribute the ever-increasing health disparity among vulnerable populations, such as low/middle-income populations, poorly educated people, gender-based violence victims, and minority and indigenous peoples, to name a few. Among five health determinants, the contribution of medical care to individual health does not exceed 11%. Therefore, it is time to implement a new well-being-oriented system complementary or parallel to CHCSs that incorporates all five health determinants to tackle NCDs and unforeseen diseases of the future, as well as to promote cost-effective, accessible, and sustainable healthy lifestyle choices that can reduce the current level of healthcare inequity.

Appropriateness of COVID-19 vaccine and misconceptions among Pakistani population: a web-based national survey

Background: Uncertainty about any kind of medication will be a potential threat. Hesitancy regarding vaccination is a danger to overall global public health. Since it's the first-time global efforts were made to develop a vaccine against the pandemic of COVID-19. So, this is unknown its acceptance in the community. Getting information regarding the key determinants that influence and potential myths about the vaccine might help full to develop strategies that can help improve the vaccination programs globally. This study aimed to assess the prevalence of the acceptance of the COVID-19 vaccine, its determinants, and myths about the vaccine among people in Pakistan. Methods: A descriptive web-based based study was done, using snowball sampling, bilingual, and a self-administered close-ended questionnaire was sent to participants through google forms on social media platforms and email. Results: A total of 463 participants from all over Pakistan showed the minimum level of secondary education. The occupational status of the participants showed that (45.1%) were currently employed. Vaccination and their perception can be influenced by educational/socioeconomic statuses, participants were also asked about factors they considered to be the most influential in terms of encouraging and discouraging. Fear of getting an infection was the most encouraging factor (39.1%) for people to get vaccinated, whereas adverse effects via social and digital media were the most demotivating factor (36.5%). Participants were asked the reasons for their reluctance;most were afraid of an allergic reaction to the vaccine. The various myths and misconceptions associated with the Covid vaccine showed by logistic regression analysis for factors that were potentially associated with the intake of covid vaccination. Conclusion: Addressing educational/sociodemographic factors relating to the COVID-19 vaccination might help encourage the uptake of the vaccination program globally which also tackles future pandemics.

Uncovering COVID-19 infection determinants in Portugal: towards an evidence-based spatial susceptibility index to support epidemiological containment policies.

BACKGROUND: COVID-19 caused the largest pandemic of the twenty-first century forcing the adoption of containment policies all over the world. Many studies on COVID-19 health determinants have been conducted, mainly using multivariate methods and geographic information systems (GIS), but few attempted to demonstrate how knowing social, economic, mobility, behavioural, and other spatial determinants and their effects can help to contain the disease. For example, in mainland Portugal, non-pharmacological interventions (NPI) were primarily dependent on epidemiological indicators and ignored the spatial variation of susceptibility to infection. METHODS: We present a data-driven GIS-multicriteria analysis to derive a spatial-based susceptibility index to COVID-19 infection in Portugal. The cumulative incidence over 14 days was used in a stepwise multiple linear regression as the target variable along potential determinants at the municipal scale. To infer the existence of thresholds in the relationships between determinants and incidence the most relevant factors were examined using a bivariate Bayesian change point analysis. The susceptibility index was mapped based on these thresholds using a weighted linear combination. RESULTS: Regression results support that COVID-19 spread in mainland Portugal had strong associations with factors related to socio-territorial specificities, namely sociodemographic, economic and mobility. Change point analysis revealed evidence of nonlinearity, and the susceptibility classes reflect spatial dependency. The spatial index of susceptibility to infection explains with accuracy previous and posterior infections. Assessing the NPI levels in relation to the susceptibility map points towards a disagreement between the severity of restrictions and the actual propensity for transmission, highlighting the need for more tailored interventions. CONCLUSIONS: This article argues that NPI to contain COVID-19 spread should consider the spatial variation of the susceptibility to infection. The findings highlight the importance of customising interventions to specific geographical contexts due to the uneven distribution of COVID-19 infection determinants. The methodology has the potential for replication at other geographical scales and regions to better understand the role of health determinants in explaining spatiotemporal patterns of diseases and promoting evidence-based public health policies.

The Role of Religions in the COVID-19 Pandemic: A Narrative Review.

Culture, religion and health are closely intertwined, profoundly affecting people's attitudes and behaviors as well as their conception and experience of illness and disease. In order to analyze the impact of religion in the current COVID-19 pandemic, we performed a literature review investigating both the scientific and grey literature on the topic. COVID-19 outbreaks reported in pilgrimages and religious ceremonies around the world-especially in the first wave of the pandemic wave-and the role played by religion in conveying culturally sensitive information about COVID-19 are some of the evidence we reviewed. Our research highlights how religions have represented, on the one hand, a risk for the spread of the virus and, on the other, a precious opportunity to engage people, and in particular minorities, in fighting the pandemic. To overcome this pandemic and to be prepared for similar ones in the future, scientists, politicians and health professionals should acknowledge the role that culture and religion play in people's lives and how it can assist in tackling complex health challenges.

Building Digital Literacy in Older Adults of Low Socioeconomic Status in Singapore (Project Wire Up): Nonrandomized Controlled Trial.

BACKGROUND: In a rapidly digitalizing world, the inability of older adults to leverage digital technology has been associated with weaker social connections and poorer health outcomes. Despite the widespread digital adoption in Singapore, older adults, especially those of lower socioeconomic status (SES), still face difficulties in adopting information and communications technology and are typically digitally excluded. OBJECTIVE: We aimed to examine the impact of the volunteer-led, one-on-one, and home-based digital literacy program on digital literacy and health-related outcomes such as self-reported loneliness, social connectedness, quality of life, and well-being for older adults of low SES. METHODS: A nonrandomized controlled study was carried out in Singapore between July 2020 and November 2021 involving 138 digitally excluded community-dwelling older adults aged ≥55 years and of lower SES. Older adults awaiting participation in the program served as controls. Older adults under the intervention were equipped with a smartphone and cellular data, underwent fortnightly to monthly digital literacy training with volunteers to learn digital skills, and digitally connected to their existing social networks. Primary outcome was the improvement in self-reported digital literacy. Secondary outcomes included improvements in University of California, Los Angeles 3-item loneliness scale, Lubben Social Network Scale-6, EQ-5D-3L and EQ visual analogue scale scores, and Personal Wellbeing Score. RESULTS: There were significant improvements in digital literacy scores in the intervention group as compared to controls (mean difference 2.28, 95% CI 1.37-3.20; P<.001). Through multiple linear regression analyses, this difference in digital literacy scores remained independently associated with group membership after adjusting for differences in baseline scores, age, gender, education, living arrangement, housing type, and baseline social connectivity and loneliness status. There was no statistically significant difference in University of California, Los Angeles 3-item loneliness scale, Lubben Social Network Scale-6, Personal Wellbeing Score, or EQ-5D Utility and visual analogue scale score. CONCLUSIONS: This study adds to the growing research on digital inclusion by showing that a volunteer-led, one-on-one, and home-based digital literacy program contributed to increase digital literacy in older adults of low SES. Future studies should look into developing more older adult-friendly digital spaces and technology design to encourage continued digital adoption in older adults and, eventually, impact health-related outcomes.

2021 NMA Annual Meeting

This conference proceeding contain 55 articles that discuss various topics, which include multisystem inflammatory syndrome in children, use of text messaging and social support to increase adherence to medication, race and income in relation to prostate cancer, public opinion of ethnic groups on clinical research, colon resection, COVID-19, cell-free DNA analysis, clinical trials and research in emergency medicine, paediatric trauma during pandemic, plant-based diet for diabetes, knowledge and perception regarding HIV and PrEP, infant mortality rates, representation, medicine and social media, tobacco control and cessation programmes, vaccines, climate change, equity and transgender peoples, community action, health inequality and vaccination, burn care, pregnancy complications and race, sickle cell disease, racism, inflammatory bowel disease, vaccine regulation and safety, among others.

Society for Social Medicine Annual Scientific Meeting Abstracts, Exeter, England, 7-9 September 2022

These proceedings contain articles that tackle ageing, casuality and effectiveness in health research, commercial determinants of health, mental health, perinatal and social health, COVID-19, health and public policy, noncommunicable disease prevention, primary health care services, cardiometabolic health, genetic epidemiology, community health, health inequalities, mortality and morbidity, sexual & reproductive health, methods for health research, service delivery and organisation, and smoking and tobacco control.

Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia.

The COVID-19 pandemic has caused an unprecedented crisis striking health services, generating risks of setbacks in health care and affecting the most vulnerable populations such as HIV patients. This study aims to explore the impact of the COVID-19 pandemic on the operational management of health services for people living with HIV/AIDS in Cochabamba, Bolivia. We applied a qualitative approach using semi-structured in-depth interviews with ten key health professionals who care for patients with HIV/AIDS in Cochabamba, Bolivia. Interviews were transcribed verbatim and uploaded to Atlas.ti software for analysis. We used an ethnographic approach within the interpretive paradigm to carry out the thematic analysis, considering the "Determinants of health systems resilience framework" of five dimensions developed by the World Health Organization. Even though the provision of services in public care services was not interrupted during the COVID-19 pandemic, health service delivery was severely affected. Digital technology could be used to compensate in urban areas. Regarding the distribution of medications, adaptative strategies to reduce patient complications were implemented. Unfortunately, the complementary tests availability was limited. The COVID-19 pandemic had a significant impact on HIV/AIDS patient care services in Cochabamba, with repercussions for HIV treatment access and virologic suppression.

How Australia improved health equity through action on the social determinants of health. (Special Issue: Australia in 2030: what is our path to health for all?)

The fantastic journey laid out in this chapter offers glimmers of hope for what the future could bring if there was committed social and policy action on the social determinants of health equity. Sadly, the reality is that social and health inequities and environmental degradation are getting worse, shining a light on the continuing fundamental ruptures in today's society. However, a systems perspective reminds us that nothing is static, and that the shifting political and economic sands due to COVID-19 provide an important window of opportunity to collectively change the system such that communities are able to live with good health, dignity and in an environmentally sustainable way.

Social determinants of health and COVID-19 infection in North Carolina: a geospatial analysis

Study Objectives: The COVID-19 pandemic has demonstrated that social determinants of health (SDOH) are profoundly linked to the spread and outcomes of COVID-19. However, the relationships between these SDOH and COVID-19 spatial outbreaks have yet to be determined. We conducted spatial analyses with geographic information systems (GIS) mapping of county-level SDOH and regional COVID-19 infection outbreaks to demonstrate the most impactful SDOH and to provide a pragmatic visual guide to prevent future outbreaks.

The impacts of the COVID-19 pandemic on dental public health and ethical issues

The COVID-19 pandemic causes an increase in oral health inequalities, restriction of oral health promotion programs and preventive oral health services for the community. According to the common risk approach, oral health services should be integrated into primary health care services in order to manage oral diseases that share the same risk factors with chronic systemic diseases. Multidisciplinary studies should be focused on public health practices by adopting the "One Health" concept. In order to increase the popuation based oral health outcomes, there is a need for oral health promotion programs that take into account the cooperation between sectors, working flexibility, capacity, the ethical rules of social justice, equality and human rights within the framework of the biopsychosocial approach. Information technologies and social media networks should be used to increase the literacy of the population on "COVID-19 and Oral Health". In this period, it is also important to carry out oral health needs assessment at population level through surveillance and public health studies. Priority should be given to programs for the protection and improvement of oral health among disadvantaged groups, children and the elderly who have difficulty in accessing oral health services due to limitation of movement and social determinants of health.

A historical and contemporary review of the contextualization and social determinants of health of Micronesian migrants in the United States. (Special Issue: The impact of COVID-19 on the health and social welfare of the people of Hawai'i.)

Hawai'i's Pacific Islander (PI) population has suffered a higher burden of coronavirus disease 2019 (COVID-19) infections, hospitalizations, and deaths compared to other groups in the state. The Hawai'i Emergency Management Agency Community Care Outreach Unit conducted an assessment across the state to gain an understanding of the impact of the COVID-19 pandemic on the health and social welfare of households. Survey data was collected from individuals across the state during a period of 3 weeks (August 12-September 5, 2020). The following are resulting recommendations from the Pacific Island community to mitigate the impact and disparities of the pandemic as immediate and medium-term structural requests: (1) ensure that Pacific Island communities are proactively represented in state and county committees that develop health interventions to ensure that relevant language and culturally tailored communications and strategies are included, (2) provide consistent funding and community centered support to ensure consistent COVID-19 impact services for the Pacific Island families, (3) enhance the capacity of PI health care navigators and interpreters through increased funding and program support, and (4) engage state policy makers immediately to understand and address the systemic structural barriers to health care and social services for Pacific Islanders in Hawai'i. These recommendations were developed to address the generational inequities and disparities that exist for Pacific islanders in Hawai'i which were exacerbated by the COVID-19 pandemic.

A Geospatial and ML-based Approach to Health Disparity Identification and Determinant Tracing for Improving Pandemic Health Care

The Coronavirus disease 2019 (COVID-19) pan-demic has severely impacted countries around the world with unprecedented mortality and economic devastation and has dis-proportionately and negatively impacted different communities-especially racial and ethnic minorities who are at a particular disadvantage as they are more likely to be the potential target of COVID-19 infection. Black Americans have a long-standing history of disadvantage (e.g., long-standing disparities in health outcomes) and are in a vulnerable position to experience the impact of this pandemic. Some studies indicate high-risk and vulnerability of the elderly and patients with underlying co-morbidities, however, little research paid attention to leveraging geographic information to trace the social and structural health determinants, which can provide a lower level of granularity. In this paper, we propose GMLTrace, a geospatial and ML-based (machine learning based) approach to identify diverse determinants (including the structural, social, and constructural determinants) of health disparities in COVID-19 pandemic, which provides a lower level of granularity. We provide a thorough analysis of health disparities based on multiple COVID-19 datasets and examine the structural, social, and constructural health determinants to assist in ascertaining why disparities (in racial and ethnic minorities who are particularly disadvantaged) occur in infection and death rates due to COVID-19 pandemic. Extensive experimental results show the effectiveness of our approach. The research provides new strategies for health disparity identification and determinant tracing with a goal to improve pandemic health care. © 2021 IEEE.

No gender difference in association between sleep quality and physical activity level of French students

Purpose Sleep presents a bi-directional relationship with numerous health factors and is frequently altered in university students due to stress, higher workload or screen use. The regular practice of physical activity (PA) could be an alternative treatment to improve sleep quality. The aim of the study was to determine if the potential benefic effect of physical activity on sleep is sex dependent. Methods Between 2017 and 2019, 1696 students (20.3 +/- 4.6 years old) from University of Littoral Cote d'Opale and of a couple of paramedical training sites participated in this study. They completed self-report questionnaires including Pittsburgh Sleep Quality Index (PSQI) and Global Physical Activity Questionnaire. Two groups were defined according to PA level (high vs. low subjective PA level). Two-way ANCOVA was performed to test between-group differences and to identify potential interaction between sex and physical activity level in PSQI score. Results Women have a significantly higher PSQI score than men (6.43 +/- 3.16 v 5.10 +/- 2.92;p < 0.001). They are also more likely than men to be below recommended PA levels (26.3%v 6.66%;p < 0.001). People who have high PA level have lower PSQI score than people with low PA level (p = 0.007). Moreover, there are no gender differences in relation to the association between sleep quality and physical activity level. Conclusion Students who were more active reported sleeping better than less active students, this relationship was found for women and men. Thus, to promote regular practice of physical activity is necessary to improve sleep quality.

DeepTrack: An ML-based Approach to Health Disparity Identification and Determinant Tracking for Improving Pandemic Health Care

The Coronavirus disease 2019 (COVID-19) pandemic has severely impacted countries around the world with unprecedented mortality and economic devastation and has disproportionately and negatively impacted different communities - especially racial and ethnic minorities who are at a particular disadvantage. Black Americans have a long-standing history of disadvantage (e.g., long-standing disparities in health outcomes) and are in a vulnerable position to experience the impact of this pandemic. Some studies indicate high-risk and vulnerability of the elderly and patients with underlying co-morbidities, however, little research paid attention to leveraging geographic information and machine learning (ML) to track the social and structural health determinants, which can provide a lower level of granularity. In this paper, we propose DeepTrack, a geospatial and ML-based approach to identify diverse determinants (including the structural, social, and constructural determinants) of health disparities in COVID-19 pandemic, which provides a lower level of granularity. We provide a thorough analysis of health disparities and diets based on multiple COVID-19 datasets and examine the structural, social, and constructural health determinants to assist in ascertaining why disparities (in racial and ethnic minorities who are particularly disadvantaged) occur in infection and death rates due to COVID-19 pandemic. We track determinants of nutrition and obesity through diet examination. Extensive experimental results show the effectiveness of our approach. The research provides new strategies for health disparity identification and determinant tracking with a goal to improve pandemic health care. © 2021 IEEE.

Special Issue: COVID-19 pandemic: insights from a diagnostic services provider. (Special Issue: COVID-19 pandemic: insights from a diagnostic services provider.)

This special issue contains 6 articles that discuss the field of population health, covering the interplay of health outcomes, social determinants of health, and the policies and interventions that move our systems from "acute care" to "health care", focusing on the COVID-19 pandemic from a diagnostic services provider.

Short-term influence of environmental factors and social variables COVID-19 disease in Spain during first wave (Feb-May 2020).

This study aims to identify the combined role of environmental pollutants and atmospheric variables at short term on the rate of incidence (TIC) and on the hospital admission rate (TIHC) due to COVID-19 disease in Spain. This study used information from 41 of the 52 provinces of Spain (from Feb. 1, 2021 to May 31, 2021). Using TIC and TIHC as dependent variables, and average daily concentrations of PM10 and NO2 as independent variables. Meteorological variables included maximum daily temperature (Tmax) and average daily absolute humidity (HA). Generalized linear models (GLM) with Poisson link were carried out for each provinces The GLM model controlled for trend, seasonalities, and the autoregressive character of the series. Days with lags were established. The relative risk (RR) was calculated by increases of 10 µg/m3 in PM10 and NO2 and by 1 °C in the case of Tmax and 1 g/m3 in the case of HA. Later, a linear regression was carried out that included the social determinants of health. Statistically significant associations were found between PM10, NO2, and the rate of COVID-19 incidence. NO2 was the variable that showed greater association, both for TIC as well as for TIHC in the majority of provinces. Temperature and HA do not seem to have played an important role. The geographic distribution of RR in the studied provinces was very much heterogeneous. Some of the health determinants considered, including income per capita, presence of airports, average number of diesel cars per inhabitant, average number of nursing personnel, and homes under 30 m2 could explain the differential geographic behavior. As findings indicates, environmental factors only could modulate the incidence and severity of COVID-19. Moreover, the social determinants and public health measures could explain some patterns of geographically distribution founded.