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1.
J Int AIDS Soc ; 25(11): e26030, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: covidwho-2173088

RESUMO

INTRODUCTION: Zambia has made tremendous progress towards HIV epidemic control; however, gaps remain among key populations (KPs), such as female sex workers (FSWs), men who have sex with men (MSM), people who inject drugs (PWID) and people in prisons and enclosed settings due to cultural, social and legal barriers. The University of Maryland, Baltimore Zambia Community HIV Epidemic Control for Key Populations (Z-CHECK) project aimed to improve HIV case-finding, linkage and treatment adherence at the community level for KPs in Zambia. We describe Z-CHECK strategies and examine HIV positivity yield and antiretroviral therapy (ART) linkage among KPs to inform ongoing programme improvement. METHODS: Z-CHECK recruited, trained and deployed peer community health workers (CHWs) for KP groups, with ongoing mentorship in community engagement. CHWs offered HIV testing in safe spaces and escorted newly HIV-diagnosed clients for same-day ART initiation. Z-CHECK also reached out to KP community leaders and gatekeepers for KP mobilization and trained healthcare workers (HCWs) on KP services and sensitivity. We conducted a retrospective observational review of routinely collected aggregate data for KPs aged ≥15 years at high risk for HIV transmission across five districts in Zambia from January 2019 to December 2020. RESULTS: Z-CHECK provided HIV testing for 9211 KPs, of whom 2227 were HIV positive (positivity yield, 24%). Among these, 1901 (85%) were linked to ART; linkage for MSM, FSW, PWID and people in prisons and enclosed settings was 95%, 89%, 86% and 65%, respectively. Programme strategies that contributed to high positivity yield and linkage included the use of peer KP CHWs, social network testing strategies and opportunities for same-day ART initiation. Challenges to programme implementation included stigma and discrimination among HCWs, as well as KP CHW attrition, which may be explained by high mobility. CONCLUSIONS: Peer CHWs were highly effective at reaching KP communities, identifying persons living with HIV and linking them to care. Engaging KP community gatekeepers resulted in high diffusion of health messages and increased access to health resources. The mobility of CHWs and HCWs is a challenge for programme implementation. Innovative interventions are needed to support PWID and people in prisons and enclosed settings.


Assuntos
Infecções por HIV , Profissionais do Sexo , Minorias Sexuais e de Gênero , Abuso de Substâncias por Via Intravenosa , Masculino , Feminino , Humanos , Infecções por HIV/diagnóstico , Infecções por HIV/tratamento farmacológico , Infecções por HIV/epidemiologia , Homossexualidade Masculina , Agentes Comunitários de Saúde , Estudos Retrospectivos , Zâmbia/epidemiologia , Teste de HIV
2.
Sante Publique (Vandoeuvre-Les-Nancey) ; 34(4):549-556, 2022.
Artigo em Francês | MEDLINE | ID: covidwho-2201175

RESUMO

Objective : Faced with the uncertainty about the acceptability of COVID-19 vaccination, we conducted this study to better guide communication strategies for health worker adherence to vaccination. Methods : We conducted a cross-sectional study for analytical purposes, from 15 to 26 February 2021 among health workers in health facilities in the Gbeke health region. Results : Health workers were predominantly female (53.5%) and the 30-39 age group was the most represented (52%). Television was the main source of information (74.4%). The respondents knew that they were at risk of contracting COVID-19 (82.5%) and that people with co-morbidities were the most victim of severe forms (70.4%). The majority of respondents systematically wear a mask in hospital (91%). They said that 51.1% of them would get vaccinated. The majority of respondents would systematically wear a mask in hospital (91%). Multivariate analysis shows that vaccine acceptability was statistically associated with fear of dying from the disease (p=0.046) and case management (p=0.026). Conclusion : In order to achieve better adherence to COVID-19 vaccination, it would be necessary to strengthen the capacity of these agents.

3.
Population and Economics ; 6(4), 2022.
Artigo em Inglês | ProQuest Central | ID: covidwho-2201153

RESUMO

Based on the big data sample, we found that during the first year of Covid-19, although per month, per person expenditures of female-headed households were higher, on average, compared with male-headed households in Mongolia, but it is not because of the gender of the household head, but because these heads of households on average have more education, smaller household sizes, and living more in urban areas. They also register their expenditures in the VAT e-receipts system more consistently, which means that male-headed households' expenditures are underestimated. Overall, expenditure of both male- and female-headed households has increased in 2020 compared with 2019, while poverty slightly declined. The major reasons for expenditure increase and poverty decline in 2020 a rapid rollout of a fiscal stimulus with a sizable social protection component.

4.
Open Access Macedonian Journal of Medical Sciences ; 10(B):2609-2614, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2201139

RESUMO

BACKGROUND: Psychological disorders are common in patients who experienced coronavirus disease 2019 (COVID-19). Thus, there is a need to assess the prevalence of these disorders following vaccination, particularly in non-hospitalized cases as most COVID-19 patients do not require hospitalization. The presence of specific chronic medical disease has been displayed to increase the severity of infection and may also cause negative psychological outcomes in these patients. AIM: This study aimed to measure the prevalence of depression in COVID-19-positive non-hospitalized vaccinated patients during isolation and to detect the difference in depression between patients with and without medical diseases within the study. METHOD(S): This was a cross-sectional study of a sample of patients from Abu Dhabi. A total of 194 participants were enrolled. All of them were COVID-19 vaccinated and tested positive for COVID-19. Participants were assessed using the Patient Health Questionnaire (PHQ9). RESULT(S): Depression was present in 10.8% of COVID-19 positive vaccinated patients while 89.2% had no depression according to their PHQ9 scores. A total of 18.5% of patients with chronic medical diseases had depression while 9.6% of patients without chronic medical diseases showed depression with no statistical significant difference in prevalence of depression between these two groups. CONCLUSION(S): The prevalence of depression was relatively low in this study compared to previous studies. No significant difference was found in the likelihood of developing depression between patients with and without chronic medical diseases. Further studies should be conducted to evaluate the effect of vaccines on mental health. Copyright © 2022 Somaya Shaheen, Shaden Adel, Noha A. Mahfouz.

5.
Open Access Macedonian Journal of Medical Sciences ; 10(A):1668-1675, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2201138

RESUMO

BACKGROUND: Telehealth is not new, but licensing restrictions, HIPAA compliance issues, and lack of reimbursement were significant barriers that hindered its success in the past. Enabling practices to adopt telehealth so that in-person care could be limited to urgent patients and curbed use of finite clinical resources like personal protective equipment for which there were significant shortages. This expansion allowed services including, but not limited to, home visits, therapy services, emergency consults, and nursing facilities visits to be conducted remotely. AIM: The study objectives are to describe telehealth utilization rates among gynecology (OB/GYN) patients during the first 4 months of the COVID-19 pandemic by race/ethnicity and insurance coverage and to investigate telehealth access disparities. METHOD(S): A cross-sectional analysis design was employed. Data ion was performed using the electronic medical records of UMass Memorial Medical Center (UMMMC). A convenience sample of 9370 women who received their telehealth or in-person care at the UMMMC were included in this study. RESULT(S): Between March 15, 2020, and July 30, 2020, in total, 15,362 encounters were completed. Throughout the timeframe included in this study, 81.34% of appointments were conducted in person, and 18.66% were completed using telehealth. The age of telehealth patients ranged from 17 to 97, with a mean age of 45. Most of the patients were White (n = 1202, 63.4%) and held private health insurance (n = 975, 52.4%). Hispanic and Asian patients were less likely to attend their telehealth appointment than patients of other races (p < 0.001). Patients with private health insurance were more likely to attend their telehealth appointments than patients with public health insurance (p < 0.001). CONCLUSION(S): Telehealth services have been providing patients with access to OB/GYN care during this challenging time and have enhanced health-care delivery opportunities. This study identifies a clear need to improve telehealth access and utilization rates among racial and ethnic minority groups and persons with public insurance. Copyright © 2022 Mohammad Alkawaldeh, Amanda Lee, Nabeel Al-Yateem, Jacqueline Dias, Fatma Refaat, Syed Rahman, Muhammad Arsyad Subu.

6.
Open Access Macedonian Journal of Medical Sciences ; Part G. 10:707-715, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2201133

RESUMO

BACKGROUND: Menopause is one of the women's lifespan conditions that increase the potentiality of developing multiple physical and psychological diseases. Thus, it exposes the women to many fears and pressures, mainly during the COVID-19 pandemic. AIM: This study aims to assess stressors and coping strategies among Egyptian menopausal women during the COVID-19 pandemic. METHOD(S): A descriptive cross-sectional design was used to identify the associated menopause complaints stressors and the types of coping strategies among 126 university working women ages 40-60. Three tools were used: The demographic-characteristic, menopause rating scale, and coping with menopause symptoms questionnaires. RESULT(S): The most prevalent complaints were psychological stressors with a mean of 88.8 (70.5%), where fear of infection and death by COVID-19 was the most common problem (87.3%). Further, the most coping technique was used by participants was protective measures with a mean of 82.2 (65.2%). There is a highly significant difference (p = 0.001) with all coping strategies based on the women's menopausal status. CONCLUSION AND RECOMMENDATIONS: The COVID-19 pandemic with menopause represents a significant burden on women at a critical time of their lives. Based on the results, it is essential to address the effectiveness of highly competent nursing care and support that includes effective coping strategies. Establishing and adopting nursing care guidelines that deal with stress and caring during this pandemic are highly recommended. Copyright © 2022 Fatma AboulKhair Farag, M. Danet Lapiz Bluhm, Najla Barnawi, Amel Dawod Kamel Gouda.

7.
Open Access Macedonian Journal of Medical Sciences ; Part T. 10(7):108-112, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2201132

RESUMO

BACKGROUND: Anxiety disorder is the most prevalent comorbidity that may persist chronically in individuals with epilepsy. Unfortunately, anxiety is commonly ignored and rarely reported by epileptic patient. Therefore, early intervention and proper treatment should be addressed in these people. Acknowledging risk factors related to anxiety among epileptic patients may be useful in tailoring more appropriate psychiatric support. AIM: The aim of our study is to investigate risk factors related to anxiety among epileptic patients. METHOD(S): This cross-sectional predictive analytical multivariate study was conducted through March to May 2021 in Haji Adam Malik General Hospital Medan involving 84 epileptic patients visiting Neurology outpatient clinic who fulfilled inclusion and exclusion criteria COVID-19 health protocols. Anxiety score was assessed using HADS-A self-reported questionnaire. RESULT(S): We found that most of our patients are female who have experienced epilepsy for around 3 years. Exacerbations occurs approximately 4 times a year with duration of 10-20 min. Finally, we found that age, seizure duration, epileptic frequency, and gender are independent risk factors for anxiety severity among epileptic patients. CONCLUSION(S): Age, seizure duration, epileptic frequency, and gender are independent risk factors for anxiety severity among epileptic patients. Copyright © 2022 Hanny Soraya, Mustafa M. Amin, Muhammad Surya Husada, Elmeida Effendy.

8.
Open Access Macedonian Journal of Medical Sciences ; Part B. 10:2417-2422, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2201131

RESUMO

BACKGROUND: COVID-19 is a condition that is characterized by an abnormal coagulation state, which is a reason for severe thrombotic problems. AIM: We aim to determine the correlation of coagulation parameters levels with clinical outcomes of critically ill patients with COVID-19 admitted to intensive care at a national referral hospital in Indonesia. METHOD(S): This retrospective cohort study analyzed 227 patients with a primary diagnosis of COVID-19 on mechanical ventilation who were admitted to the COVID-19 intensive care unit, Dr. M. Djamil from 2020 to 2021 taken in the medical record. Numerical data were analyzed using an independent t-test, while the categorical data were analyzed using the Chi-square test. RESULT(S): One hundred and one patients were >65 years old. The mean +/- SD of INR levels, D-dimer levels, and platelet count on the first and the 5th days were 1.22 +/- 0.77 and 1.36 +/- 1.16;4.624 +/- 3.533 microg/L and 4.334 +/- 3.365 microg/L;and 160.162 +/- 117.203/microl and 234.070 +/- 126.816/microl. There was a significant correlation between age (p = 0.002), INR levels on the 5th day (p = 0.041), platelet count on the 5th day (0.012) with clinical outcomes of patients. CONCLUSION(S): There is a significant increase in the average platelets and INR levels on day 5. There is a significant correlation between INR levels and platelet count on 5th days with clinical outcomes of patients. Copyright © 2022 Dedy Kurnia, Eti Yerizel, Andani Ekaputra, Dwitya Elvira.

9.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 34(12):1330-1332, 2022.
Artigo em Chinês | MEDLINE | ID: covidwho-2201088

RESUMO

OBJECTIVE: To analyze the distribution characteristics of traditional Chinese medicine (TCM) syndromes in patients with coronavirus disease 2019 (COVID-19) in plateau areas, and to provide theoretical basis for further clinical treatment of patients with COVID-19.

10.
Chung-Hua Yu Fang i Hsueh Tsa Chih [Chinese Journal of Preventive Medicine] ; 56(12):1751-1758, 2022.
Artigo em Chinês | MEDLINE | ID: covidwho-2201071

RESUMO

Objective: To investigate the distribution characteristics of respiratory non-bacterial pathogens in children in Ningbo from 2019 to 2021.

11.
Zhonghua Erke Zazhi ; 61(1):61-65, 2023.
Artigo em Chinês | MEDLINE | ID: covidwho-2201065

RESUMO

Objective: To investigate the clinical characteristics of children with allergic diseases suffering from SARS-CoV-2 Omicron variant strains.

12.
Vaccines ; 10(12) (no pagination), 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2200928

RESUMO

Vaccination against pertussis in pregnancy is safe for pregnant women and newborns. Vaccination against pertussis during the second or early third trimester of pregnancy is highly protective against pertussis in young infants. Vaccination early in the third trimester versus vaccination late in the third trimester is associated with higher newborn anti-B. pertussis antibody levels. Infants whose mothers were vaccinated in pregnancy have less boosting of anti-B. pertussis antibody concentrations after their own vaccination, but this is not clinically significant. More immunogenicity and vaccine effectiveness studies are needed in countries using whole-cell pertussis vaccines. Vaccination in pregnancy induces anti-B. pertussis antibodies in breast milk. COVID-19 mitigation strategies have resulted in a significant decrease in B. pertussis circulation, which could negatively affect population immunity against B. pertussis. Highlights: Infants are at high risk for severe morbidity and mortality from pertussis disease during early infancy. Vaccination against pertussis in pregnancy has emerged as the ideal strategy to protect infants during these early, vulnerable, first months of life. On 30 November and 1 December 2021, the Global Pertussis Initiative held a meeting that aimed to discuss and review the most up-to-date scientific literature supporting vaccination against pertussis in pregnancy and outstanding scientific questions. Herein, we review the current and historically published literature and summarize the findings as consensus statements on vaccination against pertussis in pregnancy on behalf of the Global Pertussis Initiative. Copyright © 2022 by the authors.

14.
International Journal of Environmental Research & Public Health [Electronic Resource] ; 19(24):19, 2022.
Artigo em Inglês | MEDLINE | ID: covidwho-2200250

RESUMO

A psychometric evaluation of the Children's Revised Impact of Event Scale 13 (CRIES-13), which measures the posttraumatic stress disorder (PTSD) symptoms in children and adolescents caused by the coronavirus disease 2019 (COVID-19) pandemic, was conducted. We aimed to cross-culturally adapt and test the psychometric qualities of the CRIES-13 that was applied to Indonesian adolescents exposed to COVID-19 risk across gender groups. A cross-sectional study was conducted at a junior high school in Yogyakarta, Indonesia, in May 2022;346 Indonesian adolescents aged 12 to 18 years completed the Indonesian version of the CRIES-13. The factorial validity results supported the scale's three-factor structure (intrusion, avoidance, and arousal), which satisfied all parameter index requirements and exhibited a favorable level of internal consistency reliability. Excellent results were obtained across genders for the four-level measurement of invariance (i.e., configural, metric, scalar, and full invariance), and they met the recommended criteria. Our Cronbach's alphas and composite reliability ratings were high (>0.7), indicating a strong correlation and reliability of the items for measuring each construct. We strongly support the use of the Indonesian CRIES-13, which was demonstrated to be valid and reliable for an adolescent population.

15.
International Journal of Environmental Research and Public Health ; 19(24) (no pagination), 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2200248

RESUMO

Monkeypox, a viral zoonosis caused by an Orthopoxvirus, is clinically characterized by fever, headache, lymphadenopathy, myalgia, rash and burdened by some complications that can be severe and life threatening. Monkeypox, endemic in some central and west African countries, in tropical areas near equator, rose to the headlines following its recent outbreak in non-endemic countries of Europe and the USA. Thus, the World Health Organization, worried about the growing dimension of the problem, declared monkeypox a global public health emergency. Now, after months of careful observation, the western scientific research is drawing conclusion that African endemic countries represent a reserve pool able to feed, through travelers and sexual networks, the outbreak in non-endemic countries in which high-risk communities such as gay and bisexual men are the most affected. Prevention through vaccination and early diagnosis are the core to breaking the chain of diffusion of this epidemic. Particular attention should be paid to avoid the spread from endemic countries, also implementing the economic investments in their public health system. Information campaigns and assistance to high-risk classes in non-endemic countries are important priorities, however, assuming that specific treatments for this disease are still tentative. Copyright © 2022 by the authors.

16.
Biomolecules ; 12(12) (no pagination), 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2199738
17.
Antibiotics ; 11(12) (no pagination), 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2199676

RESUMO

Background: Antimicrobial resistance is a growing health problem worldwide. One strategy to face this problem in a reasonable way is training health personnel for the rational use of antimicrobials. There are some difficulties associated with medical staff to receiving training with E-learning education, but there is a lack of studies and insufficient evidence of the effectiveness of this method compared to face-to-face learning. Method(s): An educational intervention on antimicrobial resistance (AMR) and antimicrobial prescription practice (APP) was designed and implemented using two approaches: face-to-face and E-learning among physicians of the intensive care unit (ICU) and internal medicine ward (IMW) at Eugenio Espejo Hospital in Quito. Modalities of interventions were compared to propose a strategy of continuous professional development (CPD) for all hospital staff. An interventional study was proposed using a quasi-experimental approach that included 91 physicians, of which 49 belong to the IMW and 42 to the ICU. All of them received training on AMR-half in a face-to-face mode and the other half in an asynchronous E-learning mode. They then all participated on APP training but with switched groups;those who previously participated in the face-to-face experience participated in an E-learning module and vice-versa. We evaluated self-perception about basic knowledge, attitudes and referred practices towards AMR and APP before and after the intervention. A review of medical records was conducted before and after training by checking antimicrobial prescriptions for all patients in the ICU and IMW with bacteremia, urinary tract infection (UTI), pneumonia, and skin and soft tissue infection. The study received IRB clearance, and we used SPSS for statistical analysis. Result(s): No statistically significant difference was observed between the E-learning and the face-to-face methodology for AMR and APP. Both methodologies improved knowledge, attitudes and referred practices. In the case of E-learning, there was a self-perception of improved attitudes (p < 0.05) and practices (p < 0.001) for both AMR and APP. In face-to-face, there was a perception of improvement only in attitudes (p < 0.001) for APP. In clinical practice, the use of antimicrobials significantly improved in all domains after training, including empirical and targeted treatment of bacteremia and pneumonia (p < 0.001) and targeted treatment of UTI (p < 0.05). For the empirical treatment of pneumonia, the mean number of antibiotics was reduced from 1.87 before to 1.05 after the intervention (p = 0.003), whereas in the targeted management of bacteremia, the number of antibiotics was reduced from 2.19 to 1.53 (p = 0.010). Conclusion(s): There was no statistically significant difference between the effect of E-learning and face-to-face strategy in terms of teaching AMR and APP. Adequate self-reported attitudes and practices in E-learning exceed those of the face-to-face approach. The empiric and targeted use of antimicrobials improved in all reviewed cases, and we observed an overall decrease in antibiotic use. Satisfaction with training was high for both methods, and participants valued the flexibility and accessibility of E-learning. Copyright © 2022 by the authors.

18.
Front Public Health ; 10:1035763, 2022.
Artigo em Inglês | PubMed | ID: covidwho-2199508

RESUMO

BACKGROUND: The spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by asymptomatic individuals has been reported since the early stages of the coronavirus disease 2019 (COVID-19) outbreak in various parts of the world. However, there are limited data regarding SARS-CoV-2 among asymptomatic individuals in Ghana. The aim of the study was to use test data of prospective travelers from Ghana as a proxy to estimate the contribution of asymptomatic cases to the spread of COVID-19. METHODS: The study analyzed the SARS-CoV-2 PCR test data of clients whose purpose for testing was classified as "Travel" at the COVID-19 walk-in test center of the Noguchi Memorial Institute for Medical Research (NMIMR) from July 2020 to July 2021. These individuals requesting tests for travel generally had no clinical symptoms of COVID-19 at the time of testing. Data were processed and analyzed using Microsoft Excel office 16 and STATA version 16. Descriptive statistics were used to summarize data on test and demographic characteristics. RESULTS: Out of 42,997 samples tested at the center within that period, 28,384 (66.0%) were classified as "Travel" tests. Of these, 1,900 (6.7%) tested positive for SARS-CoV-2. The majority (64.8%) of the "Travel" tests were requested by men. The men recorded a SARS-CoV-2 positivity of 6.9% compared to the 6.4% observed among women. Test requests for SARS-CoV-2 were received from all regions of Ghana, with a majority (83.3%) received from the Greater Accra Region. Although the Eastern region recorded the highest SARS-CoV-2 positivity rate of 8.35%, the Greater Accra region contributed 81% to the total number of SARS-CoV-2 positive cases detected within the period of study. CONCLUSION: Our study found substantial SARS-CoV-2 positivity among asymptomatic individuals who, without the requirement for a negative SARS-CoV-2 result for travel, would have no reason to test. These asymptomatic SARS-CoV-2-infected individuals could have traveled to other countries and unintentionally spread the virus. Our findings call for enhanced tracing and testing of asymptomatic contacts of individuals who tested positive for SARS-CoV-2.

19.
Frontiers in public health ; 10:1017479, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2199490

RESUMO

Purpose: To determine the association between poor visual acuity, the use of digital devices and physical activity (PA) during the COVID-19 pandemic. Method(s): A total of 327,646 Chinese children and adolescents were included in the analysis using a cluster random sampling method;this is a case-control study, of those 144,708 children and adolescents with poor visual acuity were included in the case group, while 182,938 who did not have poor visual acuity were included in the control group. A logistic regression model was used to assess the contribution of PA and the use of digital devices to poor visual acuity. Result(s): A total of 144,708 children and adolescents experienced poor visual acuity during the COVID-19 pandemic;54.8% were male, and 55.2% live in rural areas. Compared to controls, children and adolescents with poor visual acuity exhibited more time for the use of digital devices (4.51 +/- 2.44 vs. 3.79 +/- 2.34 for cases and controls, respectively;P < 0.001) and PA (3.07 +/- 0.92 vs. 2.85 +/- 1.00 for cases and controls, respectively;P < 0.001). During the COVID-19 pandemic, risk factors related to poor visual acuity among children and adolescents included the use of digital devices (OR 1.135;95% CI 1.132-1.139), and PA (OR 1.269;95%CI 1.259-1.278). The results of interaction analysis show that for children and adolescents aged 12 to 17, the positive association between the use of digital devices and poor visual acuity decreased. The interaction effect between PA and digital devices is 0.987. Conclusion(s): Children and adolescents were at risk of poor visual acuity during the COVID-19 pandemic. Extended use of the digital devices increased the risk of poor visual acuity, especially for children aged 6-11 years. But the risk of poor visual acuity among children and adolescents decreases as the time spent on PA increases. Copyright © 2022 Zheng, Shi, Ou, Xue, Xu, Xue, Zhang, Liang, Huang, Qin and Zhang.

20.
Frontiers in public health ; 10:1016849, 2022.
Artigo em Inglês | EMBASE | ID: covidwho-2199488

RESUMO

Background: A multitude of literature has shown that during the 2019 COVID-19 outbreak, people's reliance on social media has been closely related with serious psychological problems. The "information epidemic" has sparked each country's attention. These countries including China have tried to find the solution and taken a series of measures. In January 2021, the COVID-19 broke out again in Shijiazhuang, China. Has the impact of social media on mental health changed? Methods: Our data are based on an online survey of Chinese in January 2021, with 904 valid samples from 18 different provinces in China. We applied the methods of structural equation model analysis and the tendency value matching to conduct systematic analysis. Result(s): Our research found that 38.9% of the population suffered from depression and 12.61% of the population suffered from anxiety. Chinese urban residents are more dependent on social media, with up to 80.1% of participants using social media frequently. Our research found that the relationship between social media use and residents' mental health has dramatically changed. More use of social media has been significantly associated with less depression and anxiety, especially among young people and women. Our findings are the first to reveal the relation's change between social media and mental health. Conclusion(s): These findings implied that changes in the social media environment probably lead to changes in relationship between social media use and mental health since the outbreak began in 2019. Truthful and comprehensive social media information and a healthy positive social media environment can contribute to residents' mental health improvement and the fight against "information epidemic." Copyright © 2022 Zheng, Sun, Chen and Chen.

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