Psychological Distress in Men during the COVID-19 Pandemic in Brazil: The Role of the Sociodemographic Variables, Uncertainty, and Social Support.

OBJECTIVE: To analyze the relationships between sociodemographic variables, intolerance to uncertainty (INT), social support, and psychological distress (i.e., indicators of Common Mental Disorders (CMDs) and perceived stress (PS)) in Brazilian men during the COVID-19 pandemic. METHODS: A cross-sectional study with national coverage, of the web survey type, and conducted with 1006 Brazilian men during the period of social circulation restriction imposed by the health authorities in Brazil for suppression of the coronavirus and control of the pandemic. Structural equation modeling analysis was performed. RESULTS: Statistically significant direct effects of race/skin color (λ = 0.268; p-value < 0.001), socioeconomic status (SES) (λ = 0.306; p-value < 0.001), household composition (λ = 0.281; p-value < 0.001), PS (λ = 0.513; p-value < 0.001), and INT (λ = 0.421; p-value < 0.001) were evidenced in the occurrence of CMDs. Black-skinned men with higher SES, living alone, and with higher PS and INT levels presented higher prevalence values of CMDs. CONCLUSIONS: High levels of PS and INT were the factors that presented the strongest associations with the occurrence of CMDs among the men. It is necessary to implement actions to reduce the stress-generating sources as well as to promote an increase in resilience and the development of intrinsic reinforcements to deal with uncertain threats.

COVID-19 Misinformation in Portuguese-Speaking Countries: Agreement with Content and Associated Factors

In the wake of the COVID-19 pandemic, a complex phenomenon called the “infodemic”has emerged, compromising coping with the pandemic. This study aims to estimate the prevalence of agreement with misinformation about COVID-19 and to identify associated factors. A web survey was carried out in Portuguese-speaking countries in two stages: 1. the identification of misinformation circulating in the included countries;2. a multicentric online survey with residents of the included countries. The outcome of the study was agreement or disagreement with misinformation about COVID-19. Multivariate analyzes were conducted using the Poisson regression model with robust variance, a logarithmic link function, and 95% confidence intervals. The prevalence of agreement with misinformation about COVID-19 was 63.9%. The following factors increased the prevalence of this outcome: having a religious affiliation (aPR: 1.454, 95% CI: 1.393–1.517), having restrictions on leisure (aPR: 1.230, 95% CI: 1.127–1.342), practicing social isolation (aPR: 1.073, 95% CI: 1.030–1.118), not avoiding agglomeration (aPR: 1.060, 95% CI: 1.005–1.117), not seeking/receiving news from scientific sources (aPR: 1.153, 95% CI: 1.068–1.245), seeking/receiving news from three or more non-scientific sources (aPR: 1.114, 95% CI: 1.049–1.182), and giving credibility to news carried by people from social networks (aPR: 1.175, 95% CI: 1.104–1.251). There was a high prevalence of agreement with misinformation about COVID-19. The quality, similarity, uniformity, and acceptance of the contents indicate a concentration of themes that reflect “homemade”, simple, and easy methods to avoid infection by SARS-CoV-2, compromising decision-making and ability to cope with the disease.

Determinants of COVID-19 Vaccine Hesitancy in Portuguese-Speaking Countries: A Structural Equations Modeling Approach.

COVID-19 vaccine hesitancy (VH) has caused concerns due to the possible fluctuations that may occur directly impacting the control of the pandemic. In this study, we aimed to estimate the prevalence and factors associated with COVID-19 VH in Portuguese-speaking countries. We developed a web survey (N:6,843) using an online, structured, and validated questionnaire. We used Measurement Models, Exploratory Factor Analysis, Exploratory Structural Equation Models, and Confirmatory Factor Analysis for the data analysis. The overall prevalence of COVID-19 VH in Portuguese-speaking countries was 21.1%. showed a statistically significant direct effect for VH: vaccine-related conspiracy beliefs (VB) (ß = 0.886), perceived stress (PS) (ß = 0.313), COVID-19 Misinformation (MIS) (ß = 0.259) and individual responses to COVID-19 (CIR) (ß = -0.122). The effect of MIS and CIR for VH was greater among men and of PS and VB among women; the effect of PS was greater among the youngest and of VB and CIR among the oldest. No discrepant differences were identified in the analyzed education strata. In conclusion, we found that conspiracy beliefs related to the vaccine strongly influence the decision to hesitate (not to take or to delay the vaccine). Specific characteristics related to gender, age group, social and cognitive vulnerabilities, added to the knowledge acquired, poorly substantiated and/or misrepresented about the COVID-19 vaccine, need to be considered in the planning of vaccination campaigns. It is necessary to respond in a timely, fast, and accurate manner to the challenges posed by vaccine hesitancy.