How Does Digital Media Search for COVID-19 Influence Vaccine Hesitancy? Exploring the Trade-off between Google Trends, Infodemics, Conspiracy Beliefs and Religious Fatalism.

Digital media has remained problematic during COVID-19 because it has been the source of false and unverified facts. This was particularly evident in the widespread misinformation and confusion regarding the COVID-19 vaccine. Past research suggested infodemics, conspiracy beliefs, and religious fatalism as potential threats to public COVID-19 vaccine hesitancy. However, the literature is primarily void of empirical evidence associating demographic attributes with efforts to build vaccine hesitancy. Therefore, this research uses two studies: (Study 1) Google Trends and (Study 2) survey method to provide inclusive empirical insight into public use of digital media during COVID-19 and the detrimental effects of infodemics, conspiracy beliefs, and religious fatalism as they were related to building COVID-19 vaccine hesitancy. Using Google Trends based on popular keywords the public searched over one year, Study 1 explores public digital media use during COVID-19. Drawing on this exploration, Study 2 used a cross-sectional national representative survey of 2120 adult Pakistanis to describe the influence of potential hazards such as infodemics on public vaccine hesitancy. Study 2 revealed that infodemics, conspiracy beliefs, and religious fatalism predict vaccine hesitancy. In addition, gender moderates the relationship between infodemics and conspiracy beliefs and vaccine hesitancy. This implies that there is a dispositional effect of the infodemics and conspiracy beliefs spread digitally. This study's findings benefit health and other concerned authorities to help them reduce religious fatalism, vaccine hesitancy, and conspiracy theories with targeted communication campaigns on digital media.

Remodeling Digital Marketplace through Metaverse: A Multi-Path Model of Consumer Neuroticism, Parasocial Relationships, Social Media Influencer's Credibility, and Openness to Metaverse Experience

Drawing on extensive data of social media active users (N=1861) and covariance-based structural equation modeling (CB-SEM), the novel findings revealed that parasocial relationships and social media influencers' credibility positively trigger intentions to use the Metaverse digital marketplace. [...]a higher tendency of openness to Metaverse experience intensifies the effect of parasocial relationships on the intentions to use the Metaverse digital marketplace. According to the company, Roblox has around 50 million games, with a monthly use duration of 3 billion hours. The outcomes of this work provide significant advances in theoretical understanding. Because of this, it goes on to use the notion of PSR to explain that there is research on media psychology and the attractiveness of influencers among followers, laying the theoretical groundwork for future studies on the effect of influencers. With this understanding, Metaverse technology may better satisfy the needs of its customers and allow them to connect with the technology more naturally. Because of the new level of engagement, people who use social media can build strong relationships with those who follow them.

Assessing Response Readiness to Health Emergencies: A Spatial Evaluation of Health and Socio-Economic Justice in Pakistan.

COVID19 pandemic has put the global health emergency response to the test. Providing health and socio-economic justice across communities/regions helps in resilient response. In this study, a Geographic Information Systems-based framework is proposed and demonstrated in the context of public health-related hazards and pandemic response, such as in the face of COVID19. Indicators relevant to health system (HS) and socio-economic conditions (SC) are utilized to compute a response readiness index (RRI). The frequency histograms and the Analysis of Variance approaches are applied to analyze the distribution of response readiness. We further integrate spatial distributional models to explore the geographically-varying patterns of response readiness pinpointing the priority intervention areas in the context of cross-regional health and socio-economic justice. The framework's application is demonstrated using Pakistan's most developed and populous province, namely Punjab (districts scale, n = 36), as a case study. The results show that ~ 45% indicators achieve below-average scores (value < 0.61) including four from HS and five from SC. The findings ascertain maximum districts lack health facilities, hospital beds, and health insurance from HS and more than 50% lack communication means and literacy-rates, which are essential in times of emergencies. Our cross-regional assessment shows a north-south spatial heterogeneity with southern Punjab being the most vulnerable to COVID-like situations. Dera Ghazi Khan and Muzaffargarh are identified as the statistically significant hotspots of response incompetency (95% confidence), which is critical. This study has policy implications in the context of decision-making, resource allocation, and strategy formulation on health emergency response (i.e., COVID19) to improve community health resilience.

Effect of meteorological factors on the COVID-19 cases: a case study related to three major cities of the Kingdom of Saudi Arabia.

The COVID-19 pandemic affected the world through its ability to cause widespread infection. The Middle East including the Kingdom of Saudi Arabia (KSA) has also been hit by the COVID-19 pandemic like the rest of the world. This study aims to examine the relationships between meteorological factors and COVID-19 case counts in three cities of the KSA. The distribution of the COVID-19 case counts was observed for all three cities followed by cross-correlation analysis which was carried out to estimate the lag effects of meteorological factors on COVID-19 case counts. Moreover, the Poisson model and negative binomial (NB) model with their zero-inflated versions (i.e., ZIP and ZINB) were fitted to estimate city-specific impacts of weather variables on confirmed case counts, and the best model is evaluated by comparative analysis for each city. We found significant associations between meteorological factors and COVID-19 case counts in three cities of KSA. We also perceived that the ZINB model was the best fitted for COVID-19 case counts. In this case study, temperature, humidity, and wind speed were the factors that affected COVID-19 case counts. The results can be used to make policies to overcome this pandemic situation in the future such as deploying more resources through testing and tracking in such areas where we observe significantly higher wind speed or higher humidity. Moreover, the selected models can be used for predicting the probability of COVID-19 incidence across various regions.

Real Bounce Forward: Experimental Evidence on Destination Crisis Marketing, Destination Trust, e-WOM and Global Expat’s Willingness to Travel during and after COVID-19

The nexus of global tourism, disasters and sustainability have always been triggered by numerous crises, e.g., political unrest, wars, and pandemics. However, there is still fragmented research on destination crisis marketing, and its impact on willingness to travel remains largely unknown. To address this critical research gap, the present study used an experimental research design by framing destination crisis marketing campaigns (2 ×2 frames including DCM implemented versus DCM not implemented) and electronic word of mouth (2 ×2 frames including positive e-Wom versus negative e-Wom) to examine their impact on destination trust and global expat’s willingness to travel. Based on the experimental settings of global expats (N = 232;representing over 10 nationalities) with four framing groups (Group 1 to Group 4, configured in frames as ±DCM and ±e-Wom), the new evidence suggests that global expats who are provoked by positive crisis marketing campaigns and positive e-Wom (Group 4) have higher levels of destination trust than those who are exposed to either negative crisis marketing scenario and/or negative e-Wom (i.e., Group 1 to Group 3). The findings also revealed that global expat’s willingness to travel is significantly influenced by destination crisis marketing campaigns and e-Wom. Interestingly, for all framing groups (Group 1 to Group 4), the effects of destination crisis marketing and e-WOM on expat’s willingness to travel, was significantly mediated by destination trust. Utilizing prominent theories (i.e., signal theory, image repair theory and trust transfer theory), the study implications highlighted that crisis marketing and positive e-Wom could serve as the cornerstones for destinations to stay relevant, regenerate sustainable practices, as well as create new opportunities out of a crisis.

Sustainable or a Butterfly Effect in Global Tourism? Nexus of Pandemic Fatigue, COVID-19-Branded Destination Safety, Travel Stimulus Incentives, and Post-Pandemic Revenge Travel

Revenge travel has globally emerged as a dominant touristic behavior, signaling a rapid return of global tourism, but with a greater temptation for spending more and staying longer. Despite the expanding focus on global sustainable tourism, there is a lack of empirical evidence on the potential factors that build momentum for revenge travel. The aim of the present study was to develop and test a conceptualized model of revenge travel under the influence of pandemic fatigue, COVID-19-branded destination safety, and travel stimulus incentives. Drawing on the study data of international expats (N = 422) and using covariance-based structural equation modeling (CB-SEM), the findings provide new evidence that revenge travel is significantly and positively influenced by pandemic fatigue. Interestingly, the empirical findings also support two positive moderations, highlighting that COVID-19-branded destination safety (CBDS) and travel stimulus incentives (TI) can significantly increase the impact of pandemic fatigue (PF) on revenge travel (RT). Based on prominent theories (i.e., theory of planned behavior, protection motivation theory, and incentive theory of motivation) and newly developed scales (i.e., RT, CBDS, and TI), the study highlights the dynamics of revenge travel as it sets the stage for global tourism to rebound stronger than ever. The implications include new challenges and ways forward through revenge travel as a stepping stone for global sustainable tourism.

THE ANTECEDENTS AND CONSEQUENCES OF HEALTH INFORMATION SEEKING AND BEHAVIORAL INTENTION

The information and communication technologies, health information seeking, and citizens' behavioral intention has been established as a promising area of attention. However, recent growth in digital health information surveillance has dynamics of information-seeking behavior entirely. The paper, therefore, aims to develop a digital literacy conceptual framework to understand the dynamics of Online Health Information Seeking (hereafter OHIS) and Behavioral Intention. Drawing an analogy from past health behavior and information-seeking theories, this conceptual framework provides guidelines for future quantitative studies. The study employed the literature review method and extracted the past empirical and review studies from the most reliable databases using the search words. In total, 10 years dataset of the published work has been used as a sample published from 2010 to 2020. The study analyzed the published work and advanced the body of knowledge by proposing the understudied tradeoff between information quality, perceived value, perceived personal health value, and trust in OHIS intention. Thereby, the theoretical foundation offered in this study supports the further investigations taping antecedents and consequences of OHIS intention in Asia. The research also identified the Hospital's corporate image as a moderating variable that possibly intensifies the influence of the antecedents as mentioned above on OHIS intention. The empirical validation of this model could assist policymakers and Malaysian and Indonesian citizens to understand the health information seeking and behavioral patterns of people in a digital age.

Investigating Binge-Watching Adverse Mental Health Outcomes During Covid-19 Pandemic: Moderating Role of Screen Time for Web Series Using Online Streaming.

BACKGROUND AND PURPOSE: Watching multiple episodes using streaming services, such as Netflix, Hulu, and Youku, has become widespread in recent years. While much attention has been paid to binge-watching, there is, however, a dearth of research on binge-watching and its adverse psychological effects during the COVID-19 pandemic. To the best of our knowledge, less attention has been paid to understanding the multiple influences of binge-watching on binge-watchers during the COVID-19 pandemic. Most of the past studies on this topic mainly underscored the individual's motivations for binge-watching. Also, past studies were limited and inconclusive as they mostly espoused only the underpinning adverse effects of binge-watching without looking into the association between binge-watching and screen time for web series through online streaming services during the COVID-19 pandemic. Therefore, this study sought to fill this gap by probing the association between binge-watching and psychological aftereffects. PARTICIPANTS AND METHODS: The study employed a cross-sectional research design vis-à-vis the survey method. A sample of 1089 adult respondents was collected through an online administrated questionnaire. RESULTS: The findings of this study demonstrated that extensive binge-watching is an antecedent of stress, loneliness, insomnia, depression and anxiety. Furthermore, it was found that screen time on binge-watching could intensify these adverse effects of binge-watching. Interestingly, the moderating effect of screen time on binge-watching was found to be insignificant for stress and loneliness. CONCLUSION: The findings of this study suggest that binge-watching correlates with psychological and mental health symptoms including stress, loneliness, insomnia, depression and anxiety. Hence, this study suggests that consumption of web series through online streaming services related literacy interventions are imperative to help the audience become critical about online streaming content and its comparison to the real social world.

Pain and satisfaction: the case of isolated COVID-19 patients of Pakistan.

BACKGROUND: Over 3 million people lost their lives across the globe due to the COVID-19 related pandemic. The unprecedented restrictions on mobility have imposed in the form of isolation, quarantines, and lockdowns to curb the profound effects of the pandemic and retain physical health. This study examined the relationship between various pain levels, demographic variables and patient satisfaction with COVID-19 during isolation. METHODS: The primary data in this study were collected from isolated patients during their isolation and treatment in a public hospital. We obtained information from patients with COVID-19 (N = 100) about their demographic characteristics, varying levels of pain, and satisfaction with the services provided during the isolation period. We computed the descriptive statistics to explain the profile of participants, ANOVA was used to find out the difference between various groups on patient satisfaction, and structural equation modeling was performed to examine the link between pain levels, demographic factors, and patient satisfaction. This analysis was performed with STATA and SmartPLS-3. RESULTS: The findings of this study ascertained that respondent's education (Beta, ß = 2.961, p = 0.003), assets such as possession of a house (ß = 4.563, p = 0.000), perception of income adequacy during the lockdown (=2.299, p = 0.022), and negligence in prevention (ß = 1.975, p = 0.049) significantly affects patient satisfaction during the isolation period. Moreover, satisfaction with life, physicians and medicine, income adequacy, and fear of the participants was significantly linked to the pain level (Model F-stat = 86.323, p = 0.0001). Patients who were satisfied with their treatment had significantly lower odds of having pain (OR 0.023, 95% CI [0.001-0.0452]). Patients who had enough income to meet their basic necessities were found to have significantly lower odds of having pain (OR 0.155, 95% CI [0.032-0.740]. DISCUSSION AND CONCLUSION: We conclude that a higher level of education, low income, and living in a rented house contributes significantly to the feeling of more satisfaction with the provided services. This implies that people with more affluent backgrounds are less likely to be satisfied with the provided services as low-income and living in rented house groups are more satisfied during isolation than others. The pain level is also affected by subjective factors such as fear and satisfaction which need to be considered while doing patient management. This study can be helpful in improving the delivery of public services of isolation centers by considering various characteristics and demographic factors of patients.

Can Communication Strategies Combat COVID-19 Vaccine Hesitancy with Trade-Off between Public Service Messages and Public Skepticism? Experimental Evidence from Pakistan.

The COVID-19 pandemic may have reached a turning point as the World Health Organization and the global community of nations step up plans for mass vaccination campaigns. However, the COVID-19 vaccine-related conspiracy theories (e.g., falsehoods about birth control, women infertility, surveillance, and microchip humanity, etc.) have built new momentum for vaccine hesitancy. To this end, several nations worldwide, including Pakistan, are struggling to boost public trust and enthusiasm to get vaccinated, especially in an anxious and complicated atmosphere propelled by multiple, new and the deadliest variants of COVID-19. To address this critical research gap during these intensifying conditions of vaccine hesitancy, the present study makes the first attempt to explore the potential effects of various communication strategies, including public service message (safety benefits versus fear appraisals), media types (i.e., traditional versus digital), self-efficacy, perceived benefits and threats (susceptibility and severity), on the willingness to get vaccinated for COVID-19. Importantly, the underlying effects of public skepticism (in a moderating role) on these relationships were empirically examined. Using four fictitious COVID-19 immunization campaigns in a series of experiments with 2 (media type: traditional vs. digital) X 2 (service attribute: health and safety benefits vs. fear) message frames (represented as Group one to Group four), the findings identified fear appraisal as the most viable communication strategy in combating vaccine hesitancy. Moreover, public skepticism negatively moderated the effects of media types and public service message attributes on willingness to get vaccinated in relatively high (i.e., Group two), moderate (i.e., Group one and four), and low intensities (i.e., Group three). The pioneering findings of this research offer new strategic insights for the global health authorities and vaccine promoters to proactively address the downward spiral of people's willingness to take the COVID-19 vaccine.

COVID-19: A Psychosocial Perspective.

The World Health Organization declares coronavirus disease 2019 (COVID-19) as a pandemic, and The World Economic Forum argues that the COVID-19-induced global lockdown is the biggest psychological experiment. This study is an attempt to empirically evaluate the possible adverse psychosocial effects caused by COVID-19-related lockdown, if any. To do so, a cross-sectional study is conducted based on a comprehensive online survey using snowball sampling to analyze the level of social and psychological impacts (i.e., stress, belief in stakeholders, fear of losing job, and life satisfaction) during the early stage of the outbreak in Pakistan. The questionnaire is filled out by the residents in Pakistan including working professionals and students (sample size is 428). We find that the development of stress due to COVID-19-induced lockdown is particularly because of mood swings. Additionally, a higher prevalence of stress in the children of highly educated mothers is evident (95% confidence). To assess the belief in stakeholders, we focus gender, demographics, and education. It is observed that parental education and age significantly affect the belief in several stakeholders (i.e., government, media, religious clerics, and family). The lockdown-induced fear of losing job is lower in female and male children whose fathers are graduates. Lastly, we observe that food storage and "no fear of losing job" significantly increases the odds of life satisfaction. These findings have important implications in the context of social insurance, parental education, and policy related to COVID-19 at various levels. This study further facilitates to understand the factors that might affect the mental health and life satisfaction of people during such pandemics.

The pandemic paradox: domestic violence and happiness of women.

BACKGROUND: Across the globe, lockdowns have been enforced as a pandemic response to COVID-19. Such lockdown coupled with school closures and stay-at-home orders made women more vulnerable in terms of higher responsibility and spending more time with an abusive partner, if any. METHODS: This study investigates the situation of women during COVID-19 induced lockdown by focusing on their happiness and inquiring about the incidence of violence. Using the zero-inflated negative binomial model, our findings ascertained that family settings, type of relationship with a spouse, and age significantly affects the positive count of violence during the lockdown. We further estimated the determinants of happiness and found that years of schooling, the role of women in household decision making, and feeling empowered is affecting their happiness. RESULTS: Women having higher education have more odds of zero violence. Unemployed women and women who are not working have higher odds of zero violence as compared to women who are working. During this lockdown after the COVID-19 pandemic, women living in urban areas, having higher education, having an adequate household income to meet the expenditures, having lesser anxiety, not facing violence, feeling empowered when their husband is around, and have higher decision-making power are happier. DISCUSSION AND CONCLUSION: The study is important in the context of happiness and violence inflicted on women during the lockdown and provides the basis to improve the pandemic response policy. The inclusion of women's safety and happiness in pandemic response policy is important to ensure the well-being of women and to devise better health and economic policy. Our estimates suggest higher education results in less incidence of violence which could be argued as desirable outcomes for building healthy, productive, and happy communities. In addition to this, as pandemic induced lock-down is likely to result in higher unemployment across the globe including Pakistan, therefore, in light of our estimates pertaining to the role of unemployment in the incidence of violence, policymakers should deploy more resources to enhance income and to combat the rising unemployment. As a counter-intuitive outcome of these policy interventions, incidence of violence will be dampened, educational attainment and women empowerment will be increased which will certainly increase happiness.

Missed takes towards a pandemic of COVID-19? A systematic literature review of Coronavirus related diseases in Pakistan.

Pakistan is also seeing the profound effect of the outbreak of COVID-19, which demands an urgent investigation of literature and further scientific investigation for cure and prevention. This study has employed the systematic approach for searching the literature from the recently compiled database of researches namely COVID-19 Open Research Dataset (CORD-19) and related diseases. The literature on Pakistan has shown the evidence of human-to-human and animal-to-human transmission of viruses, the presence of antibodies of MERS-CoV in camels, and careless attitude towards preventive measures of such respiratory diseases. There is a lot of gap in the literature regarding coronaviruses and their antibodies creating herd immunity for another coronavirus and COVID-19. In particular to Pakistan, and in general, for other developing countries, a weak health-care system coupled with the trembling economy has many implications of COVID-19 which should be carefully thought-out to combat the spread.