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2.
BMC Health Serv Res ; 22(1): 265, 2022 Feb 28.
Article in English | MEDLINE | ID: covidwho-1714656

ABSTRACT

BACKGROUND: This study aimed to investigate, using Andersen's model of health care utilization, factors associated with COVID-19 testing among adults in nine low- and middle- income countries. METHODS: In between 10 December 2020 and 9 February 2021, an online survey was organized in nine low- and middle-income countries. In total 10,183 adults (median age 45 years, interquartile range 33-57 years, range 18-93 years), including 6470 from Brazil, 1738 Malaysia, 1124 Thailand, 230 Bangladesh, 219 DR Congo, 159 Benin, 107 Uganda, 81 Malawi and 55 from Mali participated in the study. COVID-19 testing/infection status was assessed by self-report. RESULTS: Of the 10,183 participants, 40.3% had ever tested for COVID-19, 7.3% tested positive, and 33.0% tested negative. In an adjusted logistic regression model, predisposing factors (residing in Brazil, postgraduate education), enabling/disabling factors (urban residence, higher perceived economic status, being a student or worker in the health care sector, and moderate or severe psychological distress), and need factors (having at least one chronic condition) increased the odds of COVID-19 testing. Among those who were tested, participants residing in Bangladesh, those who had moderate to severe psychological distress were positively associated with COVID-19 positive diagnosis. Participants who are residing in Malaysia and Thailand, and those who had higher education were negatively associated with a COVID-19 positive diagnosis. Considering all participants, higher perceived economic status, being a student or worker in the health sector, and moderate or severe psychological distress were positively associated with a COVID-19 positive diagnosis, and residing in Malaysia, Thailand or five African countries was negatively associated with a COVID-19 positive diagnosis. CONCLUSION: A high rate of COVID-19 testing among adults was reported in nine low-and middle-income countries. However, access to testing needs to be increased in Africa. Moreover, COVID-19 testing programmes need to target persons of lower economic status and education level who are less tested but most at risk for COVID-19 infection.


Subject(s)
COVID-19 , Developing Countries , Adult , Benin , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19 Testing , Humans , Middle Aged , Patient Acceptance of Health Care , SARS-CoV-2
4.
Lancet Infect Dis ; 22(3): 316-317, 2022 03.
Article in English | MEDLINE | ID: covidwho-1700002

Subject(s)
COVID-19 , Humans , SARS-CoV-2
5.
EuropePMC; 2020.
Preprint in English | EuropePMC | ID: ppcovidwho-323379

ABSTRACT

Background: The first case of COVID-19 infection was diagnosed in Brazil 26 th February 2020. By March 16 th , physical distancing and confinement measures were implemented by the Brazilian government. Little is known about how these measures were followed up by the Brazilian people and their impact on daily routine. Methods: : In early April 2020, using an online platform, we organized an online survey among adults living in Brazil about their COVID-19 preventive behavior. Results: : Data from 23.896 respondents were analyzed (mean age: 47.4 years). Due to COVID-19 restrictions, half (51.1%) of the professionals reported working from home. Regular handwashing was practiced by 98.7% of participants;92.6% reported adhering to the 1.5-2m physical distancing rule, but only 45.5% wore a face mask when going outside. While 29.3% of respondents found it relatively easy to stay at home, indoor confinement was extremely difficult for 7.9% of participants. Moreover, 11% of participants were extremely worried about their health during the COVID-19 epidemic.Younger people, male, persons living in a rural area/village or popular neighbourhoods, students and workers reported less preventive behaviour. Conclusion: Restrictive measures markedly affected the daily and professional routines of Brazilians. Participants showed a satisfactory level of adherence to national COVID-19 prevention guidelines. Qualitative and follow-up studies are needed to monitor the impact of COVID-19 in the Brazilian society.

6.
EuropePMC; 2021.
Preprint in English | EuropePMC | ID: ppcovidwho-317936

ABSTRACT

Frontline healthcare workers (HCWs) involved in the COVID-19 response stand a higher risk of experiencing psychosocial distress amidst the pandemic. Between July and September 2020, a second wave of the COVID-19 pandemic appeared in Vietnam with Da Nang city being the epicenter. During the outbreak, HCWs were quarantined within the health facilities in a bid to limit the spread of the COVID-19 to their respective communities. Using the stress component of the 21-item Depression, Anxiety and Stress Scale (DASS-21), we assessed the level of stress among HCWs in Da Nang city. Between 30 th August and 15 th September 2020, 746 frontline HCWs were recruited to fill an online structured-questionnaire. Overall, 44.6% of participants experienced increased stress and 18.9% severe or extremely severe stress. In multivariable analysis, increased stress was associated with longer working hours (OR=1.012;95% CI: 1.004–1.019), working in health facilities providing COVID-19 treatment (OR=1.58, 95% CI: 1.04-2.39), having direct contact with patients or their bio-samples (physicians, nurses and laboratory workers;OR=1.42, 95% CI: 1.02-1.99), low confidence in the available personal protective equipment (OR=0.846;95% CI: 0.744–0.962), and low knowledge on COVID-19 prevention and treatment (OR=0.853;95% CI: 0.739-0.986). In conclusion, many frontline HCWs experienced an increased stress during the COVID-19 outbreak in Da Nang city. Reducing working time, providing essential personal protective equipment, enhancing of the knowledge on COVID-19 will help to reduce this stress. Moreover, extra support is needed for HCWs who are directly exposed to COVID-19 patients.

7.
EuropePMC; 2021.
Preprint in English | EuropePMC | ID: ppcovidwho-317912

ABSTRACT

Background: Little is known regarding the observance of the non-pharmaceutical measures implemented to curtail COVID-19 transmission in Sub-Saharan Africa (SSA). Recent deployment of COVID-19 vaccines may lead to a neglect of these still needed non-pharmaceutical strategies. We investigated adherence to preventive measures during the initial six months of the COVID-19 outbreak in SSA.Methods: Between March and August 2020, online surveys were conducted 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: mask use, physical distancing, hand hygiene, coughing hygiene, and avoiding to touch one’s face. To take into account community preventive measures, we also proposed a modified adherence score. Data was analysed in two time periods: Period 1 (March-May) and Period 2 (June-August).Findings: Responses from 26,678 respondents were analysed (mean age: 31.0±11.1y;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. Modified adherence scores showed a negative relationship with the prevalence of suspected COVID-19 among the respondents, although non-significant statistically (p=0.307). 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).Interpretation: Despite the advent of vaccines, decreasing adherence to non-pharmaceutical measures still constitute a risk for COVID-19 resurgence in SSA. Younger persons and those with lower education levels are target groups for improving adherence.Funding Information: The establishment of the ICPCovid website to conduct the surveys was supported by a grant from the European Research Council (ERC 671055). No funding source supported the drafting and dissemination of this meta-analysis.Declaration of Interests: The authors have no conflicts of interest to declare.Ethics Approval Statement: This ICPCovid surveys were approved by the Ethics Committee of the University of Antwerp, Belgium (Ref: 20/13/148), and national ethical committees in each participating country (see Author Statements for details). Only data from participants aged 18 years and above who provided an e-consent were retained for analysis. All data were collected anonymously and treated with absolute confidentiality.

8.
EuropePMC; 2020.
Preprint in English | EuropePMC | ID: ppcovidwho-313869

ABSTRACT

Background: In March 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. Many countries in Sub Saharan Africa, Uganda inclusive, implemented lockdowns, curfew, banning of both private and public transport systems and mass gatherings to minimize spread. Media reports indicated that cases of violence and discrimination had increased in Uganda’s communities following the lockdown. We estimated the incidence and factors associated with experiencing violence and discrimination among Ugandans during the COVID-19 lockdown to inform control and prevention measures. Methods: : In April 2020, we conducted a cross-sectional study under the International Citizen Project (ICP) to assess adherence to public health measures and their impact on the COVID-19 outbreak in Uganda. We abstracted and analyzed data on violence and discrimination from the ICP study. We performed descriptive statistics for all the participants’ characteristics and created a binary outcome variable called experiencing violence and/or discrimination. We performed logistic regression analysis to identify the factors associated with experiencing violence and discrimination. Results: : Of the 1,726 ICP study participants, 1,051 (58.8%) were males, 841 (48.7%) were currently living with a spouse or partner, and 376 (21.8%) had physically attended work for more than 3 days in the past week. Overall, 145 (8.4%) experienced any form of violence and/or discrimination by any perpetrator, and 46 (31.7%) of the 145 reported that it was perpetrated by a law enforcement officer. Factors associated with experiencing violence or discrimination were: being male (AOR= 1.60 CI:1.10-2.33), having attended work physically for more than 3 days in the past week (AOR=1.52 CI:1.03-2.23), and inability to access social or essential health services since the epidemic started (AOR=3.10 CI:2.14-4.50). Conclusion: A substantial proportion of Ugandan residents experienced violence and/or discrimination during the COVID-19 lockdown, mostly perpetrated by law enforcement officers. Mitigation of violence and/or discrimination, as well as increased access to health and social services should be integrated into control measures in large-scale public health emergencies.

9.
EuropePMC; 2020.
Preprint in English | EuropePMC | ID: ppcovidwho-312414

ABSTRACT

Background: The COVID-19 pandemic, alongside the restrictive measures implemented for its control, may considerably affect people’s lives particularly vulnerable persons such as children, elderly and people with underlying diseases. This study aimed to assess the well-being of Vietnamese people after COVID-19 lockdown measures were lifted and life gradually returned to normal in Vietnam. Methods: : An online survey was organized from 21 st to 25 th April 2020 among Vietnamese residents aged 18 and over. Data were collected concerning the participants’ health status, COVID-19 preventive behaviour, and consequences of the preventive measures. The WHO-5 Well-Being Index was used to score participants’ well-being. Results: : A total of 1922 responses were analyzed (mean age was 31 years;range: 18-76). Factors associated with a high well-being score included older age, eating healthy food, practising physical exercise, working from home, and adherence to the COVID-19 preventive measures. Female participants, persons worried about their relatives’ health, and smokers were more likely to have a low well-being score. Conclusions: : The Vietnamese people continued to follow COVID-19 preventive measures even after the lockdown was lifted. Most respondents scored high on the well-being scale. However, the emergence of a new COVID-19 outbreak with an epicenter in Da Nang city is expected to increase public anxiety and mental health problems. It is clear that together with preventive measures, developing strategies to guarantee the well-being of the Vietnamese people’s is equally important.

10.
EuropePMC; 2021.
Preprint in English | EuropePMC | ID: ppcovidwho-310569

ABSTRACT

Background: Cameroon was not spared by the coronavirus 2019 (COVID-19) pandemic, prompting the Cameroonian government to implement nationwide measures to stall viral transmission. However little is known about how well these unprecedented measures are being observed as the pandemic evolves.Methods: We conducted a six-month online survey to assess the preventive behaviour of Cameroonian adults during the COVID-19 outbreak. Sociodemographic data and personal history of respondents were obtained, and a 5-point adherence score was constructed based on self-reported observance of the following preventive measures: physical distancing, face mask use, hand hygiene, not touching one’s face, and covering the mouth when coughing or sneezing. Predictors of adherence were investigated using ordinal logistic regression models.Findings: Overall, 7,381 responses from all ten regions of Cameroon were analysed (mean age: 32·8±10·8;73·3% male). During the two weeks preceding participation in the survey, 20 of the 496 tested respondents were positive for COVID-19 (positivity rate: 4·0%). Overall mean adherence score was 3·96±1·11 on a scale of 0–5. Mean weekly adherence scores were initially high, but gradually decreased over time accompanied by increasing incidence of COVID-19 during the last study weeks. Multivariable analyses revealed that older persons, those receiving COVID-19 information from health personnel, and those who agreed with the necessity of lockdown measures had higher odds for adherence, while experiencing flu-like symptoms was associated with poor adherence.Interpretation: Pending more permanent solutions like large scale COVID-19 vaccination, continuous observance of preventive measures should be encouraged among Cameroonians to avoid a resurgence in COVID-19 infections.Funding Statement: ERC Advanced Grant (671055) and VLIRUOS (Flemish University cooperation).Declaration of Interests: The authors have no conflicts of interest to declare.Ethics Approval Statement: This study was approved by the National Ethics Committee of Cameroon (Ref: 2020/05/1229/CE/CNERSH/SP of 06.5.20) as well as the Ethics Committee of the University of Antwerp, Belgium (Ref: 20/13/148).

11.
Int J Environ Res Public Health ; 19(1)2022 01 02.
Article in English | MEDLINE | ID: covidwho-1598775

ABSTRACT

An online cross-sectional survey using a "snowball" sampling method was carried out to assess the adherence to COVID-19 preventive measures among dental care workers (DCWs) during the pandemic. Six questions concerning the COVID-19 preventive guidelines issued by the Vietnam Ministry of Health were used to evaluate DCWs' adherence to preventive measures at dental care clinics. The quality of life of DCWs was assessed using the WHO-5 questionnaire and was defined as low if the total score was less than 13 points. Factors relating to adherence to COVID-19 prevention measures of DCWs were determined by multivariate linear regression analysis. In total, 514 DCWs completed the questionnaire. A total of 37% DCWs rated their quality of life as low. Regression analysis suggested that older age, a better quality of life, living in an urban area, and training on COVID-19 prevention were associated with better adherence to COVID-19 preventive measures, while being a dentist and lack of personal protective equipment was associated with less adherence to COVID-19 preventive measures. The pandemic had a significant negative impact on the physical and mental health of DCWs. Therefore, specific national guidelines for the prevention and control of the spread of COVID-19 in dental facilities should be issued.


Subject(s)
COVID-19 , Aged , Cross-Sectional Studies , Dental Care , Humans , Quality of Life , SARS-CoV-2 , Surveys and Questionnaires , Vietnam/epidemiology
12.
Vaccines (Basel) ; 10(1)2021 Dec 22.
Article in English | MEDLINE | ID: covidwho-1580366

ABSTRACT

Since emergency approval of COVID-19 vaccines for children aged between 12 and 15 years old was recently obtained in the United States and Europe, we aimed to assess the willingness to vaccinate children with a COVID-19 vaccine in lower- and middle-income countries (LMICs). Therefore, we launched an online cross-sectional survey in several LMICs. Questions relating to socio-demographic information, knowledge of COVID-19, level of fear/worry of being infected with COVID-19, and willingness to vaccinate children with the COVID-19 vaccine at 50%, 75% and 95% effectiveness levels, were asked. Of the 6571 participants (mean age = 39 ± 14 years), 64.0%, 72.6%, and 92.9% were willing to vaccinate children at 50%, 75%, and 95% effectiveness levels, respectively. Respondents who were undergraduates, who were more worried/fearful about COVID-19, had higher knowledge scores regarding COVID-19, and a higher belief that COVID-19 vaccination is important to protect others, were more willing to accept COVID-19 vaccination of children. COVID-19 vaccination of children will limit the spread of the virus, especially in schools; it may decrease the need for school closures which has a negative effect on child development. Findings from this study are useful for health promotion strategies during COVID-19 vaccination implementation among children in LMICs.

13.
Epilepsy Behav ; 128: 108536, 2022 03.
Article in English | MEDLINE | ID: covidwho-1586245

ABSTRACT

OBJECTIVE: To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the disease course, lives, and psychosocial wellbeing of persons with epilepsy (PWE) in Uganda. METHODS: From April 2021 till May 2021, we carried out a descriptive cross-sectional study at four hospitals located in four regions of Uganda. PWE presenting at the study sites were offered a structured questionnaire in the local language. We used the PHQ-9 questionnaire to screen for depression and the GAD-7 to screen for anxiety. Univariate and multivariable logistic regression was used to investigate factors associated with anxiety and depression. RESULTS: A total of 370 responses were collected. The median age of the respondents was 20.5 years (IQR 15-29), and 51.9% were males. During the lockdown period, the seizure frequency increased in 87 (23.5%) PWE. Various forms of physical and psychological violence were inflicted upon 106 (28.6%) PWE. Fifty-eight (15.7%) screened positive for anxiety and 65 (17.6%) positive for depression. Both increased seizure frequency and experienced violence were associated with experiencing depression and anxiety. CONCLUSION: The COVID-19 pandemic and lockdown impacted seizure frequency and the psychosocial wellbeing of PWE in Uganda. Increased seizure frequency was associated with higher rates of anxiety and depression. This underlines the importance of continued follow-up of PWE and a low threshold to screen for depression, anxiety, and domestic violence.


Subject(s)
COVID-19 , Epilepsy , Adolescent , Adult , Anxiety/epidemiology , COVID-19/epidemiology , Communicable Disease Control , Cross-Sectional Studies , Depression/epidemiology , Epilepsy/complications , Epilepsy/epidemiology , Humans , Male , Pandemics , SARS-CoV-2 , Uganda/epidemiology , Young Adult
14.
EuropePMC; 2021.
Preprint in English | EuropePMC | ID: ppcovidwho-297032

ABSTRACT

An online cross-sectional survey using a "snowball" sampling method was carried out to assess the adherence to COVID-19 preventive measures among dental care workers (DCWs) during the pandemic. Six questions concerning the COVID-19 preventive guidelines issued by the Vietnam Ministry of Health were used to evaluate DCWs adherence to preventive measures at dental care clinics. The quality of life of DCWs was assessed using the WHO-5 questionnaire and was defined as low if the total score was less than 13 points. Factors relating to adherence to COVID-19 prevention measures of DCWs were determined by multivariate linear regression analysis. In total, 514 DCWs completed the questionnaire. 37% DCWs rated their quality of life as low. Regression analysis suggested that older age, better quality of life, living in an urban area, and training on COVID-19 prevention were associated with better adherence to COVID-19 preventive measures, while being a dentist and lack of personal protective equipment was associated with less adherence to COVID-19 preventive measures. The pandemic had a significant negative impact on the physical and mental health of DCWs. Therefore, specific national guidelines for the prevention and control of the spread of COVID-19 in dental facilities should be issued.

15.
BMJ Open ; 11(9): e050341, 2021 09 02.
Article in English | MEDLINE | ID: covidwho-1394118

ABSTRACT

INTRODUCTION: Onchocerciasis, caused by the filarial nematode Onchocerca volvulus, remains endemic in Cameroon despite decades of community-directed treatment with ivermectin (CDTI). CDTI is often hampered by coendemicity with loiasis (another filariasis caused by Loa loa) in some areas. Strong epidemiological evidence suggests that O. volvulus infection increases the risk for onchocerciasis-associated epilepsy (OAE) among Cameroonian children. This highlights the urgent need to strengthen onchocerciasis elimination programmes in mesoendemic/hyperendemic areas. Novel alternative strategies, such as the 'slash and clear' (S&C) vector control method, may be required to complement ongoing CDTI to accelerate elimination of transmission. The short-term impact of S&C on the biting rates of the blackfly vectors has been demonstrated in other settings. However, its long-term effectiveness and impact on parasitological and serological markers of onchocerciasis transmission as well as on OAE are still unknown. METHODS AND ANALYSIS: We aim to assess the effectiveness of annual S&C interventions combined with CDTI in reducing onchocerciasis transmission and epilepsy incidence. Eight onchocerciasis-endemic villages located <5 km from the Mbam or Sanaga rivers will be randomised to two arms: four villages will receive yearly CDTI only for two consecutive years (Arm 1), while the other four villages will receive CDTI plus annual S&C for 2 years (Arm 2). Study outcomes (blackfly biting rates, infectivity rates and seroprevalence of onchocerciasis antibodies (Ov16 antibodies) in children, prevalence of microfilaridermia and epilepsy incidence) will be monitored prospectively and compared across study arms. We expect that S&C will have an added benefit over CDTI alone. ETHICS AND DISSEMINATION: The protocol has received ethical approval from the institutional review board of the Cameroon Baptist Convention Health Board (reference number: IRB2021-03) and has been registered with the Pan African Clinical Trials Registry. Findings will be disseminated at national and international levels via meetings and peer-reviewed publications. TRIAL REGISTRATION NUMBER: PACTR202101751275357.


Subject(s)
Epilepsy , Onchocerciasis , Child , Humans , Incidence , Ivermectin/therapeutic use , Onchocerciasis/drug therapy , Onchocerciasis/epidemiology , Onchocerciasis/prevention & control , Randomized Controlled Trials as Topic , Seroepidemiologic Studies
16.
Vaccines (Basel) ; 9(8)2021 Jul 27.
Article in English | MEDLINE | ID: covidwho-1335259

ABSTRACT

A high worldwide SARS-CoV-2 vaccine coverage must be attained to stop the COVID-19 pandemic. In this study, we assessed the level of willingness of Mozambicans to be vaccinated against COVID-19. Data were collected between 11 and 20 March 2021, through a self-administered online survey. Of the 1878 respondents, 30.1% were healthcare workers, 58.3% were aged between 18 and 35 years, 60% were male, and 38.5% were single. Up to 43% had been tested for COVID-19 and 29% had tested positive. Overall vaccine acceptability was 71.4% (86.6% among healthcare workers, 64.8% among other respondents; p < 0.001). Reasons for vaccine hesitancy included: fear of vaccine side effects (29.6%) and the belief that the vaccine is not effective (52%). The acceptability of the SARS-CoV-2 vaccine increased with increasing vaccine efficacy. Using logistic regression, determinants for acceptability of the vaccine were: older age, a past COVID-19 test, a concern of becoming (re)infected by COVID-19, having a chronic disease, and considering vaccination important for personal and community health. In conclusion, vaccine acceptability in Mozambique was relatively high among healthcare workers but significantly lower in the rest of the population. This suggests that there is a need to educate the general population about SARS-CoV-2 vaccination and its importance.

17.
BMC Psychiatry ; 21(1): 356, 2021 07 15.
Article in English | MEDLINE | ID: covidwho-1314258

ABSTRACT

BACKGROUND: The COVID-19 pandemic has been associated with significant psychological and social distress worldwide. We investigated fear and depression among adults in Cameroon during different phases of the COVID-19 outbreak. METHODS: An online survey was conducted in Cameroon from June-December 2020 using a structured questionnaire. Socio-demographic data and information regarding COVID-19 history were obtained. Fear and depressive symptoms were assessed using the Fear of COVID-19 score (FCV-19S) and the Patient Health Questionnaire (PHQ-9), respectively. Responses were clustered in weeks to better appreciate their evolution over time. RESULTS: Overall, 7381 responses from all ten regions of Cameroon were analysed (median age: 30 years, 73.3% male). The prevalence of depression (PHQ-9 score ≥ 10) was 8.4%, and that of high fear of COVID-19 (FCV-19S scores ≥19) was 57.4%. These rates were similar across genders, age-groups, and region of residence. While mean weekly PHQ-9 scores remained fairly stable throughout the study period (range: 2.53-3.21; p = 0.101), mean FCV-19S scores were highest during the early weeks but decreased significantly thereafter (from 20.31 to 18.34; p <  0.001). Multivariate analyses revealed that having a postgraduate degree, a history of quarantine, flu-like symptoms during the past 14 days, and higher FCV-19S scores were associated with more severe depressive symptoms, while obtaining COVID-19 information from various sources reduced the odds for depression. CONCLUSION: Depression amidst the COVID-19 crisis is less prevalent in Cameroon than in other countries. Prompt and widespread dissemination of adequate COVID-19 information may reduce the risks for depression by dispelling fear and anxiety among Cameroonians.


Subject(s)
COVID-19 , Pandemics , Adult , Cameroon/epidemiology , Depression/epidemiology , Fear , Female , Humans , Male , SARS-CoV-2
18.
Int J Environ Res Public Health ; 18(14)2021 07 10.
Article in English | MEDLINE | ID: covidwho-1308341

ABSTRACT

Frontline healthcare workers (HCWs) involved in the COVID-19 response have a higher risk of experiencing psychosocial distress amidst the pandemic. Between July and September 2020, a second wave of the COVID-19 pandemic appeared in Vietnam with Da Nang city being the epicenter. During the outbreak, HCWs were quarantined within the health facilities in a bid to limit the spread of COVID-19 to their respective communities. Using the stress component of the 21-item Depression, Anxiety and Stress Scale (DASS-21), we assessed the level of stress among HCWs in Da Nang city. Between 30 August and 15 September 2020, 746 frontline HCWs were recruited to fill in an online structured questionnaire. Overall, 44.6% of participants experienced increased stress and 18.9% severe or extremely severe stress. In multivariable analysis, increased stress was associated with longer working hours (OR = 1.012; 95% CI: 1.004-1.019), working in health facilities providing COVID-19 treatment (OR = 1.58, 95% CI: 1.04-2.39), having direct contact with patients or their bio-samples (physicians, nurses and laboratory workers; OR = 1.42, 95% CI: 1.02-1.99), low confidence in the available personal protective equipment (OR = 0.846; 95% CI: 0.744-0.962) and low knowledge on COVID-19 prevention and treatment (OR = 0.853; 95% CI: 0.739-0.986). In conclusion, many frontline HCWs experienced increased stress during the COVID-19 outbreak in Da Nang city. Reducing working time, providing essential personal protective equipment and enhancing the knowledge on COVID-19 will help to reduce this stress. Moreover, extra support is needed for HCWs who are directly exposed to COVID-19 patients.


Subject(s)
COVID-19 , Pandemics , COVID-19/drug therapy , Health Personnel , Humans , SARS-CoV-2 , Vietnam/epidemiology
19.
Int J Environ Res Public Health ; 18(9)2021 04 27.
Article in English | MEDLINE | ID: covidwho-1302239

ABSTRACT

COVID-19 affects persons living with HIV (PLWH) both directly (via morbidity/mortality) and indirectly (via disruption of HIV care). From July-November 2020, an online survey was conducted to investigate the psychosocial well-being of PLWH and changes in HIV care during the second semester of the COVID-19 outbreak. Data were collected on the socio-demographic characteristics of PLWH, their psychosocial well-being, impact of COVID-19 preventive measures on their daily routines and HIV follow-up. Of the 247 responses analyzed (mean age: 44.5 ± 13.2 years; 73.7% male), 67 (27.1%) and 69 (27.9%) respondents screened positive for anxiety (GAD-2 score ≥ 3) and depression (PHQ-2 score ≥ 3), respectively. HIV care had returned to pre-COVID-19 state for 48.6% PLWH, and 108 (43.7%) had no HIV follow-up during the past month. Over three quarters (76.1%) of respondents expressed willingness to receive the COVID-19 vaccine. Compared to previous findings in April 2020, substance use increased from 58.6% to 67.2% (p < 0.001). Our findings suggest that the well-being and medical follow-up of PLWH are still affected after almost a year into the COVID-19 outbreak. Remote HIV follow-up (telemedicine) with psychosocial support should be envisaged in the medium to long-term. Given that most PLWH accept COVID-19 vaccination, they may be prioritized for this intervention.


Subject(s)
COVID-19 , HIV Infections , Adult , COVID-19 Vaccines , Female , Follow-Up Studies , HIV Infections/epidemiology , Humans , Male , Middle Aged , Pandemics , SARS-CoV-2 , Surveys and Questionnaires
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