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The knowledge, attitudes, and practices (KAP) of students concerning COVID-19 have an impact on their adherence to preventative procedures. This study aimed to investigate the knowledge, attitudes, and practices toward COVID-19 among school students. A descriptive cross-sectional design was used to assess the knowledge, practice, and attitudes of 600 students toward COVID-19. Study participants were recruited from schools between July and August 2020. The mean score of knowledge was 7.60 +/- 4.63, which reflects an unacceptable level of knowledge about COVID-19. Knowledge scores were significantly different across gender (p = 0.017), age groups (p = 0.008), the presence of a family member working in the health sector (p < 0.001), and economical level of family (p < 0.001). Being female, students aged 15-18, and those from high-income families obtained significantly higher knowledge scores. About 68.6% of the students possessed negative attitudes toward the successful control of COVID-19. This study found that more than half of students committed preventive procedures such as avoiding gatherings and practicing good hand hygiene during the COVID-19 pandemic. However, only 28.5% confirmed wearing a face mask when leaving their homes. This study affirms the necessity for immediate health initiatives aimed at increasing COVID-19 knowledge and, thereby, more positive attitudes toward preventative procedures. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
Research Framework: Examining the behavioral, cognitive, social, cultural and logistic factors that affect health behavior and influence decision-making has become more and more important in the field of public health. Most studies indicate that Arab minority groups in Western countries are usually less compliant in vaccinating their children. On the other hand, an examination of vaccination compliance among the Arab population of Israel before the coronavirus crisis reveals a different picture marked by very high vaccination compliance, even relative to the Jewish majority. According to recent figures from the Ministry of Health (2019), the compliance rates in the Arab population for the seasonal influenza vaccination and the human papillomavirus (HPV) vaccination are almost twice as high as the compliance rates in the Jewish population for the same vaccinations. In addition, it is interesting to note that prior to the coronavirus crisis no groups in Arab society exhibited vaccination hesitancy, in contrast to the situation in Jewish society. Objective: The current study seeks to investigate the decision-making process of mothers in Arab society with respect to two vaccinations: the HPV vaccination and the seasonal influenza vaccination. Further, it seeks to examine the variables related to this process and their correlation with the emotional and cognitive considerations manifested in the process of making decisions about vaccinations.Research methodology: This study is based on a sequential explanatory design. The first stage entailed gathering and analyzing the qualitative data: a) content analysis of 18 explanatory materials published by the health maintenance organizations and the Ministry of Health that were designed to promote the HPV vaccination in the Arab society;b) conducting in-depth interviews with mothers from Arab society and health professionals (N=70 mothers and N=20 nurses from Arab society). Based on this stage, a quantitative questionnaire was constructed and answered by different subgroups from the representative sample of the investigated population: N=693, comprising six subgroups (Muslims, Christians, Northern Bedouins, Druse, secular Jews, religious Jews). A total of 693 mothers participated in the study. The participants included mothers from almost the entire spectrum of the Israeli population. The Arab population was defined as the primary research population, while the national Jewish population (secular and religious/traditional groups) served for comparison purposes. The ultra-Orthodox population was not included in the study. The mixed research method adopted in this study facilitated integration of the perspectives and means for understanding the relevant considerations in vaccination compliance (Creswell, 2013). Data triangulation made it possible to achieve better cross-checking of the data and to develop strong and validated arguments backed up by data collected from subgroups in the Arab population, while using the Jewish population as a control group (Creswell, 2013). Main findings: The research findings indicate that for the most part the decision-making process of mothers in Arab society relies upon an automatic system (as defined by Kahneman, 2011) based on various emotional heuristics emerging from this study. We described the research findings along two paths: 1) variables we referred to as internal socialcultural variables that are inherent in the social structure of the Arab population;2) variables we called external variables that are related to how the health system conveys information on the issue of vaccinations to Arab society. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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Purpose: One of the most affected groups during the COVID-19 pandemic was health-care providers due to the direct and continuous exposure to the virus and a lack of sufficient medical equipment. Palestinian health-care providers were exposed to several challenges related to their work environment as they worked in war-like conditions;therefore, this study aims to explore health-care providers' perceptions, perspectives, challenges and human rights-related concerns during the COVID-19 Pandemic in Palestine. Design/methodology/approach: The sample comprised 30 health-care providers 26-35 years, who were purposively selected from among health-care providers in two Palestinian cities, Nablus and Tulkarm, located in the north of the West Bank. Thematic content analysis was applied to transcripts of interviews with the practitioners to identify key themes. Findings: The thematic content analysis showed that the pandemic and quarantine negatively affect the mental health outcomes, daily routine and social relations of health-care providers. The main challenges related to human rights violations and faced by the health-care providers include a lack of sufficient infrastructure, lack of medical equipment's and protective gear, military occupation and a shortage of health-care providers in general, especially those who practice in speciality fields such as neurology, oncology, pediatric surgery and clinical psychology. Practical implications: Further investigations are recommended to test different variables related to health-care providers' work during the COVID-19 pandemic. This paper also recommends conducting studies targeting Palestinian health-care providers' training and supervision services to improve their skills and resiliency in dealing with future crises. Originality/value: The present work is the first to examine health-care providers' perceptions, perspectives, challenges and human rights concerns during the COVID-19 pandemic in Palestine. This novel sample resides in a political and social environment characterized by high environmental stressors due to decades of military and political violence (e.g. militarization, poverty, lack of employment opportunities, cultural pressures, human rights violations, etc.) (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
Purpose: Telepsychiatry, a subset of telemedicine, has been increasingly studied to meet the growing demands for psychiatric care. The utility of telepsychiatry is relevant now more than ever as the world endures the COVID-19 global pandemic. This paper describes the prior state and the changes that the COVID-19 outbreak brought to telepsychiatry in a selected group of Arab countries of the Middle East and North Africa (MENA) region. Patients and Methods: We invited twelve early-career psychiatrists from different Arab nations to share information related to telepsychiatry in their respective countries before and during the COVID-19 pandemic. The information was collected using a semi-structured guide. This was complemented by a search for relevant articles in five search engines using terms such as "COVID-19," "telepsychiatry," and "Arab world". Results: Before the pandemic, digital mental health services were provided in several Arab countries, mainly through hotlines and messaging services. The COVID-19 pandemic has marked a major shift in digital psychiatric services in the Arab MENA world, through the transformation of many clinics and some hospitals into digital mental health systems. Many non-governmental organizations also started remote initiatives for psychological support and psychiatric counseling. Three main barriers of patient-related, healthcare-related, and system-related hurdles of using telepsychiatry emanated from the analysis. Conclusion: The use of digital mental health services varies between different Arab countries. Even though some nations have laws that regulate the provision of such services, most struggle with multifactorial barriers. As affordable and attainable solutions cannot only rely on training and recruiting more psychiatrists, telepsychiatry would help meet the exceeding demands in the Arab world, particularly after the COVID-19 outbreak. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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In this paper, the form and function of personalized Covid-19 WhatsApp sticker memes created and shared as social laments by citizens in Oman are examined. The compiled data set of 288 WhatsApp stickers was taken from a larger ethnographic project on Arabs and Covid-19. To collect and analyze the data, perspectives from visual semiotics were integrated with participatory and geosemiotic approaches to ground the stickers socially and globally. Six functions of Covid-19 WhatsApp stickers in Oman were identified: expressing political dissent, creating public signs, promoting religious agenda, indexing frustration, expressing levity, and constructing counter-discourse. Based on this analysis, it is suggested that by creating and using WhatsApp stickers during the 2020-2021 Covid-19 pandemic, Omani citizens positioned themselves as agentive participants in charge of their own lives, thus, solidifying a decade-long request for a new form of public-government relationship. The paper adds to research on Arabic digital communication and pandemic discourse. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
Research Framework: Examining the behavioral, cognitive, social, cultural and logistic factors that affect health behavior and influence decision-making has become more and more important in the field of public health. Most studies indicate that Arab minority groups in Western countries are usually less compliant in vaccinating their children. On the other hand, an examination of vaccination compliance among the Arab population of Israel before the coronavirus crisis reveals a different picture marked by very high vaccination compliance, even relative to the Jewish majority. According to recent figures from the Ministry of Health (2019), the compliance rates in the Arab population for the seasonal influenza vaccination and the human papillomavirus (HPV) vaccination are almost twice as high as the compliance rates in the Jewish population for the same vaccinations. In addition, it is interesting to note that prior to the coronavirus crisis no groups in Arab society exhibited vaccination hesitancy, in contrast to the situation in Jewish society. Objective: The current study seeks to investigate the decision-making process of mothers in Arab society with respect to two vaccinations: the HPV vaccination and the seasonal influenza vaccination. Further, it seeks to examine the variables related to this process and their correlation with the emotional and cognitive considerations manifested in the process of making decisions about vaccinations.Research methodology: This study is based on a sequential explanatory design. The first stage entailed gathering and analyzing the qualitative data: a) content analysis of 18 explanatory materials published by the health maintenance organizations and the Ministry of Health that were designed to promote the HPV vaccination in the Arab society;b) conducting in-depth interviews with mothers from Arab society and health professionals (N=70 mothers and N=20 nurses from Arab society). Based on this stage, a quantitative questionnaire was constructed and answered by different subgroups from the representative sample of the investigated population: N=693, comprising six subgroups (Muslims, Christians, Northern Bedouins, Druse, secular Jews, religious Jews). A total of 693 mothers participated in the study. The participants included mothers from almost the entire spectrum of the Israeli population. The Arab population was defined as the primary research population, while the national Jewish population (secular and religious/traditional groups) served for comparison purposes. The ultra-Orthodox population was not included in the study. The mixed research method adopted in this study facilitated integration of the perspectives and means for understanding the relevant considerations in vaccination compliance (Creswell, 2013). Data triangulation made it possible to achieve better cross-checking of the data and to develop strong and validated arguments backed up by data collected from subgroups in the Arab population, while using the Jewish population as a control group (Creswell, 2013). Main findings: The research findings indicate that for the most part the decision-making process of mothers in Arab society relies upon an automatic system (as defined by Kahneman, 2011) based on various emotional heuristics emerging from this study. We described the research findings along two paths: 1) variables we referred to as internal socialcultural variables that are inherent in the social structure of the Arab population;2) variables we called external variables that are related to how the health system conveys information on the issue of vaccinations to Arab society. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Purpose: Telepsychiatry, a subset of telemedicine, has been increasingly studied to meet the growing demands for psychiatric care. The utility of telepsychiatry is relevant now more than ever as the world endures the COVID-19 global pandemic. This paper describes the prior state and the changes that the COVID-19 outbreak brought to telepsychiatry in a selected group of Arab countries of the Middle East and North Africa (MENA) region. Patients and Methods: We invited twelve early-career psychiatrists from different Arab nations to share information related to telepsychiatry in their respective countries before and during the COVID-19 pandemic. The information was collected using a semi-structured guide. This was complemented by a search for relevant articles in five search engines using terms such as "COVID-19," "telepsychiatry," and "Arab world". Results: Before the pandemic, digital mental health services were provided in several Arab countries, mainly through hotlines and messaging services. The COVID-19 pandemic has marked a major shift in digital psychiatric services in the Arab MENA world, through the transformation of many clinics and some hospitals into digital mental health systems. Many non-governmental organizations also started remote initiatives for psychological support and psychiatric counseling. Three main barriers of patient-related, healthcare-related, and system-related hurdles of using telepsychiatry emanated from the analysis. Conclusion: The use of digital mental health services varies between different Arab countries. Even though some nations have laws that regulate the provision of such services, most struggle with multifactorial barriers. As affordable and attainable solutions cannot only rely on training and recruiting more psychiatrists, telepsychiatry would help meet the exceeding demands in the Arab world, particularly after the COVID-19 outbreak. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
BACKGROUND: Many studies indicate that ethnic minority women, including women from the disadvantaged Palestinian-Arab minority in Israel, experience higher rates of psychological distress but are less likely to use mental health services. This study examined psychological distress and its role as a moderator in the relationship between mental health service use and stigma-related, attitudinal, and instrumental barriers. METHOD: Cross-sectional study of 146 Palestinian-Arab women who completed measures of psychological distress, mental health service use, the Barriers to Care Evaluation scale, and sociodemographic characteristics. RESULTS: Participants who did not utilize mental health services reported higher levels of all barrier types compared to participants who reported previous use, but lower levels of psychological distress. Psychological distress was a significant moderator only in the relationship between attitudinal barriers and mental health service use. CONCLUSIONS: This study highlights the role of psychological distress in the relationship between barriers to and utilization of mental health services, helping professionals and policymakers increase mental health service use among Palestinian-Arab women in Israel and other vulnerable women elsewhere.
Subject(s)
Mental Health Services , Psychological Distress , Arabs/psychology , Cross-Sectional Studies , Ethnicity , Female , Humans , Israel/epidemiology , Minority Groups/psychologyABSTRACT
My PhD thesis project aims to describe the Bedouin-type Arabic dialect of Arabkhane in Iran‘s South Khorasan Province. For that purpose, I enrolled as a visiting researcher at Tehran‘s Allameh Tabataba‘i University in late summer of 2019. Khorasan Arabic‘s closest affiliates are the dialects of the Arabic-speaking exclaves of Afghanistan (Mazar-e Sharif, Balkh, Jowzjan) and the varieties of the Uzbekistan group (Bukhara, Qashqadarya). Together they constitute the peripheral branch of so-called Central Asian Arabic. Unlike the dialects of Uzbekistan Arabic which are fairly well documented, we have only little knowledge of Afghanistan Arabic and, until recently, knew not much about the Arabic dialects of Iranian Khorasan. No full monograph has been published on either of these languages. Apart from a few hints, especially Arabkhane due to being dialectologically uncharted, seemed to be an almost mystified place in western academic discourse. This paper gives information about the type and scope of my research in Khorasan, the localization of Arabkhane‘s 30+ Arabic villages as well as annotated sample texts from Arabkhane and Khalaf. Notably, the texts from my Arabkhane corpus are among the first material ever to be published from this region. Halted fieldwork in the Islamic Republic of Iran will hopefully resume when the COVID-19 pandemic allows. This will include further research on the undocumented dialect of the so-called Khamse Arabs of Fars Province, to which I only briefly refer in the present paper. © 2022, Editura Universitatii din Bucuresti. All rights reserved.
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This article tackles the question: To what domains did education go when it left school buildings due to the coronavirus pandemic? To answer this question, 1184 observations of online activity, 1132 observations of face-to-face activity, 118 focus groups and 1110 individual interviews were undertaken. In addition, 1290 witticisms were collected, utilising humour to inform research. Data analysis reveals the relocation of education to three domains: the domestic, digital and political. Its relocation to the domestic domain has meant increased familial responsibility, fuelling domestic tensions and conflicting with home-based distractions. Its relocation to the digital domain has involved reduced physical interaction, rituality, social merit, mobility and student health. Its relocation to the political domain has given rise to issues of participation and reshaped the power, institutional fabrication and societal support of education. The conclusion introduces the concept of "coronian education"-a hybrid of the domestic, digital and political domains. Whereas pre-coronian education was limited to a single domain, the school, coronian education is fragmented across three domains. Although coronian education research is feasible in the digital and political domains, it is challenging to conduct such research in the domestic domain, as an enquiry into domesticity entails invading the private spaces of homes.
Subject(s)
COVID-19 , Education, Distance , Arabs , COVID-19/epidemiology , Focus Groups , Humans , PandemicsABSTRACT
Breast cancer (BC) is the most commonly diagnosed cancer among females in the United States. Substantial evidence has shown that regular mammogram screenings are effective for early BC detection and mortality reduction. Immigrant Muslim Arab women (IMAW), however, are less likely to be engaged in breast cancer screening (BCS), particularly mammogram screening. Few studies have explored factors associated with low mammogram utilization among IMAW. Additionally, all have overlooked an important factor-a husband's influence in adherence to mammography screenings. In Arab and Muslim cultures, a husbands' influence and responsibilities extends to their wives' healthcare-seeking behaviors, thus becoming an important factor in a woman's health status.Developing and implementing a qualitative and quantitative mixed-method study sought: 1) to investigate associations between levels of IMAW's health beliefs, BC knowledge, BC fatalism, modesty, perceived spousal support, and receiving physician recommendations and mammogram utilization;and 2) to better understand IMAW's experiences and perceptions of spousal influence on mammogram utilization within their sociocultural context. The quantitative portion of the study was guided by the health beliefs model utilizing online surveys in Arabic and English. Due to the COVID 19 pandemic, a convenience sample was recruited using social media methods. Independent variables measured five scales: 1) perceived spousal support, 2) modified Powe fatalism inventory, 3) modesty measure for Muslim women, 4) BC knowledge, and 5) Champion breast health beliefs. Questions regarding receiving a health care providers' (HCPs) recommendation for mammography was measured by self-report. Logistic regression explored relationships between independent variables and two outcomes: 1) ever had a mammogram, and 2) had a mammogram in the past two years.Guided by symbolic interactionism, the qualitative portion of the study was conducted on a purposive sample of IMAW. A semi-structured interview guide in Arabic and English was used during the one-on-one interviews. Arabic interviews were translated into English and then transcribed by professional employees. Interviews were analyzed utilizing thematic analysis (Braun and Clarke, 2008). ATLAS.ti was used for the data analysis.The 184 IMAW participants in the quantitative study had an average age of 50 years (SD = 3.5, range = 45-58 years);86.6% reported having at least one mammogram in their lifetime, and 32.6% within the past two years. In bivariate analyses, perceived self-confidence, BC knowledge, receiving HCP recommendation, and perceived spousal support were positively associated with both outcomes (having had a mammogram and having one in the past two years). Whereas, perceived mammogram barriers was negatively associated with both outcomes. Perceived mammogram benefits was positively associated with only having had a mammogram within the past two years. In the final multivariate model, level of knowledge and perceived mammogram barriers retained the significant prediction of both outcomes, and receiving HCP recommendation of having had a mammogram.The 20 qualitative interviews, 16 in Arabic and four in English, produced five themes: (1) types of husbands' support experienced by IMAW;(2) the impact of husbands' support on their wives' attitudes about mammograms;(3) the importance of husbands' support for mammogram use;(4) reasons behind inadequate husbands' support;and (5) notions of "individual and collective duty" of enhancing husbands' support.Implications.Investigating factors influencing IMAW's BC screening behaviors has resulted in important findings that can guide medical providers and nurses to a better understating of the factors influencing IMAW's health-seeking behaviors and thus assist in positive BC screening behaviors. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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Using a qualitative methodology of personal interviews and participant observation, this research investigates the role of Emirati women in the fight against the Covid-19 pandemic and the subsequent impact/challenges. Research participants included female Emirati health care workers and educationists. We observed Emirati families to help better understand the challenges women went through during the pandemic. Contrary to existing narratives about the invisibility, docility, marginalization, victimhood, and dependency of Arab women, this research reveals that Emirati women were able to exercise agency in the fight against the pandemic due to the following factors: longstanding government empowerment of women, a sense of patriotism, supportive male relatives, and female dominance in the health and educational sectors. During the pandemic, Emirati women have contributed in the following ways as: volunteers;international aid workers;care givers;health information agents;and virtual teachers. Despite this, challenges abound because of the following: increased family conflict;domestic violence;the psychological toll of Covid-related deaths;economic challenges;and increased domestic responsibilities. The Emirati women's case provides lessons for policy makers and societies desirous of women's empowerment.
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The ongoing COVID-19 global health crisis has both short- and long-term implications for the lives of young adults worldwide, especially young adults from vulnerable communities. The current exploratory study is the first, to our knowledge, that investigates the impact of the pandemic on the lives of at-risk young adult Arabs, who are part of a national minority group in Israel. Twenty-eight at-risk young adults aged 18 to 25 participated in semistructured interviews regarding the experiences, challenges and barriers they faced as emerging adults during the pandemic. Grounded theory analysis and theoretical thematic analysis were used to analyse the interviews. Findings revealed that the pandemic and the policy decisions made in its wake influenced the young adults' lives in primary areas including their financial and occupational status, their social ties and social support networks, their relationships with their biological families and their future plans and goals. The study's findings shed light on the complex reality of at-risk young adults during the pandemic and emphasize the increasing vulnerability of this cohort. The challenges they face as members of a collectivist society and of a national minority group are discussed. Implications for policy and practice highlight the need to increase these young adults' occupational and financial opportunities and to design holistic services that take into account their personal and sociocultural characteristics.
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Background: At the end of 2019, a new epidemic of an infectious easily transmissible disease is emerged in the world, Coronavirus disease 2019 (COVID-19) is infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), COVID-19 was first recognized in China, and then spread around the world, resulting in the ongoing coronavirus pandemic. Objectives: This study aims to investigate knowledge, attitude and practice of Arab population toward COVID-19. Methods: A self-administered web-based questionnaire was delivered through multiple social media channels targeting population of Arab countries. The questionnaire consists of 22 questions assessing the general knowledge and preventive measures of respondents toward COVID-19. Results: This is the first study to investigate KAP for the COVID-19 outbreak, among the general population of Arabs region. Our findings suggest that Arab residents have adequate knowledge, favorable attitudes, and good practices toward COVID-19. Knowledge of the disease is considered the most important step to any health education activity that is implemented. Conclusions: The majority of Arabs world residents are familiar with COVID-19, hold optimistic attitudes, and have appropriate practices toward COVID-19. Health education programs designed to enhance COVID-19 awareness are beneficial for Arab residents to maintain positive attitudes and appropriate practices.
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Loneliness has been associated with poor health. Social capital (SC) could possibly prevent the ill effects of loneliness. The study aims to assess the association of loneliness with physical and mental health in four different communities in Israel and study the impact of structural and cognitive SC on that association. A cross-sectional face-to-face survey with 4620 adults in four towns was conducted. The questionnaire included self-rated health (SRH), mental health (MH), loneliness, cognitive and structural SC and socioeconomic characteristics. Logistic regression analysis and mediation and moderation effects were calculated. Loneliness was associated with worse SRH (OR = 0.4-0.5) and worse MH (OR = 2.0-10). Both SC variables were associated with health. However, towns differ in these associations. Structural SC serves as a significant mediator between loneliness and SRH in all towns and is a mediator between loneliness and MH in two towns. Cognitive social capital was a moderator between loneliness and MH in two towns. This study suggests that increasing SC could possibly compensate for loneliness and buffer its effect on health. The study reinforces the need for the performance of separate health profiles to assess possible interventions for each community, as not always can we generalize these results to all communities.
Subject(s)
Loneliness , Social Capital , Cross-Sectional Studies , Israel , Loneliness/psychology , Socioeconomic FactorsABSTRACT
The COVID-19 pandemic has forced a worldwide revolution in our understanding of how to conduct education. International lockdowns were the catalyst for a global shift from traditional face-to-face learning to distance learning. This comparative study utilized a mixed method approach to investigate the readiness of Higher Education instructors and students and the challenges arising from the shift to distance education in two different Arab countries, Qatar and Jordan. Generally, the findings gleaned from the questionnaires (230 instructors and 551 students) revealed certain inconsistencies with the findings that emerged from the interviews (18 instructors and 38 students) in terms of both the level of readiness and the challenges faced. The results showed a substantial variation in instructors and students' readiness at both participating universities. While factors like country, age, gender, specialization, years of experience/year in the program, and the number of online training courses prior to the COVID-19 epidemic proved to cause statistically insignificant differences in instructors and students' readiness, variables including age, gender and prior experience in online courses were relatively influential for students in terms of the challenges they faced.
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PURPOSE: Multiple studies worldwide have reported the clinical and epidemiological features of coronavirus disease 2019 (COVID-19), with limited reports from the Middle East. This study describes the clinical and epidemiological features of COVID-19 cases in the Eastern Province of Saudi Arabia and identified factors associated with the severity of illness. PATIENTS AND METHODS: This was an observational study of 341 COVID-19 cases. These cases were reported in the first three months after the first case in the country was identified. Clinical and demographic data were analyzed and described to identify the effects of age, sex, and ethnicity on illness severity. In addition, the duration of viral shedding and cycle threshold (Ct) values of real-time PCR were evaluated as predictors of severity. RESULTS: The median age was 45 years. Males were twice as likely to be infected than females (p <0.0001). The duration of viral shedding ranged from 9 to 36 days. The most common clinical presentations include fever, shortness of breath, cough, myalgia, sore throat, vomiting, and headache. Critical cases were significantly higher in men (23% vs 8.7%), senior adults (>65 years), individuals of Bengali ethnicity, and in patients with comorbidities including diabetes, hypertension, and dyslipidemia (p =0.001). The case fatality rate was found to be 10%. The fatality was significantly higher in males than females (13.8% vs 2.6%), and in Asians (17.9%) than Arabs (6%) and Africans (0) (p =0.002). No association was found between viral load, represented by the RT-PCR cycle threshold (Ct) values, and severity of illness. CONCLUSION: Age, sex, and ethnicity are important predictors of COVID-19 severity. The cycle threshold (Ct) of the SARS-CoV-2 RT-PCR test cannot be used as a predictor of the criticality of illness.
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BACKGROUND: Vaccines for COVID-19 are currently available for the public in Israel. The compliance with vaccination has differed between sectors in Israel and the uptake has been substantially lower in the Arab compared with the Jewish population. AIM: To assess ethnic and socio-demographic factors in Israel associated with attitudes towards COVID-19 vaccines prior to their introduction. METHODS: A national cross-sectional survey was carried out In Israel during October 2020 using an internet panel of around 100,000 people, supplemented by snowball sampling. A sample of 957 adults aged 30 and over were recruited of whom 606 were Jews (49% males) and 351 were Arabs (38% males). RESULTS: The sample of Arabs was younger than for the Jewish respondents. Among the men, 27.3% of the Jewish and 23.1% of the Arab respondents wanted to be vaccinated immediately, compared with only 13.6% of Jewish women and 12.0% of Arab women. An affirmative answer to the question as to whether they would refuse the vaccine at any stage was given by 7.7% of Jewish men and 29.9% of Arab men, and 17.2% of Jewish women and 41.0% of Arab women. Higher education was associated with less vaccine hesitancy. In multiple logistic regression analysis, the ethnic and gender differences persisted after controlling for age and education. Other factors associated with vaccine hesitancy were the belief that the government restrictions were too lenient and the frequency of socializing prior to the pandemic. CONCLUSIONS: The study revealed a relatively high percentage reported would be reluctant to get vaccinated, prior to the introduction of the vaccine. This was more marked so for Arabs then Jews, and more so for women within the ethnic groups. While this was not a true random sample, the findings are consistent with the large ethnic differences in compliance with the vaccine, currently encountered and reinforce the policy implications for developing effective communication to increase vaccine adherence. Government policies directed at controlling the pandemic should include sector-specific information campaigns, which are tailored to ensure community engagement, using targeted messages to the suspected vaccine hesitant groups. Government ministries, health service providers and local authorities should join hands with civil society organizations to promote vaccine promotion campaigns.
Subject(s)
Arabs/psychology , COVID-19 Vaccines/administration & dosage , COVID-19/prevention & control , Jews/psychology , Adult , Age Factors , Aged , Aged, 80 and over , Attitude to Health , Cross-Sectional Studies , Female , Humans , Israel/epidemiology , Male , Middle Aged , SARS-CoV-2 , Sex Factors , Socioeconomic FactorsABSTRACT
In 2020, the World Health Organization has characterized COVID-19, a disease caused by infection with the SARS-CoV-2 virus, as a pandemic. Although a few vaccines and drugs have been approved to, respectively, prevent or treat the disease, several clinical trials are still ongoing to test new vaccines or drugs to mitigate the burden of the pandemic. Few studies have shown the role of host genetics in disease prognosis and drug response highlighting the importance of diverse participation in COVID-19 clinical trials. The goal of this study is to assess public attitudes in Egypt, Saudi Arabia, and Jordan toward participating in COVID-19 clinical trials and to identify the factors that may influence their attitude. An online questionnaire was developed and distributed among the target group through social media platforms. The number of responses was 1,576. Three quarters (74.9%) of participants heard about clinical trials before, 57.6% of them had a positive attitude toward participation in COVID-19 clinical trials. The conduct of clinical trials in accordance with the scientific, research, and ethical guidelines was a strong predictor of willingness to participate in clinical trials. Other positive factors also included protection of family from COVID-19 and contributing to the return to normal community life as well as receiving additional healthcare benefit was the fourth significant predictor. On the other hand, the thought that clinical trials can have a negative impact on the health of participants strongly predicted the unwillingness of individuals to participate in such trials. This was followed by having limited information about the novel coronavirus and COVID-19 and the lack of trust in physicians and hospitals. In general, Arab citizens are accepting the concept and have a positive attitude toward COVID-19 clinical trials. Increasing awareness of COVID-19 and clinical trials, enforcing the concept of altruism, and placing clear policies in conducting clinical trials are needed to increase participation in clinical trials among Arabs.