Heterogeneity of crisis communication practices in hotels: Anti-COVID-19 measures on Adriatic beach hotels' websites

Based on situational crisis communication theory, this study designs a research framework to identify differences in crisis communication practises on beach hotel websites in different Adriatic countries and between three consecutive summer seasons due to the COVID-19 pandemic. A qualitative inductive content analysis of official pandemic-related guidelines/recommendations from national and international competent organizations was carried out. Subsequently, an overlooked repeated measures design with deductive quantitative content analysis of crisis communications on hotel websites during the three summer seasons was conducted. Employing the McNemar test, the Cochran's Q-test and Friedman test with post-hoc comparisons, it was discovered that (1) beside the bolstering strategy, the new ‘ignore strategy' of crisis communication was also identified, which has many implications, (2) communication of anti-COVID-19 measures is statistically significant and relatively strongly associated with the country in which hotels are located, and (3) the number of different announcements on anti-COVID-19 measures is significantly different only between two seasons. © The Author(s) 2023.

The motility of posted workers during the COVID-19 pandemic: policies, trends and worker experiences in Austria

Purpose: To analyse the policies, posting trends and worker experiences during the pandemic, this study uses the concept of motility, i.e. workers' mobility capital, and examines how posted workers' geographical mobility, their access to and conditions of employment and social protection were impacted. The authors discuss how the measures against the pandemic undertaken at the European Union (EU) and national level have affected labour mobility, the impact these measures have had on macro trends of posting to Austria, and lastly, how the pandemic and the actions against it have influenced the lives of posted workers at the individual level. Design/methodology/approach: In this article, the authors focus on the specific case of posting to Austria. The authors ask whether, and if so, how EU and national policies which came about during the COVID-19 pandemic influenced the motility of posted workers, and how these workers used their mobility capital in this unfolding context. The authors address the research questions with analyses of EU and national level policies, use administrative data on posting, and individual-level data based on interviews with posted workers and public authorities. Findings: The authors find that the Austrian government's public health and economic priorities were jointly influential on the motility of cross-border workers. The specific case of the posted workers shed new light on the limits to such a national sovereignty approach when it comes to economic interests in an increasingly interdependent European labour market. This study's findings show that despite the access provided at the policy levels, the motility of posted workers was also affected by their individual circumstances, or competences, which produced different forms of appropriation. Originality/value: The authors apply the theoretical framework of motility by studying policy developments through the element of access options and conditions, and the posting trends to Austria and worker experiences at the individual level through the lenses of appropriation and competences. The authors find that while the EU and national public policy in enhancing access options have been successful during the COVID-19 period, amelioration attempts in access conditions have not been realised as observed in our analysis of the competence and appropriation dimensions of the posted workers in Austria. This highlights the need for a more integrated approach in the study of policies by exploring beyond the national and EU level policies and focussing on the implementation and observations at the individual level. © 2023, Emerald Publishing Limited.

Infection prevention and control programme and COVID-19 measures: Effects on hospital-acquired infections in patients with cirrhosis.

Background & Aims: Bacterial infections affect survival of patients with cirrhosis. Hospital-acquired bacterial infections present a growing healthcare problem because of the increasing prevalence of multidrug-resistant organisms. This study aimed to investigate the impact of an infection prevention and control programme and coronavirus disease 2019 (COVID-19) measures on the incidence of hospital-acquired infections and a set of secondary outcomes, including the prevalence of multidrug-resistant organisms, empiric antibiotic treatment failure, and development of septic states in patients with cirrhosis. Methods: The infection prevention and control programme was a complex strategy based on antimicrobial stewardship and the reduction of patient's exposure to risk factors. The COVID-19 measures presented further behavioural and hygiene restrictions imposed by the Hospital and Health Italian Sanitary System recommendations. We performed a combined retrospective and prospective study in which we compared the impact of extra measures against the hospital standard. Results: We analysed data from 941 patients. The infection prevention and control programme was associated with a reduction in the incidence of hospital-acquired infections (17 vs. 8.9%, p <0.01). No further reduction was present after the COVID-19 measures had been imposed. The impact of the infection prevention and control programme remained significant even after controlling for the effects of confounding variables (odds ratio 0.44, 95% CI 0.26-0.73, p = 0.002). Furthermore, the adoption of the programme reduced the prevalence of multidrug-resistant organisms and decreased rates of empiric antibiotic treatment failure and the development of septic states. Conclusions: The infection prevention and control programme decreased the incidence of hospital-acquired infections by nearly 50%. Furthermore, the programme also reduced the prevalence of most of the secondary outcomes. Based on the results of this study, we encourage other liver centres to adopt infection prevention and control programmes. Impact and implications: Infections are a life-threatening problem for patients with liver cirrhosis. Moreover, hospital-acquired infections are even more alarming owing to the high prevalence of multidrug-resistant bacteria. This study analysed a large cohort of hospitalised patients with cirrhosis from three different periods. Unlike in the first period, an infection prevention programme was applied in the second period, reducing the number of hospital-acquired infections and containing multidrug-resistant bacteria. In the third period, we imposed even more stringent measures to minimise the impact of the COVID-19 outbreak. However, these measures did not result in a further reduction in hospital-acquired infections.

ATTITUDES TOWARD CORONAVIRUS PROTECTION MEASURES IN ENTERPRISES (on the Example of the Ulyanovsk Region)

The paper explores anti-COVID restrictions in Russian enterprises. It based on a series of qualitative interviews conducted with workers and experts as part of a longitudinal study in 2020–2021 in the Ulyanovsk region. We focus on three key aspects: quarantine, mask wearing and vaccination, showing the attitudes of workers towards these measures, the degree of their acceptance or resistance to them. We conclude that restrictions were largely ineffective, but they allowed employers to increase control over staff and led to violations of labor rights. Coercion rather than persuasion served as the primary tool for promoting anti-COVID measures. The workers did not relate the implementation of these measures to occupational safety or management's concern about their health, but expressed a growing feeling of powerlessness. Anti-COVID restrictions are perceived to have reduced staff cohesion and caused conflicts between workers and management. Informants criticized both the content of the measures and the non-systemic manner of their implementation. The paper traces how long the anti-COVID measures lasted, and what were the reasons for their cancellation. © 2022, Russian Academy of Sciences. All rights reserved.

Emotions, crisis, and institutions: Explaining compliance with COVID-19 regulations

Amid the COVID-19 pandemic, citizens' compliance with government preventive measures was one of the top policy priorities for governments worldwide. This study engages with socio-legal and psychological theories on compliance and proposes an analytical framework to explore the role of different psychological factors on individual-level compliance during global health crises. Using the results of three national surveys, we argue that various negative emotional states, perceptions of the ongoing crisis, and of the institutional settings are major factors influencing individual compliance across countries. Most importantly, while increased panic, anxiety, and sadness lead to higher compliance, rising anger, loneliness, and impatience decrease compliance levels. Notably, perceptions of the COVID-19 crisis—especially health concerns and a worsening financial situation—tend to elicit anger among citizens across countries, thereby further hampering their obedience with pandemic regulations. Furthermore, perceptions of public institutions also influence individual compliance. Overall, in order to ensure compliance, we suggest that policymakers and those implementing government measures take individual psychological factors into account both within and beyond the public crisis context. © 2023 The Authors. Regulation & Governance published by John Wiley & Sons Australia, Ltd.

Healthcare utilisation, physical activity and mental health during COVID-19 lockdown: an interrupted time-series analysis of older adults in England.

COVID-19 measures which reduce interpersonal contact may be effective in containing the transmission, but their impacts on peoples' well-being and daily lives overtime remain unclear. Older adults are more vulnerable to both the virus and social isolation. It is therefore imperative to understand how they were affected during this period. Major concerns arising from the pandemic cover the aspects of mental health, healthcare utilisation and individual behavioural changes. Complementing the existing before-and-after analyses, we explore the impacts of easing and re-introducing COVID-19 measures by using a time-series data in England. The data was collected between May and November 2020 from the monthly surveys of the Platform for Research Online to Investigate Genetics and Cognition in Aging (PROTECT). Chi-squared analysis and interrupted time-series analysis were conducted to examine impacts of easing and re-introducing COVID-19 measures. Overall, mental health improves overtime but at a decreasing rate. The use of telephone/video consultations with a doctor or health professional presented a decreasing trend during the pandemic, whilst that of in-person consultation was increasing overtime. We observed significant variations in the time trends of mental health measures, healthcare utilisation and physical activity following the ease but not the re-introduction of COVID-19 measures. Future research is required to understand if these asymmetric impacts were driven by adaption of the people or stringency of the measures. Supplementary Information: The online version contains supplementary material available at 10.1007/s10433-022-00741-y.

Impact of COVID-19 measures on the health and healthcare of children in East-Africa: Scoping review.

BACKGROUND: The COVID-19 pandemic is of grave concern. As scientific data is being collected about the nature of COVID-19, government leaders and policy makers are challenged. They might feel pressured to take strong measures to stop virus spread. However, decisions could cause more harm than do good. This study maps all existing literature regarding the impact of COVID-19 containment measures on the health and healthcare of children in East-Africa. METHODS: This scoping review follows Population Concept Context guidelines of Arksey and O'Malley and PRISMA 2020 checklist. PubMed, Web of Science, and Embase were searched. All peer-reviewed literature published in English between January 2020 and October 2022 was considered. Initial screening of titles and abstracts was undertaken independently by two reviewers, with a third available in case of doubt. This was followed by full-text screening involving two independent reviewers. RESULTS: In total, 70 studies were included. Eight containment measures affecting children's health and healthcare were distinguished: lockdowns, school closures, physical distancing, travel restrictions, business closures, stay-at-home orders, curfews, quarantine measures with contact tracing. The consensus in the studies is that containment measures could minimise COVID-19 spread but have adverse indirect effects on children in East-Africa. Seven indirect effects were distinguished: economic damage, limited education access, food insecurity, child abuse, limited healthcare access, disrupted health-programs, and mental health challenges. CONCLUSION: Government leaders and policy makers should take adverse indirect effects of COVID-19 measures into account, particularly in resource-limited regions such as East-Africa, apply a holistic approach, and strengthen socioeconomic and health-systems to protect the most vulnerable.

ATTITUDES TOWARD CORONAVIRUS PROTECTION MEASURES IN ENTERPRISES (on the Example of the Ulyanovsk Region)

The paper explores anti-COVID restrictions in Russian enterprises. It based on a series of qualitative interviews conducted with workers and experts as part of a longitudinal study in 2020-2021 in the Ulyanovsk region. We focus on three key aspects: quarantine, mask wearing and vaccination, showing the attitudes of workers towards these measures, the degree of their acceptance or resistance to them. We conclude that restrictions were largely ineffective, but they allowed employers to increase control over staff and led to violations of labor rights. Coercion rather than persuasion served as the primary tool for promoting anti-COVID measures. The workers did not relate the implementation of these measures to occupational safety or management's concern about their health, but expressed a growing feeling of powerlessness. Anti-COVID restrictions are perceived to have reduced staff cohesion and caused conflicts between workers and management. Informants criticized both the content of the measures and the non-systemic manner of their implementation. The paper traces how long the anti-COVID measures lasted, and what were the reasons for their cancellation.

Study of the discursive strategies of argumentation in situations of institutional violence in a pandemic

The objective of this work is to analyze the exchanges between the police and a family in a situation of police abuse during the Covid19 pandemic to study the effects of the discursive argumentation strategies used by the parties. The video that the mother uploads to Facebook will be analyzed within the framework of linguistic discourse analysis and interactional argumentation with a prag-matic, strategic and critical perspective (Carrizo 2019;Gumperz 1982;Labov 1972;Menéndez 2005;Wilson and Sperber 2004;van Eemeren and Grootendorst 2002). Preliminary results show the discursive consequences of the asymmetric power relationship typical of the interaction with the police, which leads the family to opt for a limit exit with risk to their physical and emotional integrity. The socio-sanitary emergency measures adopted in the pandemic accentuated the basic social discrimination for vulnerable sectors that require public medical care, especially in areas far from their place of residence. © 2022, Latinamerican Association of Discourse Studies. All rights reserved.

Schoolchildren's Attitudes Toward Covid-19 Measures Scale: A Scale Development Study.

For schools and academic studies to continue, children as well must adhere to the measures taken to prevent the spread of Covid-19. The aim of this study was to develop a scale to assess schoolchildren's attitudes toward Covid-19 measures. The sample of this study, which was designed in a methodological type, consisted of 205 children. This study was conducted at primary schools in Zonguldak, Turkey. The validity of content and construct was examined to evaluate the validity of the Schoolchildren's Attitudes toward Covid-19 Measures Scale. This scale is a valid and reliable measure for assessing the attitudes of schoolchildren toward Covid-19 measures. The results of the factor analysis indicated a scale with 28 items and six factors. Cronbach's alpha value for the overall scale is 0.928. According to the results of the analysis, the developed scale was found to have excellent content and construct validity and reliability for schoolchildren.

APPLICABILITY OF ANTI-COVID-19 MEASURES AND THEIR IMPACT UPON THE PERCEPTIONS ON THE SAFETY AND IMAGE OF THE STRUCTURE OF TOURISM CASE STUDY, ALBANIA

At present, Albania lacks original studies that examine the role of safety and security as an important factor in the competitiveness of a tourist destination. In order to fill this gap, the article aims to measure the perception level regarding the recognition of the Safety and Security pillar and its standards, to assess the role of the image of Albania as a significant component in tourism development and to analyse the relationship of the image of Albania to security and performance of the state institutions. The methodology used combines information collected from interviews of the actors contributing to the Albanian tourism sector with the related official documentation and literature reviews. The paper supports application of the factor analysis method regarding perception of the actors and interest groups involved in the tourism sector. The findings indicate that the Safety and Security pillar standards are not familiar to the actors contributing to the sector of tourism in Albania. The main performance components in the tourism sector are the security and performance of the state institutions. © 2022 Editura Universitatii din Oradea. All rights reserved.

Why Are General Moral Values Poor Predictors of Concrete Moral Behavior in Everyday Life? A Conceptual Analysis and Empirical Study.

Within moral psychology, theories focusing on the conceptualization and empirical measurement of people's morality in terms of general moral values -such as Moral Foundation Theory- (implicitly) assume general moral values to be relevant concepts for the explanation and prediction of behavior in everyday life. However, a solid theoretical and empirical foundation for this idea remains work in progress. In this study we explore this relationship between general moral values and daily life behavior through a conceptual analysis and an empirical study. Our conceptual analysis of the moral value-moral behavior relationship suggests that the effect of a generally endorsed moral value on moral behavior is highly context dependent. It requires the manifestation of several phases of moral decision-making, each influenced by many contextual factors. We expect that this renders the empirical relationship between generic moral values and people's concrete moral behavior indeterminate. Subsequently, we empirically investigate this relationship in three different studies. We relate two different measures of general moral values -the Moral Foundation Questionnaire and the Morality As Cooperation Questionnaire- to a broad set of self-reported morally relevant daily life behaviors (including adherence to COVID-19 measures and participation in voluntary work). Our empirical results are in line with the expectations derived from our conceptual analysis: the considered general moral values are poor predictors of the selected daily life behaviors. Furthermore, moral values that were tailored to the specific context of the behavior showed to be somewhat stronger predictors. Together with the insights derived from our conceptual analysis, this indicates the relevance of the contextual nature of moral decision-making as a possible explanation for the poor predictive value of general moral values. Our findings suggest that the investigation of morality's influence on behavior by expressing and measuring it in terms of general moral values may need revision.

A Moderated Mediation Model Explaining the Relationship Between Risk-Group Membership, Threat Perception, Knowledge, and Adherence to COVID-19 Behavioral Measures.

Background: COVID-19 is a threat to individual and global health, thus, reducing the disease's spread is of significant importance. However, adherence to behavioral measures against the spread of COVID-19 is not universal, even within vulnerable populations who are at higher risk of exposure to the virus or severe COVID-19 infection. Therefore, this study investigates how risk-group membership relates to adherence to COVID-19 behavioral measures, whether perceived threat of COVID-19 is a mechanism explaining this relationship, and whether knowledge about COVID-19 moderates these effects. Methods: We conducted a web-based survey (N = 4,096) representative of the adult population in Germany with regard to gender, age (18 to 74), and province. Therein, we assessed risk group membership with two indicators (risk of exposure to COVID-19 and risk of severe COVID-19 infection), perceived COVID-19 threat with the Perceived Coronavirus Threat Questionnaire, knowledge about COVID-19 with a knowledge test; and adherence to six behavioral measures to protect against the spread of COVID-19 (e.g., keeping distance, using mouth-nose protection, and following contact restrictions). We used moderated mediation models to test whether perceived threat mediates the relationship between risk-group membership and adherence and whether knowledge about COVID-19 moderates this relationship. Results: We found that risk group members had more perceived COVID-19 threat and that knowledge about COVID-19 increased perceived threat. Moreover, risk group membership had a positive direct effect on adherence to most behavioral measures and risk group members with less knowledge about COVID-19 violated measures more frequently. Risk-group membership also had positive indirect effects on adherence via perceived COVID-19 threat. The moderated indirect effects of threat indicate that threat led to more adherence when knowledge was low, but lost relevance as knowledge increased. Conclusion: The results may help to evaluate disease-regulation measures and to combat the pandemic more effectively. For example, increasing COVID-19 knowledge in the general population could increase adherence to COVID-19 behavioral measures. However, policy makers should be mindful that this could also have negative mental health implications as knowledge increases perceived COVID-19 threat.

Factors Associated With Depressive Symptoms in Individuals Who Have Experienced COVID-19 Self-Quarantine.

The purpose of this study was to identify the factors associated with depressive symptoms in individuals who have experienced self-quarantine because of coronavirus disease exposure or infection using Lazarus and Folkman's stress, coping, and adaptation theory, and George's Social Antecedent Model of Depression. This was a cross-sectional study that used data from the 2020 Korean Community Health Survey. A complex sample design was used to analyze the data. Descriptive statistics, the Rao-Scott X2 test, and logistic regression analysis were conducted to identify factors associated with depressive symptoms. Approximately 5.3% of the subjects had depressive symptoms. The factors associated with depressive symptoms were age, level of education, household income, changes in daily life due to coronavirus disease, whether someone provided assistance during the self-quarantine, perceived health status, and hospital consultation due to depressive symptoms. The findings of this study will be utilized as basic data for the development of programs to alleviate and prevent depressive symptoms in self-quarantine individuals.

The Effects of the 2020 COVID-19 Lockdown on Mood, Behavior, and Social and Cognitive Functioning in Older Long-Term Care Residents.

OBJECTIVES: We aimed to explore the effects of the Dutch COVID-19 lockdown (March 20-May 25, 2020) on mood, behavior, and social and cognitive functioning of older residents of long-term care facilities (LTCFs) prospectively. DESIGN: Mixed methods: historically controlled longitudinal cohort study and focus groups. SETTING AND PARTICIPANTS: Residents of Dutch LTCFs. METHODS: Residents who were assessed during and prior to the lockdown were compared to residents of the same wards with 2 assessments prior to the lockdown. We used mixed models and generalized estimating equation analyses to explore differences in changes in mood, withdrawal and aggressive behavior, loneliness and conflict, and cognition and delirium. We also explored whether the effect of the lockdown differed for different subgroups. In 2 online focus groups, LTCF care professionals, ranging from care staff to physicians, reflected on their experiences of the effect of the lockdown and the cohort study results. RESULTS: The lockdown group of 298 residents was compared to the control group of 625 residents. Self-reported mood symptoms showed a slightly greater increase during the lockdown. During the first half of the lockdown, the level of conflict with other residents decreased whereas it increased in the control group. The subgroup with moderate-severe cognitive impairment showed a decrease in withdrawal during the lockdown, whereas the group with no-mild cognitive impairment showed a statistically nonsignificant relative increase. Professionals described great individual variation in the effects of the lockdown on residents. Facilities attempted to preserve the experienced positive effects, for example, by promoting tranquility in shared rooms and continuing to organize individualized ward-based activities. CONCLUSIONS AND IMPLICATIONS: We did not find clinically relevant negative effects of the lockdown on mood, behavior, and social and cognitive functioning in older residents of LTCFs at the group level. Possibly, staff mitigated the negative effects at the group level. Meanwhile, they learned lessons that they continue to apply to enhance resident well-being.

Re-considering the energy efficient retrofitting approach to question cost-optimality and nZEB under COVID-19 measures

The building energy performance has been highly studied in the last decades considering the indoor environmental quality, and sustainability indicators to examine energy-efficient cost-optimal, and nZEB building levels for different building typologies. However, since the start of the COVID-19 pandemic in 2020, the usage and operation of public spaces and buildings have evolved according to COVID-19 measures produced by the authorities. Social distancing measures and HVAC system measures affecting energy performance and indoor environmental quality of the public buildings are consequently necessary for building energy performance studies. Thereby, it is aimed at re-considering an energy-efficient cost-optimal retrofitting approach for a primary school building case, under the COVID-19 measures to recast an energy-efficient cost-optimal level and apply a cost-efficiency criterion to search for the measures adapted nZEB scenarios. COVID-19 measures affecting building energy performance, such as social distancing and IEQ requirements, were analysed. Then, probable ventilation rates were controlled by the infection probability method to satisfy the limit number for infection. Thus, pre-COVID-19 and post-COVID-19 variables regarding occupancy density and HVAC operation were determined for the calculation process. Besides, retrofit scenarios were shaped to improve optic and thermophysical properties of the façade, lighting, and HVAC systems performance. Then, energy, LCC, thermal comfort and IEQ performance of retrofit scenarios were calculated with a calibrated model. Results were evaluated by applying the cost-efficiency criterion to find out nZEB scenarios. It can be stated that distinct LCC and energy use increments occurred in the cost-optimal range and nZEB level.

Evaluation of air quality in indoor and outdoor environments: Impact of anti-COVID-19 measures.

This study monitors the presence of 88 volatile organic compounds (VOCs) and semi-volatile organic compounds (semi-VOCs) at the gas phase of seven indoor settings in a school in the city of Tarragona, Spain, and five outdoor locations around the city. The VOCs and semi-VOCs monitored were solvents (∑Solvents), aldehydes (∑Aldehydes), emerging organic compounds (∑EOCs), and other VOCs and semi-VOCs (∑Others). Passive sampling campaigns were performed using Carbopack X tubes followed by thermal desorption coupled to gas chromatography with mass spectrometry (TD-GC-MS). Overall, 70 of the target compounds included in the method were determined in the indoor air samples analysed, and 42 VOCs and semi-VOCs in the outdoor air samples. Our results showed that solvents were ubiquitous throughout the school at concentrations ranging from 272 µg m-3 to 423 µg m-3 and representing 68%-83% of total target compounds (∑Total). The values of ∑Total in 2021 were three times as high as those observed at the same indoor settings in 2019, with solvents experiencing the greatest increase. A plausible explanation for these observations is the implementation of anti-COVID-19 measures in the indoor settings, such as the intensification of cleaning activities and the use of hydroalcoholic gels as personal hygiene. The ∑Total values observed in the indoor settings evaluated were twenty times higher than those found outdoors. ∑Solvents were the most representative compounds found indoors (74% of the ∑Total). The concentrations of VOCs and semi-VOCs observed in the outdoors were strictly related to combustion processes from automobile traffic and industrial activities, with ∑Others contributing 58%, ∑Solvents 31%, and ∑Aldehydes 11% of the ∑Total. EOCs, on the other hand, were not detected in any outdoor sample.

Assessment of indoor and outdoor air quality in primary schools of Cyprus during the COVID-19 pandemic measures in May-July 2021.

Combined pollutant effects from indoor and outdoor sources on children's health, while being at school have not been holistically tackled. The aim of the School Temperature and Environmental Pollutants Study (STEPS) was to perform a school population representative assessment of indoor air quality (IAQ) in primary schools of densely and intermediate populated areas of Cyprus (n = 42). The study took place during May-July 2021 when a school-specific COVID-19 protocol was in place. Questionnaire-based characteristics of schools/classrooms were collected along with 24/48-h long IAQ monitoring of air temperature, relative humidity (RH), particulate matter (PM), carbon dioxide (CO2) and volatile organic compounds (VOCs), using low-cost sensors. Mixed effect models assessed the IAQ determinants during school hours. Indoor PM, temperature, RH and VOCs increased with progressing school periods in the day, while indoor CO2 decreased. Indoor RH and CO2 were negatively associated with % open windows, while indoor PM2.5 was positively associated. Most of school time (85%), indoor air temperature exceeded the recommended upper limit (27 °C), while a third of indoor PM2.5 (24-h) measurements exceeded 15 µg/m3. The interplay of clean indoor air with adequate ventilation and adaptation to heat stress in schools is important and its comprehensive characterization requires holistic methodological approaches and tools.

Impact of Cafeteria Service Discontinuation at a Dialysis Facility on Medium-Term Nutritional Status of Elderly Patients Undergoing Hemodialysis.

Despite evident lifestyle changes due to measures against the coronavirus disease 2019 (COVID-19) outbreak, few reports focus on the effects of eating-behavior changes on the nutritional status of elderly patients undergoing hemodialysis (HD). Thus, we examined dry-weight reduction, the simplest indicator of malnutrition among patients undergoing dialysis, and its association with the discontinuation of cafeteria services at a dialysis facility as per COVID-19 measures. This retrospective study included elderly patients (aged ≥ 65 years) undergoing HD at the Nagasaki Renal Center between December 2020 and October 2021. We collected nutrition-related data and patient characteristics and evaluated the association between the service discontinuation and dry-weight reduction 10 months after the discontinuation using multivariable logistic regression. This study included 204 patients, 79 of which were cafeteria users. During the observation period, cafeteria users showed significant dry-weight reduction; however, this was not observed among non-users. Multivariable logistic regression analysis indicated a close association between dry-weight reduction and the service discontinuation. That is, the dietary services cancelation caused dry-weight reduction in patients who relied on the cafeteria. As elderly patients undergoing HD are vulnerable to changes in their eating environment, alternative nutritional management methods need to be considered.