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1.
Environ Monit Assess ; 195(7): 822, 2023 Jun 09.
Article in English | MEDLINE | ID: covidwho-20244205

ABSTRACT

Land surface temperature (LST) is an important variable in urban microclimate research. At the end of 2019, the emergence of Covid-19 pandemic has changed the world in a manner that forced many countries to impose restrictions in human activities. As a measure to prevent the expansion of Covid-19 infections, most of the major cities have entered a prolonged lockdown period and reduction in human activities between the early 2020 and the late 2021. These restrictions were strict in most of the cities in Southeast Asia, particularly in Vietnam. The present study investigated the variations in LST and NDVI observed in three rapidly growing urban areas, namely Da Nang, Hue and Vinh, in Vietnam using Landsat-8 imagery acquired between 2017 and 2022. There has been a slight reduction in LST in the study sites, particularly in Da Nang City, during the lockdown period but not as high as observed in recently conducted studies from big metropolitan cities, including in Vietnam. It is also observed that LST estimated from built-up areas and other impervious surfaces remained relatively stable during the study period which is similar to the results from recent studies.


Subject(s)
COVID-19 , Urbanization , Humans , Cities , Temperature , Hot Temperature , Vietnam/epidemiology , Pandemics , Environmental Monitoring/methods , COVID-19/epidemiology , Communicable Disease Control
2.
J Psychosoc Rehabil Ment Health ; : 1-11, 2022 Sep 17.
Article in English | MEDLINE | ID: covidwho-20244744

ABSTRACT

Individual Placement and Support (IPS) is an evidence-based supported employment program that helps people with severe mental illness to achieve steady, meaningful employment in competitive mainstream jobs. The purpose of this study is to investigate the impact of Covid-19 restrictions on IPS service delivery in Northern Norway between March and October 2020. In Norway, IPS is in the early stages of full-scale implementation and is therefore potentially sensitive to external stressors such as the Covid-19 pandemic. In October 2020 we conducted a retrospective, cross-sectional survey with IPS employment specialists in Northern Norway (n = 25). The purpose was to collect information about how Covid-19 restrictions between March and October 2020 impacted their ability to deliver IPS services. As a result of Covid-19 restrictions, more than half the employment specialists were reassigned to other roles or non-IPS related work tasks. They also reported less collaborative engagement with clinical teams and employers. 69 (20.4%) of IPS users supported by employment specialists gained employment after the Covid-19 restrictions were introduced and 82.8% of unemployed IPS users continued to seek competitive employment despite Covid-19 restrictions. Covid-19 restrictions appear to have created obstacles for IPS service delivery in Northern Norway and have negatively impacted the employment specialists' collaborative engagement with clinical teams. However, IPS employment specialists have shown strong capabilities in overcoming these challenges and services users have remained motivated to seek employment during the pandemic.

3.
Sex Res Social Policy ; : 1-12, 2022 May 28.
Article in English | MEDLINE | ID: covidwho-20243317

ABSTRACT

Introduction: COVID-19 related lockdowns have impacted the sexual activity of gay and bisexual men (GBM). We investigated trends in sexual behaviors and the COVID-19 context in which they occurred (COVID-notification rates and jurisdictional restrictions) to understand changes in the duration and severity of periods of lockdown on the sexual behavior of Australian GBM. Methods: In an online, prospective observational study of 831 GBM from May 2020 to May 2021, we investigated associations between changes in sexual behavior among Australian GBM, lockdowns, and COVID-19 notification rates through weekly surveys from May 2020 to May 2021. Results: The mean age was 45.71 years (SD: 13.93). Most identified as gay (89.0%) and 10.2% were living with HIV. There was an overall increase in the mean weekly number of non-committed relationship partners (0.53-0.90, p < 0.001). The state of Victoria experienced a significant extended COVID-19 outbreak, accompanied by severe lockdown restrictions. In response, Victorian men's partner numbers shifted three times, while elsewhere there was an overall gradually increasing trend. Conclusions: Less severe outbreaks with shorter lockdown periods, involving fewer and geographically contained, COVID-19 notifications were accompanied by non-significant changes in sex with non-relationship partners than more severe outbreaks over extended periods and larger geographical areas. Supplementary Information: The online version contains supplementary material available at 10.1007/s13178-022-00733-8.

4.
Behav Sci (Basel) ; 13(5)2023 May 14.
Article in English | MEDLINE | ID: covidwho-20236262

ABSTRACT

The COVID-19 lockdown restrictions affected physical performance and cognitive function in older people as they were confined to their homes. There is an association between physical and cognitive functions. Mild Cognitive Impairment (MCI) is a condition that risks progressing to dementia. This study aimed to identify the relationship between handgrip strength (HGS), Timed Up-and-Go (TUG), and MCI in older people during the COVID-19 pandemic restrictions. The cross-sectional study recruited 464 eligible participants for an interview and anthropometric measurement. The Montreal Cognitive Assessment-Basic (MoCA-B), HGS, and TUG were measured in addition to demographic and health characteristics. A total of 398 participants (85.8%) were found to have MCI when screened with the MoCA-B. Their mean age was 71.09 ± 5.81 years. Forward multiple regression analysis demonstrated that HGS (ß = 0.032, p < 0.001), education level (ß = 2.801, p < 0.001), TUG (ß = -0.022, p = 0.013), Thai Geriatric Depression Score, TGDS (ß = -0.248, p = 0.011), and age (ß = -1.677, p = 0.019) were associated with MCI. A decrease in HGS and an increased TUG might allow for the early detection of MCI and promote physical training in order to reduce the risk of MCI. Further studies can investigate multidomain indicators for MCI, for example, fine motor skills and pinch strength as components of the motor abilities.

5.
Revista General De Derecho Publico Comparado ; (32)2022.
Article in English | Web of Science | ID: covidwho-2307470

ABSTRACT

The article focuses on one of the major protests against COVID-19 vaccine mandates and restrictions which broke out in Canada from the early 2022, commonly known under the name of "Freedom Convoy". After some comments on how Canada's diverse community and citizenship continue to evolve, the article describes the origins and progress of the convoy. In particular, it analyzes how the convoy challenged the institutions of government and tested the extent to which citizens are entitled to interpret the Constitution according to their own individual conscience.

6.
Hispania ; 106(1):67-82, 2023.
Article in English | Scopus | ID: covidwho-2296917

ABSTRACT

Studies on the application of service-learning with an emphasis on heritage learners are still emerging. Using a critical service-learning approach, I describe how the integration of a service-learning project showed heritage learners of Spanish the need for people with their bilingual abilities. Specifically, I examine the impact of service-learning and critical language pedagogies on students' perception and appreciation (or lack thereof) of their linguistic abilities. A qualitative analysis of self-reported answers to a biographical questionnaire and a final guided reflection, revealed that heritage learners not only gained confidence in their linguistic skills but also advanced their knowledge of the language and cultures while challenging and disrupting inequities that exist in a Latinx community. This study contributes to an emerging literature on the application of critical service-learning approaches to service-learning in heritage language learners' courses by showing the benefits and challenges of incorporating a project that sought mutual benefits for all stakeholders involved. It also contributes to documenting ways to create access to service-learning during the pandemic and how service-learning projects can be incorporated in courses offered virtually only. AATSP Copyright © 2023.

7.
BMC Health Serv Res ; 23(1): 363, 2023 Apr 12.
Article in English | MEDLINE | ID: covidwho-2302400

ABSTRACT

BACKGROUND: Disruptions in essential health services during the COVID-19 pandemic have been reported in several countries. Yet, patterns in health service disruption according to country responses remain unclear. In this paper, we investigate associations between the stringency of COVID-19 containment policies and disruptions in 31 health services in 10 low- middle- and high-income countries in 2020. METHODS: Using routine health information systems and administrative data from 10 countries (Chile, Ethiopia, Ghana, Haiti, Lao People's Democratic Republic, Mexico, Nepal, South Africa, South Korea, and Thailand) we estimated health service disruptions for the period of April to December 2020 by dividing monthly service provision at national levels by the average service provision in the 15 months pre-COVID (January 2019-March 2020). We used the Oxford COVID-19 Government Response Tracker (OxCGRT) index and multi-level linear regression analyses to assess associations between the stringency of restrictions and health service disruptions over nine months. We extended the analysis by examining associations between 11 individual containment or closure policies and health service disruptions. Models were adjusted for COVID caseload, health service category and country GDP and included robust standard errors. FINDINGS: Chronic disease care was among the most affected services. Regression analyses revealed that a 10% increase in the mean stringency index was associated with a 3.3 percentage-point (95% CI -3.9, -2.7) reduction in relative service volumes. Among individual policies, curfews, and the presence of a state of emergency, had the largest coefficients and were associated with 14.1 (95% CI -19.6, 8.7) and 10.7 (95% CI -12.7, -8.7) percentage-point lower relative service volumes, respectively. In contrast, number of COVID-19 cases in 2020 was not associated with health service disruptions in any model. CONCLUSIONS: Although containment policies were crucial in reducing COVID-19 mortality in many contexts, it is important to consider the indirect effects of these restrictions. Strategies to improve the resilience of health systems should be designed to ensure that populations can continue accessing essential health care despite the presence of containment policies during future infectious disease outbreaks.


Subject(s)
COVID-19 , Pandemics , Humans , Pandemics/prevention & control , COVID-19/epidemiology , COVID-19/prevention & control , Health Services , Health Facilities , Long-Term Care
8.
AIDS Behav ; 2022 Nov 28.
Article in English | MEDLINE | ID: covidwho-2291567

ABSTRACT

Alcohol use is especially problematic for people living with HIV (PLWH) and was likely to be impacted by the coronavirus disease (COVID-19) pandemic and its restrictions. In a study of PLWH with latent tuberculosis infection, we measured unhealthy alcohol use with the Alcohol Use Disorders Identification Test (AUDIT-C), phosphatidylethanol (PEth) and bar attendance. We analyzed data collected before and after COVID-19 restrictions, and used Generalized Estimating Equations (GEE) logistic regression models to evaluate changes in unhealthy alcohol use. While bar attendance declined from 57.0% before to 38.3% after the restrictions started, multivariable analysis controlling for bar use showed a significant increase in unhealthy alcohol use; the adjusted odds ratio for unhealthy drinking before versus after the restrictions started was 1.37 (95% CI: 0.89-2.12) which increased to 1.64 (95% CI: 1.08-2.50) when bar attendance was added to the model. Decline in bar attendance did not decrease unhealthy alcohol use.

9.
Professional Psychology : Research and Practice ; 54(1):93, 2023.
Article in English | ProQuest Central | ID: covidwho-2269168

ABSTRACT

Due to the rapid spread of COVID-19 in long-term care (LTC) settings and the subsequent mandatory visitor restrictions that were put in place, the provision of behavioral health services in LTC settings was impacted. To examine the pandemic's effect on the provision of psychological services in this setting and its impact on clinicians and their patients, we surveyed 126 licensed mental health clinicians working in LTC settings during the pandemic. The sample consisted of psychologists, social workers, and psychiatry mid-level practitioners from 31 states who had provided mental health care services in LTC settings during the initial 7 months after the COVID-19 pandemic was declared a national emergency. This exploratory study revealed that the pandemic significantly impacted the availability and use of mental health services in LTC settings. Although there was a reported increase in the use of telehealth services compared to prepandemic frequency, it was noted that LTC residents went long periods of time without access to mental health services. Government-imposed visitor restrictions and pandemic-related restrictions were perceived as negatively impacting the emotional well-being, loneliness, and quality of life of LTC residents. Perceived factors contributing to the financial and emotional impact of COVID-19 on clinicians were explored, and it was noted that more than half of the sample reported experiencing burnout and nearly one third of surveyed clinicians believed they had experienced trauma by providing mental health services in LTC settings during the COVID-19 pandemic. Understanding this impact has implications for providing mental health services during the current and future pandemics.

10.
Culture & Psychology ; 29(1):3-26, 2023.
Article in English | ProQuest Central | ID: covidwho-2258306

ABSTRACT

The measures, restrictions, and death-related rituals in the COVID-19 pandemic have affected the mourning-related routines of individuals. Moreover, mourning processes have been affected by the restriction of death-related cultural rituals, funeral ceremonies performed only by the officials, and the prohibition of visiting graves. This study aims to investigate the experiences of individuals who lost their loved ones in Turkey during the COVID-19 pandemic. For that purpose, the phenomenological method is employed in the design of the study. Individual interviews were conducted with nine participants who lost their relatives during the COVID-19 pandemic. Data were collected through semi-structured interview forms prepared by the researchers. The study participants described the various factors contributing to the grief and mourning process in the COVID-19 pandemic. These factors were categorized into three following main categories: grief and mourning responses of the individuals lost loved ones, including cognitive, emotional, and behavioral responses;risk factors including the expectation of harm, unfinished business, and restriction of death-related religious-cultural rituals;and protective factors including relative support (i.e., family, spouse, friend, partner), tele-support (i.e., mobile phone, internet, social media), positive coping strategies (cognitive, behavioral, and religious-spiritual), and delayed business. The "delayed business” concept was also addressed within protective factors and explained in general terms. Finally, the findings were discussed considering the literature and presented some theoretical and practical implications.

11.
Humor: International Journal of Humor Research ; 34(2):201-227, 2021.
Article in English | APA PsycInfo | ID: covidwho-2254924

ABSTRACT

The analysis undertaken in the article focuses on a group of memes selected from the database which drew on culture-specific references. Specifically, they embrace the memories of socialist times and call on references to comic films and easily recognized characters in order to bring out the re-discovered absurdity of the current COVID-19 situation. This material seems ideal to revisit Raskin's early notion of sophistication, which was broadly argued to derive from intertextuality as well complexity of references that function as sources of humor. In all the examples discussed we can observe the intertextual and metatextual elements, multiple levels and shifts in points of view and attitudes as well as the mutual relations of verbal to visual within the meme cycles. In order to identify specific mechanisms of sophisticated humor, we attempt to identify the visual or verbal triggers of overlap of the two worlds in question, and discuss comic mechanisms of sophistication, including attributions of desire, belief and intention (purpose) to characters or the narrator as commentators on events or situations. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

12.
Disabil Rehabil ; : 1-8, 2022 Mar 21.
Article in English | MEDLINE | ID: covidwho-2251743

ABSTRACT

PURPOSE: This study explored the experiences of people with acquired brain injury and their families during the COVID-19 pandemic, focusing on how they maintained their communities and sense of belonging, the strategies they found helpful, and advice they have for improving service provision and community connectedness. METHODS: Semi structured interviews with pictorial mapping were conducted with ten adults with ABI and six of their family members. Participants responded to recruitment information circulated by a state-wide ABI peer support network in South Australia. RESULTS: Four primary themes were identified from the findings: (1) disruptions to routine; (2) social isolation; (3) using technology; and (4) strategies for staying safe and keeping well. Results are discussed using a social and urban geography lens and a conceptual framework of belonging to explore the experiences of people with ABI and their communities. CONCLUSIONS: The study reinforces the role of robust peer/support networks to stay connected, stay well and support others. Government, health services and community groups must provide clear and accessible information and supports, and regularly reach out to ensure the safety and wellbeing of people with ABI and their families during the pandemic.IMPLICATIONS FOR REHABILITATIONPeople with acquired brain injury and their families experienced increased challenges to maintaining contact with their communities during the COVID-19 pandemic.The main challenges were disruptions to routine, social isolation, and use of technology for health, therapy and social contact.Strategies to support people with ABI to maintain connections, stay engaged, and access technology and information to stay safe and well during lock-down are presented.

13.
Journal of Applied Animal Ethics Research ; 16(23):11324.0, 2023.
Article in English | Scopus | ID: covidwho-2246148

ABSTRACT

The popularity of puppies/dogs as companions/playmates/walking buddies was highlighted in Ireland with COVID-19 restrictions in March/2020, when the demand for puppies/dogs increased as people were confined to within 2/km of their homes. However, what was the rational supporting this trend, the influences/research undertaken by prospective owners? Two online-surveys were conducted, targeting veterinarians and behaviorists to establish motivation/attitude to owning dogs and behavioral issues being presented. Interviews by phone were conducted with the Dublin Society for the Prevention of Cruelty to Animals, Dog's Trust and three Italian shelters for comparison purposes, to investigate the welfare of dogs during restrictions. An Garda Síochána (the National Police Service of Ireland) were contacted, to clarify the situation, in relation to dog theft and domestic abuse, which is strongly associated with animal abuse. Many factors may have influenced/impacted the epigenetic development of the behavior and resulting welfare of puppies/dogs, during this period. © Koninklijke Brill NV, Leiden, 2023.

14.
International Journal of Conflict and Violence ; 17:45200.0, 2023.
Article in English | Scopus | ID: covidwho-2243877

ABSTRACT

This study aimed to explore the experiences of gender-based violence, insecurity, and health effect of the COVID-19 pandemic lockdown among women and girls three to six weeks into lockdown measures in Nigeria. This was a cross-sectional survey carried out in Nigeria among 1,243 women and girls aged between 10 and 79 from April to May 2020. Data was collected using an online web-based survey platform and analyzed using Microsoft Excel and Epi-Info. There was a statistically significant difference in the experience of violence before and during the COVID-19 lockdown among women and young girls in Nigeria (P = 0.002). During the COVID-19 lockdown, respondents experienced physical (74, 30.8%), sexual (120, 50%), and emotional violence (46, 19.2%). Al-though various forms of insecurity were experienced among the respondents, the most common form experienced was financial insecurity (960, 77%). 738 respondents (58%) feared getting infected by the virus while 662 (52%) had increased anxiety during this period. The findings highlight some negative unforeseen effects of the lockdown measures taken to reduce the spread of the COVID-19 virus and protect the people. This has import-ant implications for decision-making for future pandemics and the provision of possible mitigating factors. © 2023, Universitaet Bielefeld. All rights reserved.

15.
Studies in Philosophy and Education ; 2023.
Article in English | Scopus | ID: covidwho-2233405

ABSTRACT

The paper begins with the prerequisite assumption that social deprivation is a fragile and porous category. Thus, our hypothesis is, that how people are affected by the restrictions against the spreading of the coronavirus is often discussed in far too general and simplistic terms. It is often taken as a given, that the virus and the restriction measures not only have caused severe difficulties for us all (due to social distancing, fear, affected health, etc.), but that the measures have exacerbated already previously existing forms of social deprivation. Therefore, it is assumed that marginalized groups are particularly affected by these effects of the pandemic. Two major German studies show the alleged effects of the relevant measures on adolescents and emerging adults (COPSY and FIBS) against the backdrop of social and economic deprivation;their results confirmed that social deprivation entails a higher degree of being affected by the pandemic. However, this picture becomes thwarted by considering the results of 10 narrative interviews, that were conducted by us with emerging adults in a German vocational training institute between April and August 2021 and showed variegated forms of experiencing issues related to the pandemic. In our analysis, we used the method of objective hermeneutics. In this paper, we present our considerations by outlining two contrastive experiences with the Covid-19 pandemic, in order to highlight the divergent ways in which the pandemic has been experienced even among individuals who previously had been affected by social deprivation – at least at first glance – in similar ways. The conceptual lens through which we interpret these two examples is, firstly, the one of precariousness and precarity (Butler 2009). And secondly, the concept of recognition derived from Honneth's pertinent theory and Butler's account of recognizability will play a pivotal role. While Honneth's approach allows us to emphasize the normative and existential role of the fulfilment of our basic desire for recognition and the detrimental implications of disregard, Butler provides us with the means to thoroughly analyse the socio-historical conditions of misrecognition and social invisibility. Moreover, Butler focuses specifically on the recognizability of precariousness (Honneth's triad of love, being respected as a rights bearer and solidarity shows a different focus). Combining qualitative research on precarious live circumstances with a theoretical perspective on recognition can also be found in a stunning research on couples in atypical working relations (Wimbauer and Motakef 2019). Proceeding from these theories and ‘applying' them to our empirical material, we seek to call into question a too generalizing and hegemonic picture of how people were affected by pertinent restrictions. Qualitative interviews are able to point us to significant differences in the experience of the restrictions. In terms of an outlook, we suggest that a sensitization for previously excluded kinds of experiences forms a crucial basis for a less normalizing, that is, more inclusive account of interpreting the affectedness and needs of variegated social groups;the pandemic has influenced and altered structures of the recognition of vulnerability and, by the same token, made them more explicit. It thus is an occasion for a critical engagement with the recognizability of needs, deprivation, discrimination, and related phenomena. © 2023, The Author(s).

16.
Studies in Philosophy & Education ; : 1-17, 2023.
Article in English | Academic Search Complete | ID: covidwho-2209463

ABSTRACT

The paper begins with the prerequisite assumption that social deprivation is a fragile and porous category. Thus, our hypothesis is, that how people are affected by the restrictions against the spreading of the coronavirus is often discussed in far too general and simplistic terms. It is often taken as a given, that the virus and the restriction measures not only have caused severe difficulties for us all (due to social distancing, fear, affected health, etc.), but that the measures have exacerbated already previously existing forms of social deprivation. Therefore, it is assumed that marginalized groups are particularly affected by these effects of the pandemic. Two major German studies show the alleged effects of the relevant measures on adolescents and emerging adults (COPSY and FIBS) against the backdrop of social and economic deprivation;their results confirmed that social deprivation entails a higher degree of being affected by the pandemic.However, this picture becomes thwarted by considering the results of 10 narrative interviews, that were conducted by us with emerging adults in a German vocational training institute between April and August 2021 and showed variegated forms of experiencing issues related to the pandemic. In our analysis, we used the method of objective hermeneutics. In this paper, we present our considerations by outlining two contrastive experiences with the Covid-19 pandemic, in order to highlight the divergent ways in which the pandemic has been experienced even among individuals who previously had been affected by social deprivation – at least at first glance – in similar ways. The conceptual lens through which we interpret these two examples is, firstly, the one of precariousness and precarity (Butler 2009). And secondly, the concept of recognition derived from Honneth's pertinent theory and Butler's account of recognizability will play a pivotal role. While Honneth's approach allows us to emphasize the normative and existential role of the fulfilment of our basic desire for recognition and the detrimental implications of disregard, Butler provides us with the means to thoroughly analyse the socio-historical conditions of misrecognition and social invisibility. Moreover, Butler focuses specifically on the recognizability of precariousness (Honneth's triad of love, being respected as a rights bearer and solidarity shows a different focus). Combining qualitative research on precarious live circumstances with a theoretical perspective on recognition can also be found in a stunning research on couples in atypical working relations (Wimbauer and Motakef 2019). Proceeding from these theories and ‘applying' them to our empirical material, we seek to call into question a too generalizing and hegemonic picture of how people were affected by pertinent restrictions. Qualitative interviews are able to point us to significant differences in the experience of the restrictions.In terms of an outlook, we suggest that a sensitization for previously excluded kinds of experiences forms a crucial basis for a less normalizing, that is, more inclusive account of interpreting the affectedness and needs of variegated social groups;the pandemic has influenced and altered structures of the recognition of vulnerability and, by the same token, made them more explicit. It thus is an occasion for a critical engagement with the recognizability of needs, deprivation, discrimination, and related phenomena. [ FROM AUTHOR]

17.
Current Research in Nutrition and Food Science ; 10(3):904-917, 2022.
Article in English | Scopus | ID: covidwho-2203772

ABSTRACT

In recent decades, changes in food consumption among adolescents in Arabic speaking countries, including The Kingdom of Saudi Arabia (KSA), has resulted in increased burden of overweight and obesity. COVID-19 related restrictions have further impacted lifestyle and diet among adolescents in KSA. The present study aimed to assess the knowledge, attitude, behaviour and dietary patterns of adolescents and the impact of the COVID-19 pandemic related restrictions on these behaviours. A cross-sectional study was conducted in six intermediate schools among 1500 adolescents (11-15 years) via an anonymous online survey. The Chi Square test was used to compare gender stratified nutritional knowledge, attitude and behaviour of adolescents and the impact of COVID-19 related restrictions. To determine the factors associated with nutritional change during COVID-19 lockdown, logistic regression was employed using the categorisation of nutritional change during COVID-19 restrictions versus no change in univariate and multivariate analyses. A good level of nutrition-related knowledge and attitude was demonstrated both by female and male students, with 66% and 57% of participants scoring above the median of the total possible knowledge and attitude score, respectively.After adjusting for all variables, higher nutrition knowledge score predicted students to be less likely to report increased food consumption during COVID-19 restrictions, whereas students with higher nutrition attitude scores and with a higher risk of increased food consumption were more likely to increase food consumption during COVID-19 restrictions. Unhealthy dietary. © 2022 The Author(s).

18.
Int J Public Health ; 67: 1604969, 2022.
Article in English | MEDLINE | ID: covidwho-2199635

ABSTRACT

Objectives: With the application of a systems thinking lens, we aimed to assess the national COVID-19 response across health systems components in Switzerland, Spain, Iran, and Pakistan. Methods: We conducted four case studies on the policy response of national health systems to the early phase of the COVID-19 pandemic. Selected countries include different health system typologies. We collected data prospectively for the period of January-July 2020 on 17 measures of the COVID-19 response recommended by the WHO that encompassed all health systems domains (governance, financing, health workforce, information, medicine and technology and service delivery). We further monitored contextual factors influencing their adoption or deployment. Results: The policies enacted coincided with a decrease in the COVID-19 transmission. However, there was inadequate communication and a perception that the measures were adverse to the economy, weakening political support for their continuation and leading to a rapid resurgence in transmission. Conclusion: Social pressure, religious beliefs, governance structure and level of administrative decentralization or global economic sanctions played a major role in how countries' health systems could respond to the pandemic.


Subject(s)
COVID-19 , COVID-19/epidemiology , Health Policy , Humans , Iran/epidemiology , Pakistan/epidemiology , Pandemics , Spain , Switzerland/epidemiology
19.
Front Nutr ; 9: 1070388, 2022.
Article in English | MEDLINE | ID: covidwho-2199065

ABSTRACT

Objective: This paper aims to evaluate whether changes in lifestyle and eating habits resulting from the Covid-19 emergency have influenced the post-pandemic level of food neophobia and in children living in an Italian central region. Methods: A sample of 99 children took part in a retrospective assessment carried out with a self-administrated questionnaire. Pre and post-pandemic evaluation of eating habits, physical activity, and lifestyle indicators was carried out. Food neophobia was evaluated following the Child Food Neophobia Scale (CFNS). Descriptive statistics were produced. A contingency analysis was performed to check associations between variables. Results: For a large part of the sample (97%) the selective food refusal did not change during the pandemic period. About 70% of participants did not change their eating habits, with some subgroups reporting an increase in the consumption of fruits (22.2%), vegetables (19.2%), and legumes (21.2%). Relevantly the impact of the pandemic on the sedentary attitude passed from 25.3 to 70.7%. Neophobia was not associated with ponderal status (p-value 0.5). However, in normal-weight children, a high prevalence of intermediate-level neophobia (78.4%) was found. 39.4% of the studied children were involved in meal preparation during social isolation, with an increase in the proportion of children that shared all meals with their family (32.3% vs. 78.8%). Non-coercive parent behaviors in reaction to food refusal were associated with low levels of neophobia (p-value < 0.05). Discussion: In this sample, for the effect of parents' attitudes, the pandemic positively affected children's food habits and, consequently, the level of neophobia after the social restrictions. The main implication of the study is the importance of capitalizing on the period of restrictions in order to involve children in meal sharing and food preparation.

20.
J Clin Med ; 12(2)2023 Jan 06.
Article in English | MEDLINE | ID: covidwho-2166654

ABSTRACT

Background. The limitations imposed by governments for containing the spread of COVID-19 have affected familial relationships, especially those of families dealing with children with special needs or chronic illness conditions. The current study aims to better understand what pathological/disability condition has impacted parental resources, sense of competence, and perception of children's executive functioning the most. Methods. A sample of 648 parents was asked to answer a survey assessing children's condition (typical development, specific learning disorder, autism spectrum syndrome, chronic illness), parental resources, parenting sense of competence (distinguished into parental satisfaction and self-efficacy), and parents' perception of their children's executive functioning. A MANOVA model was performed to assess differences in parental resources, sense of competence, and perception of the children's executive functions according to their condition. A path analysis model was performed to examine the impact of sense of competence and children's condition on parental resources and children's executive functions. Results. Parents with children with specific learning disorder reported lower scores of parental resources in terms of total scores, common antecedents, and specific antecedents compared to parents with typically developed children (total scores: MD = 56.45, p < 0.001; common antecedents: MD = 22.28, p < 0.00; specific antecedents: MD = 34.17, p < 0.001), parents with autistic children (total scores: MD = 62.79, p = 0.01; common antecedents: MD = 24.03, p = 0.01; specific antecedents: MD = 38.76, p = 0.02) and parents of children with chronic illness (total scores: MD = 37.42, p = 0.04; common antecedents: MD = 16.59, p = 0.01). The path analysis model shows a direct effect of parental satisfaction (ß = 0.26) and pathology/disability (ß = −0.10) on parental resources that, in turn, influence parents' perception of their children's executive functioning (ß = 0.24). Conclusion. Although no data about the prepandemic situation is available, the current study highlights that parental stress influence children's cognition. Moreover, parents of children with special needs seemed to be challenged during COVID-19, especially parents of children with specific learning disorders, that are already stressed out by their children's condition. Therefore, academic services should undertake preventive measures to preserve parental well-being and to provide a supportive environment for children, especially for those with atypical development.

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