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E-mental health interventions may offer innovative means to increase access to psychological support and improve the mental health of refugees. However, there is limited knowledge about how these innovations can be scaled up and integrated sustainably into routine services. This study examined the scalability of a digital psychological intervention called Step-by-Step (SbS) for refugees in Egypt, Germany, and Sweden. We conducted semi-structured interviews (n = 88) with Syrian refugees, and experts in SbS or mental health among refugees in the three countries. Data collection and analysis were guided by a system innovation perspective. Interviewees identified three contextual factors that influenced scalability of SbS in each country: increasing use of e-health, the COVID-19 pandemic, and political instability. Nine factors lay at the interface between the innovation and potential delivery systems, and these were categorised by culture (ways of thinking), structure (ways of organising), and practice (ways of doing). Factors related to culture included: perceived need and acceptability of the innovation. Acceptability was influenced by mental health stigma and awareness, digital trust, perceived novelty of self-help interventions, and attitudes towards non-specialist (e-helper) support. Factors related to structure included financing, regulations, accessibility, competencies of e-helpers, and quality control. Factors related to practice were barriers in the initial and continued engagement of end-users. Many actors with a potential stake in the integration of SbS across the three countries were identified, with nineteen stakeholders deemed most powerful. Several context-specific integration scenarios were developed, which need to be tested. We conclude that integrating novel e-mental health interventions for refugees into routine services will be a complex task due to the many interrelated factors and actors involved. Multi-stakeholder collaboration, including the involvement of end-users, will be essential.
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BackgroundIn 2012 the Swedish national guidelines for osteoarthritis (OA) were published. The guidelines implicit that all patients with OA should obtain information and supervised exercise as first-line intervention and that OA is a clinical, not radiological diagnosis. The Swedish OA registry contains data which measure compliance to the guidelines since 2008 [2].ObjectivesTo describe the trends over time from 2008 to 2021 for patients who have received first-line interventions for hip and knee OA in Sweden and adherence of the healthcare staff to the national guidelines.MethodsDescriptive registry-based study including patients with hip or knee OA who participated in first-line interventions including education and exercise. Data were extracted from the Swedish OA registry between January 1st, 2008, and December 31, 2021. The registry contains patient-reported outcomes and physiotherapist-reported outcomes. In this study the following physiotherapist-reported outcomes were described over time: radiological examination before first-line intervention, if the first-line intervention was given the first time the patient seek health care caused of OA, which explanation patients had been given about their disease, intake of painkillers before the start of first-line intervention and the percent who got supervised exercise >10 times according to the guidelines of OA in Sweden. The following patient-reported outcomes were described over time: mean BMI at the first visit, and mean age at the first visit. To be included in the study, participants had to meet the following criteria: i) clinical diagnosis of OA, with hip or knee OA as the most symptomatic joint, ii) provided 3-month follow-up.ResultsA total of 175 764 participants with hip or knee OA were included in the study.The trends from 2008-2021 showed that the proportion of patients who had a radiological examination before entering the first-line intervention decreased from 97 % to 65 % in men and from 95% to 62 % in women. The proportion of patients who get assess to first-line intervention the first time they seek for their symptoms increased from 4 % to 10 % both in men and women. People that get the correct information about OA increased from 15% to 40 %, and patients that get the explanation that OA was a tear and wear disease decreased from 30 % to 5%. The mean BMI (28) is unchanged over time. The mean age increased from 64 years to 67 years between 2008-2020 but decreased during the covid-19 pandemic to 64 years. The percentage that was given supervised exercise more than 10 times was constant between 2012-2020 at 30 % but decreased during the covid-19 pandemic to 20%.ConclusionThe results implicit that the implementation of a supported OA self-management program in Sweden has been successful and changed the care given to patients with OA in Sweden. However, the national guidelines for OA, have still not been fully implemented. We need to keep implementing the guidelines so all patients with OA get the first-line intervention at the right time.References[1]Anon. (2012). Nationella riktlinjer för rörelseorganens sjukdomar 2012 - stöd för styrning och ledning. Socialstyrelsen.[2]Thorstensson CA, Garellick G, Rystedt H, Dahlberg LE. Better Management of Patients with Osteoarthritis: Development and Nationwide Implementation of an Evidence-Based Supported Osteoarthritis Self-Management Programme. Musculoskeletal Care. 2015 Jun;13(2):67-75. doi: 10.1002/msc.1085. Epub 2014 Oct 24. PMID: 25345913.Acknowledgements:NIL.Disclosure of InterestsNone Declared.
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Looking back, it might seem as if all higher education in Sweden switched to remote teaching on March 18, following a government decision the day before. Instead, higher education had started to change from within already a couple of weeks earlier, as teachers and students reacted to the pandemic. To document and to try and understand what was going on, I sent out questionnaires to the students in the second half of March 2020, followed by interviews with the teachers, at the Bachelor Programme in Digital Cultures at Lund University. The subject was if students and teachers had stayed home from or changed their teaching, already before March 18. The timeline proved fuzzier, and filled with individual actions and deliberations, than the simple historical assertion that from one day to the next a government decision was made to switch to remote teaching. In March 2020, the students acted first to adapt to the pandemic, followed by the teachers, and then the university management. The understanding of the events differed between teachers and students, and there seemed to be barriers to the communication between the two groups, when major external events affect the university. It appears that microcultures of different approaches to the pandemic formed early, presumably in the tension between the massively media-reported handling of the pandemic in the rest of the world, and the lack of clear guidance from the government and the University, in March 2020. © 2022 Daniel Persson. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/BY/4.0/), allowing third parties to share their work (copy, distribute, transmit) and to adapt it, under the condition that the authors are given credit, that the work is not used for commercial purposes, and that in the event of reuse or distribution, the terms of this license are made clear.
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This study serves as a follow-up on a 2020 study by Wang and Lund that examined the policy changes and announcement information provided by American public libraries during the early weeks of the coronavirus (COVID-19) pandemic, using the same list of libraries as the 2020 study to examine how the COVID response evolved over the past two years. Seven types of information were collected from the public libraries' websites, with the help of the Internet Archive to collect specific dates: frequency of announcement updates, date of start curbside/pickup services, date of reopening libraries, dates of posting vaccine-related information, dates of removal of COVID-19 related information, and dates of reopening face-to-face programs. The findings indicate that the timing of COVID response updates varied based on factors including the size of the municipality in which the public library is located and the political leaning of the municipality's voters. [ FROM AUTHOR] Copyright of Public Library Quarterly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
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In a research paper that warrants close scrutiny by hospital administrators everywhere, Min Liu and colleagues find that none of 420 healthcare workers deployed to a hospital in Wuhan were infected with the virus, despite caring for severely ill patients and performing aerosol generating procedures over 6-8 weeks.3 The workers wore surgical masks and N95 respirators as well as protective suits and gowns, goggles, gloves, and face shields. The US and the UK missed the just right "Goldilocks zone” of hospital capacity by building temporary hospitals that remained mostly empty.6 How did this happen? "Bad modelling based on insufficient data,” says one expert. Missing the Goldilocks zone of hospital capacity during covid-19.
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BackgroundPatients with chronic inflammatory diseases (CID) have an increased risk for contracting infections. For patients with rheumatic diseases EULAR recommends protecting them from vaccine-preventable diseases.ObjectivesTo assess the knowledge and awareness of common vaccinations and extent of immunization among patients with CID in Denmark, Finland, Norway, Sweden (Nordics), and to identify gaps between the existing EULAR vaccination recommendations and current practice as experienced by patients.MethodsA structured anonymous online survey for patients with CID ((rheumatological disease (RD), inflammatory bowel disease (IBD) and dermatological diseases (DD)) was conducted in 2022.The survey was answered by 1748 respondents (1031 patients with RD, 543 with IBD and 563 with DD).ResultsAmong respondents, 89% were female and 58% had disease duration of above 10 years. In total, 56% were treated in specialised and 32% in primary care. Majority had ongoing systemic immunosuppressive treatment (IT) (65%). Majority of RD (59%) and IBD (66%) patients were treated in specialised care whereas minority of DD patients (38%) were treated in specialised care.Forty-nine percent (49%) responded that their healthcare professional (HCP) did not inform them about the increased risk of infection – however, 55% of the respondents believed they are somewhat or much more likely to suffer from infections than those without CID or treatment, 33% thought there is no difference and 13% did not know there is a difference.In total 68% of respondents considered it important to get vaccinated due to CID or IT. The number was particularly high in RD group (74%), although 63% stated they had not received any information regarding vaccinations at the start of their treatment.Commonly recommended vaccinations by the HCP were COVID 19 (66%), influenza (63%) and pneumococcal (45%) vaccination. When comparing respondents ≥65 and <65 years, there was a difference in how often the influenza (71% vs. 57%) and pneumococcal (57% vs. 38%), but not COVID 19 vaccination (68% vs. 65%), were recommended. In addition, 74% and 75% of respondents receiving IT were recommended influenza and COVID 19 vaccination, respectively.In total, 22% had their vaccination status checked before initiating treatment;the lowest percentage was in DD (16%) and the highest in RD (25%). However, 44% of respondents received influenza vaccination before initiation of treatment. Moreover, 62% and 74% of respondents received influenza and COVID 19 vaccination while on treatment, respectively.Eighty-six percent (86%) did not receive a vaccination plan in relation to their CID and treatment. Moreover, 64% of the respondents (RD 57%;DD 71% and IBD 66%) did not have vaccination status assessed on a regular basis. Forty-three percent (43%) were dissatisfied with the follow-up of vaccination status by their HCP. Respondents of age ≥65 years were more satisfied than the younger ones (34% vs. 25% very satisfied) and respondents with RD were more satisfied than those with IBD or DD (33% vs. 25% vs. 20%).Forty-four percent (44%) responded that the information on vaccinations related to their CID and treatment was difficult to find and 71% would like to receive more information.The respondents with RD had different level of awareness regarding EULAR vaccination recommendations. The degree of awareness among patients with RD treated with IT are presented in Figure 1.ConclusionThis Nordic survey provides insights on patients' information needs, information sources and own experiences related to recommendations on vaccinations in relation to their CID and IT. The results confirm a gap between patients' expectations and needs vs. the information they actually receive. Our findings demonstrate a need for increased awareness among patients, providers and HCP regarding EULAR vaccination recommendations in patients with RD.Reference[1]Furer V, et al. 2019 update of EULAR recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases. Ann Rheum Dis 2020;79: 9–52.Acknowledgements:NIL.Disclosure of InterestsMeliha C Kapetanovic Grant/research support from: Received independent research grants from Roche and Pfizer, Randeep Mandla Shareholder of: Pfizer, Employee of: Current employee of Pfizer Norway, Maria Seddighzadeh Shareholder of: Pfizer, Employee of: Current employee of Pfizer Sweden, Susanne Thiesen Gren Shareholder of: Pfizer, Employee of: Current employee of Pfizer Denmark, Maaria Palmroth Consultant of: Employee of MedEngine Oy and contractor for Pfizer Oy, Employee of: Contractor for Pfizer Oy, Finland, Dan Henrohn Shareholder of: Pfizer, Employee of: Current employee of Pfizer AB, Sweden, Anne Grete Frostrup Shareholder of: Pfizer, Employee of: Current employee of Pfizer Denmark, Anna-Maria Hiltunen Consultant of: Pfizer. Employee of Nordic Healthcare Group, Jussi Ranta Consultant of: Pfizer. Employee of Nordic Healthcare Group, Anna-Kaisa Asikainen Consultant of: Pfizer. Employee of Nordic Healthcare Group, Veli-Jukka Anttila Speakers bureau: Lectures for Pfizer, MSD, Astellas, Roche, GSK, BMS, Biogen, Sandoz, Gilead, Unimedic Pharma, Boehringer-Ingelheim, Astra-Zeneca, Consultant of: Consultant for Pfizer and MSD.
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The article analyses political approaches in Finland and Sweden towards free movement restrictions during the COVID-19 pandemic. Border closures were previously unthinkable in the Norden, where borders have been open since the establishment of the Nordic Passport Union in the 1950s. For decades, Nordics have been used to cross borders on a daily basis, especially in the so-called twin cities in the border regions. The article analyses Finnish and Swedish parliamentary debates on the Nordic border restrictions from the perspective of the arguments on the basis of which the restrictions are defended or criticised. While the Finnish MPs supported the restrictions that were considered a direct consequence of Covid-19, the Swedish MPs criticised the other Nordic governments for their uncoordinated restrictions. In both debates, Nordic-free movement is not discussed in connection with EU rules but is seen to precede the establishment of free movement within the European Union.
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Aim. The current article aims to gain insight into (a) what characterises organisational resilience during an unexpected crisis such as COVID-19 and (b) how organisations respond to developments in their environments. Background. In times of societal crises, such as the COVID-19 pandemic, the resilience of the healthcare organisation is tested. Method. This research is based on a case study in a university hospital and a county hospital in Sweden using surveys with both structured and open answers. Results. The result shows ambiguity and "polarised” experiences, emphasising flexibility vs. structure, clear hierarchical information vs. spaces for peer learning through dialogue, and focus on acute care vs. determination to continue with core operations. Conclusion. The article concludes that the pandemic resulted in paradoxes, tensions, and new experiences in organisational processes and interactions. These create opportunities for learning not only during crises but also for improving nursing management in both acute and planned care. Three relations are important in building organisational resilience in crises: resilience capability, resilience capacity, and sustainable resilience practices. Implications for Nursing Management. Organisational resilience under extraordinary circumstances, such as a pandemic, as well as enhancing the previous literature on nursing management that offer a more individually oriented perspective.
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PurposeThis study explores Greek and Swedish consumers' attitude towards organic food consumption in order to demonstrate possible differences that can be identified based on health and ecological consciousness beliefs rather than demographic factors. The examination of an emerging and a more mature market allow the authors to provide more targeted marketing strategies that possibly increase organic food consumption in both countries.Design/methodology/approachThe authors adopt an econometric approach to the analysis of consumer behavior in relation to organic food consumption in Sweden and Greece. More specifically, the authors examine the motivations and postexperiences of organic food consumers of different socioeconomic profiles in these two countries, one in northern and one in southern Europe. The authors apply an ordered logistic regression analysis model to map out the interaction between consumer attitudes and sociodemographic variables.FindingsThe authors results show that consumers in Sweden more frequently purchase organic foods than consumers in Greece. Environmental protection and ethical values increase the odds for Swedish organic food consumers to buy organic food products. Health consciousness and family well-being are perceived as factors that increase the odds for Greek organic food consumers to buy organic foods. Sociodemographic factors do not play a pivotal role for consumer behavior in relation to organic food in both countries.Originality/valueThis study distinguishes between organic food consumers in two countries with different levels of organic food production and export activity, size of organic market, national organic labeling system and legal definition and standards of organic food. Within these differences, the organic food industry could align its marketing efforts better rather focus on simplistic demographics. The current view unfolds the fact that there are limited studies comparing two European markets at different stages of development and the factors that influence organic food consumer behavior.
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I outline the interplay between biological and socio-cultural dimensions of immunity and risk in the context of migration from Afghanistan to Sweden during the COVID-19 pandemic. Documenting my interlocutors' responses to everyday situations, I explore the challenges they face in a new society. Their references to immunity reveal ideas about bodily and biological functions, as well as sociocultural aspects of risk and immunity as fluid concepts. Understanding how different groups manage risk, practice care, and perceive immunity requires attention to the circumstances that surround individual and communal experiences of care practices. I reveal their perceptions, hopes, concerns, and strategies for immunization against the real risks they encounter.
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PurposeThe penetration of technology and the strengthening of evidence-based policies have paved the way for the automated delivery of social services. This study aims to discuss the inherent risks of this automatization, particularly those associated with the discrimination, exclusion and inequality problem, which the authors package under the theoretical umbrella of a digital welfare state (DWS).Design/methodology/approachThis conceptual article reviews the literature on the welfare DWS, with an empirical focus on the recent experience of selected countries from India, Kenya and Sweden. These countries reflect three different types of welfare regimes but are connected by the same digital social risk. The authors' exploration also includes questions about what this DWS has in common with and how it differs from the previous era. This article illustrates that there has been a very similar trajectory in regards to the development of the DWS and the associated risks in the examined countries.FindingsDWS has triggered new social risks (e.g. discrimination, exclusion and inequality in welfare access) that are a result of data breaches experienced by citizens. Further, vulnerable groups in the digital age should be viewed not only as those who lack access to welfare services, such as education, health and employment, but also as those without internet access, without digital skills and excluded from the DWS system.Originality/valueThe article calls for the development of scholarly research into the DWS in particular and the contemporary one in general. The authors also predict that a critical aspect of the future regime typology rests in the ability to mobilize resources to address contemporary digital risks, as every country is equally vulnerable to them. Overall, this article can be considered to be one of the initial works that focus on cross-national comparison across different meta-welfare regimes.
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The COVID-19 epidemic has once again highlighted the challenges to achieve equitable access to critical antimicrobials and vaccines. The problem is particularly acute for antimicrobials. Despite recent investments improving the pipeline for new treatments, most new treatments are not available to populations most in need, especially in low- and middle-income countries. Once a drug is approved a range of factors may hinder access, from lack incentives to register and commercialize products due to unattractive market potential to unfunded national action plans that can help improve the uptake and appropriate use of new tools to combat antibiotic resistance. Previous studies have shown that the majority of the 18 new antibacterials approved and launched between 2010-2020 were accessible in only 3 out of 14 high-income countries (Sweden, UK, and US). In low- and middle-income countries, the problem is even worse, with only 10 of the 25 new antibiotics that entered the market between 1999 and 2014 registered in more than ten countries. While lack of equitable access to life-saving medicines, diagnostics, and vaccines is not a new problem for infectious diseases, emerging opportunities and innovative approaches can help improve access globally. This talk will review promising recent developments in governance and collaborations, policies, economic models and initiatives that may help correct deadly inequities. For example, the objectives of the Access to COVID-19 Tools Accelerator may serve as model that convenes diverse actors to mount a coordinated access response which may be applied to access to other antimicrobials and vaccines. In addition, novel licensing agreements for access and stewardship to cefiderocol, an antimicrobial that is on the WHO Essential Medicines List can help serve as a pathfinder to accelerate equitable access to novel antimicrobials. The talk will also surface critiques of ongoing initiatives and raise questions for further study and discussion.Copyright © 2023
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During the COVID-19 pandemic Sweden stood out globally as a country that persistently refused to take drastic measures like proclaiming a curfew or a lockdown on public and commercial facilities. Instead, a "softer” approach was chosen. The population was only recommended to restrain as much as possible from social contact as well as other cautionary measures. In this chapter this Swedish "exception” is addressed, with a focus on regional differences. Much political and media focus has been on the spread of COVID-19 in the large postindustrial cities. Instead, we focus on the situation in the sparsely populated northern part, Sápmi, once colonized by the Swedish kingdom. Here, the city of Gällivare was severely affected by the virus. In symbiosis with the state-controlled mining industry, the community had a steady national and international inflow of mining-related personnel which resulted in one of the highest infection rates per capita nationally. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.
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The aim of this article was to use an interpretivist approach to analyse the state–citizen nexus in general and the conflict between civil and social rights imposing restrictions on people's freedom of movement during the COVID-19 pandemic in the Nordic countries: Sweden (restrictions were voluntary and relied on nudging and individual implementation), Norway (restrictions of movement were for everyone and was enforced by authorities), and Finland (restrictions of movement were for the capital region and was enforced by authorities). Sweden focused more on upholding the civil rights vis-à-vis social rights whereas in Norway and Finland social rights have trumped civil rights in the face of the pandemic. Thus, the analysis suggests that the Nordic countries cannot be understood as monoliths in all respects. The article thereby contributes to a greater understanding of how the Nordic governments prioritise civil and social rights differently when they are forced to choose.
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The number of Swedish students temporarily studying in another country to receive a post-secondary education amounts annually to approximately 22, 000 students. The study aims to give some indications of where outbound Swedish students have spent their time and money studying abroad since the turn of the millennium.What are the popular study destinations?What are students looking for? Will their interest in studying abroad change post-COVID-19? The results show that English-speaking countries are attractive to Swedish outbound students. Top destinations are the UK and US. Countries such as Poland, Canada, Switzerland, Japan, the Netherlands, Latvia, South Korea and Singapore are growing in popularity. It is noticeable that big cities attract Swedish outbound students. Large metropoles can offer many prestigious Higher Education Institutions (HEI). Popular cities for Swedish outbound students are London, Copenhagen, Riga, Singapore and Sydney. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.
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The aim of this population-based cross-sectional study was to assess the prevalence of healthcare avoidance during the COVID-19 pandemic and its associated factors among the Sámi population in Sweden. Data from the "Sámi Health on Equal Terms" (SámiHET) survey conducted in 2021 were used. Overall, 3,658 individuals constituted the analytical sample. Analysis was framed using the social determinants of health framework. The association between healthcare avoidance and several sociodemographic, material, and cultural factors was explored through log-binomial regression analyses. Sampling weights were applied in all analyses. Thirty percent of the Sámi in Sweden avoided healthcare during the COVID-19 pandemic. Sámi women (PR: 1.52, 95% CI: 1.36-1.70), young adults (PR: 1.22, 95% CI:1.05-1.47), Sámi living outside Sápmi (PR: 1.17, 95% CI: 1.03-1.34), and those having low income (PR: 1.42, 95% CI:1.19-1.68) and experiencing economic stress (PR: 1.48, 95% CI: 1.31-1.67) had a higher prevalence of healthcare avoidance. The pattern shown in this study can be useful for planning future pandemic responses, which should address healthcare avoidance, particularly among the identified vulnerable groups, including the active participation of the Sámi themselves.
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COVID-19 , Pandemics , Young Adult , Humans , Female , Sweden/epidemiology , Prevalence , Cross-Sectional Studies , COVID-19/epidemiology , Delivery of Health Care , Norway/epidemiologyABSTRACT
After the outbreak of the COVID‐19 pandemic, the media abounded with stories of people ‘fleeing city‐centres' and ‘finding refuge in the countryside'. A recurrent argument is that the shift towards remote work has prompted individuals to reconsider their living situation and envisage the possibility of relocating further away from their workplace. The aim of this study is to examine the patterns of out‐migration from the Stockholm inner city during the COVID‐19 pandemic, as well as the characteristics of out‐migrants. We use Swedish register data to compare the trends for the first year of the COVID‐19 pandemic (2020) and the 5 years preceding it (2015–2019). Our study shows that, similar to other large cities across the world, individuals moved out of the inner city of Stockholm to a higher degree in 2020 than during the years preceding the pandemic. The majority of movers relocated to the Stockholm suburbs, which experienced a substantial increase in inflows from the Stockholm inner city. Yet a number of smaller municipalities, including traditional tourist destinations, also received more residents from the Stockholm inner city in 2020. Although it remains to be seen whether the increase in out‐migration from the Stockholm inner city observed in 2020 will be a long‐term trend, the paper discusses the policy implications of inner city out‐migration, from the perspective of both the sending and the receiving locations.
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This paper aims at investigating the issues and challenges experienced by remote learning among students of higher education in the Swedish context, during COVID-19. The pandemic influenced the emergence of a new learning context, and the effectiveness of the computer-mediated remote learning from the sudden transition of traditional approaches caused many interesting issues. The empirical part of the study was based on a web-based survey conducted in the middle of 2020, during the pandemic, among 1,767 anonymous students who studied at 30 higher educational institutions in Sweden. The results are presented in line with Zimmerman's (2000) triadic (personal, environmental and behavioral) forms of self-regulation. The survey indicated that the perceived worries students experienced were oriented towards the students' own personal situations and future possibilities, rather than the general state and welfare of global society. The fast transition to online classes and seminars led to many students being worried about their abilities to maintain efficiency in their studies. The findings of this study could provide refined insights on the issues that should be in mind when formulating strategies for effective remote learning in such a changing environment during a crisis period, not only in Sweden but also in some international contexts. © 2023 Author(s). This is an open access article distributed under the terms of the Creative Commons CC-BY 4.0
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5 The authors are cautious about drawing too-easy parallels between the two pandemics, citing, for example, Marc Arthur's point that "there was never a race for a cure or vaccine to end AIDS like there is for COVID-19" (Anderson and Ybarra;Nereson);they also emphasize that the HIV and AIDS pandemic is ongoing.6 But the callousness on vivid display in the United States over the past two years, which ensured that COVID-19 has disproportionately impacted Black, Indigenous, Latinx, Asian American and Pacific Islander communities, the elderly, the immunocompromised, the incarcerated, and the poor, recalls the cruelty of public health policies during the first wave of HIV and AIDS. The issue opens with Anderson's and Ybarra's essay.11 It triangulates the first wave of the HIV and AIDS epidemic in the 1980s, performance theory, and the COVID-19 pandemic to trace how the legacies of queer care that emerged in response to HIV and AIDS circulate powerfully in our discipline today. "12 Anderson and Ybarra "contend that it is not merely coincidental that performance theory would elaborate such a claim within the context of the first wave of the HIV/AIDS epidemic … not because they have a causal or direct connection, but because they point to the same urgent question: 'Someone is dying in front of your eyes. What are you going to do about it?'" They go on to trace the complex legacies of queer care as practiced (and refused) at the 2022 American Society of Theatre Research annual conference in San Diego.
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Background: In March 2020, WHO declared COVID-19 a global pandemic. Since then, our lives have changed significantly, particularly vulnerable groups, such as young children. A young child's movements throughout a typical day include sleeping, sitting, and physical activity (PA) of different intensities. In 2019 the WHO released the first global guideline for movement behavior of children under the age of five. Due to the distinct movement behavior recommendations for this age group and the impact of the COVID-19 pandemic on these behaviors, the present review aims to appraise the literature from across the globe on the effect of COVID-19 on movement behaviors, including screen-time, PA, and sleep in infants, toddlers, and preschoolers. Methods: PubMed and Google scholar electronic database were searched, the titles and s of all articles retrieved from the search were screened and duplicates were removed. The full texts of potential articles to be included in the study were then reviewed based on the inclusion criteria, and data were extracted from the selected studies using a Microsoft Excel sheet. Results: This review included 11 studies. Four studies cross-sectional, six longitudinal, and one cohort study. The sample size ranged from 25 to 4,136 children. In all of the studies, the sedentary screen-time increased significantly. Sleep, on the other hand, did not change significantly in the majority of the studies, although sleep duration increased in some studies. There were large discrepancies between the device-measured and parent-reported outcomes regarding physical activity that decreased in all studies, except for the Hong Kong and Sweden studies it increased. Conclusion: As the world is still recovering from the impact of the COVID-19 pandemic and managing the uncertainty of other pandemics that may occur, our review can help to promote a healthy balanced pattern of movement behaviors by providing information to support parents of young children.