Dimensions of cybersecurity performance and crisis response in critical infrastructure organisations: an intellectual capital perspective

PurposeThis research addresses the relationships between the current, dynamic organisational cyber risk climate, organisational cybersecurity performance and changes in cybersecurity investments, with an aim to address the hostile epistemic climate for intellectual capital management presented by the dynamics of cybersecurity as a phenomenon.Design/methodology/approachExpanding on the views of digital security and resilience as a knowledge problem, the research looks at cybersecurity as a critical capability within organisations, particularly relevant in critical infrastructure sectors. The problem is studied from the perspective of 400 C-level executives from critical infrastructure sectors across the UK. Data collected at the peak of the coronavirus disease 2019 (COVID-19) pandemic, a time when critical infrastructure organisations have been under a significant strain due to an increase in cybersecurity incidents, were analysed using partial least square structural equation modelling.FindingsThe research found a significant correlation between the board's perception of a change in their cybersecurity risk climate and patterns of both the development of cybersecurity management capabilities and cybersecurity investments. The authors also found that a positive correlation exists between the efforts placed by critical infrastructure organisations in cybersecurity training and the changes in investment in their cybersecurity, particularly in relation to their intellectual capital development efforts.Originality/valueTo the best of the authors' knowledge, this is the first paper that explores the board's perception of cybersecurity in critical infrastructure organisations both from the intellectual capital perspective and in the dynamic cyber risk climate derived from the COVID-19 crisis. The authors' findings expand on the growing perception of cybersecurity as a knowledge problem, and thus inform future research and practice in the domain of intellectual capital management and its role in supporting the cybersecurity and digital resilience of business and society.

Effect of patient portals on perception of care quality, general health, and mental health: An exploratory analysis

This study analyzes the relationship between patients' understanding of online medical records and their perception of care quality. It also explores the mediating role of patients' general health perception and mental health and the moderating role of age in this relationship. The study develops and tests an exploratory conceptual model by analyzing the 2020 US-based Health Information National Trends Survey (HINTS) collected during the COVID-19 pandemic. We checked the survey for multicollinearity and common method bias and adjusted for family-wise error. Using models 6 and 59 of the Hayes PROCESS macros, the study articulates a sequential mediation and a parallel moderated mediation model to capture the intended relationships. Patients' understanding of online medical records had a significant positive association with the perception of care quality (Direct: s=0.17;Indirect: s=0.12). Additionally, the study captured the significant effect of age and perception of general health (self-health) on the perception of care quality. We also reported significant associations between mental health and general health perception (s=0.26). These findings suggest that the patient portals' contents should be designed in a way to be easily understood by patients from various backgrounds to improve the overall care experience.Copyright © 2022 The Author(s)

An Analysis of Health Perceptions and Performance in Elementary Students in Korea during the ongoing COVID-19 Pandemic.

During the coronavirus disease 2019 (COVID-19) pandemic, social distancing guidelines changed lifestyles, including increased sedentary time, physical inactivity, and disrupted sleep patterns among children. The purpose of the present study is to analyze the health awareness (mental health, disease, physical activity, sleep, eating habit, and hygiene health management) of elementary school students during the COVID-19 pandemic, and use the importance-performance analysis (IPA) technique to identify gender differences in health perceptions. We collected data on 1006 students, which was analyzed using frequency analysis, reliability testing, independent sample t-tests, and importance-performance analysis (IPA). A median importance value of 0.163 and a median performance value of 4.048 were selected as cross points to distribute the IPA matrix into four quadrants. The highest performance was given for wearing a mask and sanitary practice; the IPA matrix indicated that the sense of belonging, happiness, trust, and movement activity were located in quadrant I. Children's regular physical activity and level of physical activity were low, especially that of girls. Children's sleep management was poor. Their physical activity and sleep-related factors must be improved under the facilitation of the national government, public education institutions, and families.

The Effects of Call Center Counsrlors' Job Stress on Health Percption and Resilience (In the COVID19 Pnademic)

The purpose of this descriptive survey research is to find the effects of call center counselors' job stress on their health perception and resilience, and the relations between these three variables. The study subjects were 201 counselors working at K call center in S city. For data analysis, SPSS WIN 23.0 program was used to conduct t-test, ANOVA, Pearson's correlation coefficient, and Multiple Regression. According to the research, their work department positively and significantly affected health perception (β=.093. p=.007), whereas their working period negatively and significantly influence job stress (β=-.057, p=.008) and health perception (β=-.068, p=.005). With regard to correlations between variables, job stress had negative correlations with health perception(r=-.259, p=<.001) and resilience(r=-.264, p=<.001), and health perception had a positive correlation with resilience(r=.398, p=<.001). Based on the results, this study proposes the strategy to increase job proficiency levels, tointroduce shift work system, and improve resilience through health perception in order toreduce job stress. © 2022,Journal for ReAttach Therapy and Developmental Diversities. All Rights Reserved.

Assessment of life quality and health perception among recovered COVID-19 patients: multivariate analysis - own material and a review of previous reports on life quality assessment among convalescents.

BACKGROUND: The SARS-CoV-2 virus, causing acute respiratory disease, is responsible for the COVID-19 pandemic, which began in early 2020. In addition to symptoms typical of respiratory tract infections, the virus causes a number of non-specific, often long-lasting effects that hinder the daily functioning of individuals. The aim of the study was a subjective assessment of life quality and health perception among recovered COVID-19 patients. MATERIAL AND METHODS: The study included 337 subjects who had been infected with SARS-CoV-2 confirmed by a positive RT-PCR test. The study participants were of legal age. The convalescents completed a questionnaire that contained 26 questions about gender, height, body weight, blood type, general and specific symptoms, comorbidities, hospital stay and duration of specific symptoms, the severity of which was assessed on the Visual Analogue Scale (VAS). The subjects determined whether the COVID-19 infection influenced their health perception and life quality. RESULTS: According to 46% of the respondents, COVID-19 had an impact on their quality of life and health. The chance for patients to notice the negative effects of COVID-19 on their current health status and life quality increased with each subsequent symptom of the disease by 49%, with each day of its occurrence by 3%, and with each VAS point of the severity of all infection symptoms by 30%. CONCLUSIONS: The study shows that COVID-19 disease affects life quality and overall health perception after recovery. Significant impact of COVID-19 on the quality of life should be a signal to create mental support and rehabilitation programs for convalescents to minimize discomfort and shorten the duration of absenteeism from work. Med Pr. 2022;73(6):449-56.

Travel intentions in pandemic circumstances – the case of Balkan tourists

Examination of tourist behaviour during and after the crisis is of great importance for understanding and coping with the harmful effects of the crisis. The study aims to discover the impact of perceived risks, health status, and travel experience on proximal travel intentions during the Covid-19 outbreak. Perceived risks that coronavirus brought reshaped the collective awareness and altered typical travel habits. The research involved 1109 respondents from four Balkan countries who participated in an online survey at the first peak of the pandemic (April 2020). According to the results, perceived risk negatively influenced travel intentions. The study presumed the positive influence of previous travel experience on travel intentions and indicated its negative impact on risk perception. Results showed that subjective health condition positively affected travel intention and had no significant effect on risk perception. The profound uncertainty that the tourism sector experienced is primarily reflected in an immense impact on the travel possibilities and changes in tourist preferences. This study offers an insight into peoples' travel intentions influenced by a global health crisis, reflecting specific risk negation when it comes to the timing of after-crisis travel plans.

A Parallel Mediation Analysis on the Effects of Pandemic Accentuated Occupational Stress on Hospitality Industry Staff Turnover Intentions in COVID-19 Context.

The purpose of this research was to analyze how different effects of the COVID pandemic, expressed through pandemic accentuated occupational stress, perceived job insecurity, occupational safety and health perception and perceived organizational effectiveness, may impact turnover intentions of the personnel in the hospitality industry. Our research team designed an online questionnaire which was analyzed with network analysis to depict the relationship between factors, and, then, a confirmatory factor analysis was employed to confirm the distribution of the items to the envisaged five factors. Based on a sample of 324 randomized Romanian hospitality industry staff, the results of our cross-sectional study revealed that occupational safety and health perception, perceived organizational effectiveness and perceived job insecurity in the pandemic accentuated occupational stress to indirectly and significantly impact hospitality industry staff turnover intentions (TI). The results indicated that, while the total effect of PAOS on TI was significant, the direct effect was still significant, while all three mediators remained significant predictors. Overall, mediators partially mediated the relationship between PAOS and TI, indicating that employees with low scores on occupational safety and health perception (OSHP), and perceived organizational effectiveness (POE) and high scores on perceived job insecurity (PJI) were more likely to have higher levels of TI turnover intentions.

Mechanism of Negative Emotions of the Elderly in Normalization Period of COVID-19: A Mediated Mediation Model.

To explore the mechanism of negative emotions of the elderly in normalization period of COVID-19. The self-rating Depression Anxiety Stress Scale, epidemic attention scale, subjective economic status scale and physical health perception scale were used to investigate 318 elderly people in 2021. There were significant differences in negative emotions among the elderly in Henan in China with different gender, education background, medical insurance and whether they contacted suspected cases (all P < 0.05), but there was no significant difference on religious belief (P > 0.05); Attention to epidemic information was positively correlated with negative emotion (r = 0.492, P < 0.01), and negatively correlated with subjective economic status (r = -0.138, P < 0.05); Negative emotions were negatively correlated with subjective economic status (r = -0.455, P < 0.01) and health perception (r = -0.277, P < 0.01); health perception was no significant correlation with epidemic attention(r = -0.047, P > 0.05) and subjective economic status (r = -0.033, P > 0.05). Bootstrap test found that epidemic attention can significantly predict negative emotion of the elderly (ß = 0.492, P < 0.001), subjective economic status played a partial mediating role between epidemic attention and negative emotions (ß = 0.438, -0.395, P < 0.001), and health perception moderated the first half of the mediating path (ß = 0.403, P < 0.001, 95% CI = [0.286~0.521]). Epidemic attention has a significant positive impact on the negative emotions of the elderly in Henan during normalization period of COVID-19, and it has effect indirectly through subjective economic status; health perception plays a moderator role in the impact of epidemic attention on subjective economic status.

Effect of Patient Portals on Perception of Care Quality, General Health, and Mental Health: An Exploratory Analysis

This study analyzes the relationship between patients’ understanding of online medical records and their perception of care quality. It also explores the mediating role of patients’ general health perception and mental health and the moderating role of age in this relationship. The study develops and tests an exploratory conceptual model by analyzing the 2020 US-based Health Information National Trends Survey (HINTS) collected during the COVID-19 pandemic. We checked the survey for multicollinearity and common method bias and adjusted for family-wise error. Using models 6 and 59 of the Hayes PROCESS macros, the study articulates a sequential mediation and a parallel moderated mediation model to capture the intended relationships. Patients’ understanding of online medical records had a significant positive association with the perception of care quality (Direct: ß=0.17;Indirect: ß=0.12). Additionally, the study captured the significant effect of age and perception of general health (self-health) on the perception of care quality. We also reported significant associations between mental health and general health perception (ß=0.26). These findings suggest that the patient portals' contents should be designed in a way to be easily understood by patients from various backgrounds to improve the overall care experience.

A Comparative Study on the Cultural Dimensions and Health Perception of the COVID-19 Pandemic between China and the United States.

When a public crisis such as COVID-19 occurs, factors that affect health-related behaviors, such as compliance with safety precautions, health professionals, and directives from government agencies will become more obvious. This research explores the differences between the people of the United States and China regarding preventive behavioral intentions, perceptions of personal and social risks, seriousness, and other cultural characteristics in the context of the COVID-19 health crisis. The purpose is to provide insights that can be used when global public health events occur in the future. A total of 536 people who lived in the US and China from 12 July to 7 September 2020 were recruited in the survey. Through a web-based survey, differences in the attitudes and perceptions of COVID-19 between the two countries were identified. Overall, the people of China scored higher than Americans on several measures regarding personal risk perception, social risk perception, and seriousness. Chinese citizens also had higher preventive behavioral intentions than their US counterparts. In addition, the relationships between cultural dimensions and health-related variables were also different.

The relationship between sleep quality, neck pain, shoulder pain and disability, physical activity, and health perception among middle-aged women: a cross-sectional study.

BACKGROUND: Sleep quality is an important physical requirement for a healthy life, and good sleep quality has been recognized as a significant component in physical and mental health and well-being. The purpose of this study was to identify the factors that affect sleep quality as well as the relationship between sleep quality and neck pain, shoulder pain and disability, physical activity, and health perception. METHODS: We conducted surveys on 494 women between the age of 35 and 64 years. The study evaluated neck pain, shoulder pain and disability, physical activity, self-health perception and sleep quality with self-reported questionnaires in middle-aged women. Data were analyzed using SPSS 23.0. RESULTS: The results showed that the more severe the neck pain and shoulder pain and disability, the worse the sleep quality was in middle-aged women and the better the health perception, the lower the sleep quality score was, indicating good sleep quality. Shoulder pain, self-perceived task difficulty, and health perception were identified as variables that affected the sleep quality in middle-aged women. The explanatory power of the model in explaining sleep quality was 22.9%. CONCLUSIONS: Worsened shoulder pain, self-perceived task difficulty, and negative health perception can affect poor sleep quality; therefore, it is necessary to develop health interventions for pain management and emotional and social support for improving daily sleep quality. To improve the sleep quality in middle-aged women, healthcare workers should consider the subjects' pain and functional disability, in accordance with their health perception.

Factor Structure of the Korean Version of the Occupational Socialization of Beginning Physical Education Teachers Scale in the Context of the COVID-19 Pandemic and Its Relationship with Health Perception Education.

This study aimed to explore the factor structure of the Korean version of the occupational socialization of beginning physical education teachers scale, in the context of the COVID-19 pandemic, and to verify its relationship with health perception education. In October 2021, 257 Korean beginning physical education teachers were enrolled in this study. Data were analyzed using frequency analysis, exploratory factor analysis, confirmatory factor analysis, descriptive statistics, reliability analysis, and multiple regression analysis. Regarding the findings, first, the occupational socialization of beginning physical education teachers scale showed a six-factor structure: role recognition, past physical education class experience, pre-service teacher education, organizational atmosphere, fellow physical education teachers, and sports facility. Second, occupational socialization of beginning physical education teachers showed a partial positive effect on health perception education. These results suggest that the Korean Metropolitan and Provincial Offices of Education and Korean schools should develop various methods to support and ensure the occupational socialization of beginning physical education teachers. Such efforts may enable these new professionals to effectively adapt to their schools, teaching roles, and provide effective health education to students under the difficult context of the COVID-19 pandemic, wherein normal educational activities are hindered.

Return to Work of Healthcare Workers after SARS-CoV-2 Infection: Determinants of Physical and Mental Health.

INTRODUCTION: The SARS-CoV-2 pandemic has involved healthcare workers (HCWs) both as caregivers and as patients. This study is a retrospective cross-sectional analysis of the HCWs working in a third-level hospital in Central Italy who were infected with COVID-19 from March 2020 to April 2021. This research aims at identifying the physical and mental health outcomes of HCWs infected with COVID-19 who returned to work after the infection, the determinants of those outcomes, such as age and sex, and the identification of possible vulnerable professional groups. METHODS: A questionnaire about the acute illness, the experience of returning to work, and health perceptions after the disease was administered to 427 healthcare workers 3 months after recovering from the SARS-CoV-2 infection. RESULTS: The majority interviewed (84.5%) reported symptoms at the time of the positive test, with no significant differences regarding age or sex, while a significant difference in the mean age was found regarding hospitalization (p < 0.001). At 3 months after the infection, females (p = 0.001), older workers (p < 0.001), and healthcare assistants (p < 0.001) were more likely to report persistent symptoms. Sex (p = 0.02) and age (p = 0.006) influenced the quality of sleep after the infection. At work, the nurses group reported increase in workload (p = 0.03) and worse relationships (p = 0.028). At 3 months after the infection, female workers perceived worse physical (p = 0.002) and mental (p < 0.001) health status according to the SF-12. A negative correlation was found between age and PCS score (p < 0.001) but not MCS score (p = 0.86). A significant difference in PCS score was found between nurses and physicians (p = 0.04) and between residents and all other groups (p < 0.001). Finally, the group of workers reporting sleep alterations showed lower PCS and MCS scores (p < 0.001) and working relationships had an impact on MCS scores (p < 0.001). CONCLUSIONS: Age, sex, and type of job had an impact on physical and mental outcomes. Organizing specific interventions, also tailored to professional sub-groups, should be a target for healthcare systems to protect and boost the physical and mental health of their workers.

Self-perception of health and physical activity among adults before and amidst the COVID-19 pandemic: United States, 2019-2020.

The compounded impact of the COVID-19 lockdowns on self-perception of health (SPoH) and physical activity (PA) levels among U.S. adults remains to be explored. We sought to: (1) describe the SPoH and PA levels among U.S. adults; (2) explore the relationship between SPoH and PA before and amidst the COVID-19 pandemic. We analyzed data from the 2019 and 2020 Health Information National Trends Survey (HINTS). COVID-19 was declared a pandemic by the World Health Organization on March 11th, 2020. This date was chosen to demarcate the responses as before and amidst the COVID-19 pandemic. Weighted prevalence estimates were presented alongside adjusted odds ratios from multivariable logistic regression of general SPoH and PA levels for U.S. adults before and amidst COVID-19 pandemic. We analyzed data for 9328 participants. Over half of the U.S. adult population reported performing no muscle strengthening exercise in 2019. The number of inactive people has slightly increased in 2020 (27.8%), compared to 2019 (26.5%). Overall, levels of PA for active people were comparable in 2020 pre and post the WHO pandemic declaration date (36.4% and 39.8%; respectively). Higher odds of negative SPoH were observed among black individuals, current cigarettes smokers, with annual income less than $35,000, physically inactive individuals, people who do not perform muscle-strengthening exercise, and who were very obese. Negative SPoH were associated with lack of moderate exercise, and lack of muscle-strengthening training among U.S. adults before and amidst the pandemic. Pandemic policies and recommendations should include and facilitate PA, specifically among vulnerable populations.

Establishing a novel digital platform supporting physical and emotional wellbeing for people living with kidney disease– The Kidney Beam pilot

Keywords: Chronic Kidney Disease;Wellbeing;Telerehabilitation Purpose: To establish and evaluate a novel digital intervention to provide people living with chronic kidney disease (CKD) across the UK a means to manage their physical health and emotional wellbeing through the Coronavirus-19 (COVID-19) pandemic and beyond. There is a significant association between CKD and more severe COVID-19 infection and a greater mortality rate than the general population. People living with end-stage CKD were classified as ‘extremely clinically vulnerable’ and asked to shield at home. Since people living with CKD do not receive routine physical and emotional wellbeing support as part of routine NHS care, a home-based solution was developed to fill this urgent need. Methods: We partnered with online exercise platform Beam to co-design Kidney Beam (https://beamfeelgood.com/home), a kidney-specific digital health platform, which aimed to offer people living with CKD a way to improve physical and mental health through live and on demand movement classes and educational videos from multidisciplinary experts, all from their own home. The platform was free at point of access for all adults with CKD. A voluntary survey collecting demographic data was completed by participants on sign-up and upon completion of the 6-month pilot to establish whether participants were meeting current physical activity guidelines, to investigate perceptions of health, and collect usability feedback about the platform. Results: A total of 959 participants aged > 18 years from across the UK signed up to the platform within the 6-month time period. Of these, 71% were female, 50% were pre-dialysis and 32% had received a kidney transplant. A total of 1,105 on-demand classes and 829 live classes were completed. The pre-pilot survey was completed by 276 participants (29%), with 76 completing the post-pilot survey. The sample was representative of the baseline sign-ups. Responders to the survey had an 8% improvement in general health (change from perception of poor or fair health to good or very good health) by the end of the pilot. Additionally, 6% of responders reported an improvement in the perception of their emotional health. The pre-pilot survey revealed that only 31% of responders were achieving the recommended physical activity levels of > 150 minutes weekly moderate intensity activity, which had increased to 50% of post-pilot responders. Strength training on 2 days of the week was reported by 31% of responders pre-pilot, compared with 42% post-pilot. 96% of participants would recommend Kidney Beam to a friend, with the biggest reported benefits being that it was kidney-specific and delivered by specialist kidney healthcare professionals. Conclusion(s): The Kidney Beam pilot was a pragmatic programme of care, rapidly evolved to deliver vital physical activity and emotional wellbeing support to people living with CKD at a time of crisis. This platform has been funded for a further 12 months, whilst a randomised controlled trial to evaluate clinical efficacy and cost effectiveness is undertaken to help inform NHS commissioning of the programme. Impact: This has been granted funding for an RCT to evaluate clinical efficacy and cost effectiveness. If successful this will lead to the potential for NHS commissioning, as part of routine care. Funding acknowledgements: The pilot study was a collaboration between King's College Hospital, Kidney Research UK (KRUK) and Beam, a health-technology platform supporting people with health conditions to stay physically active. This work was not funded by the CSP Charitable Trust.

"The better you feel, the harder you fall": Health perception biases and mental health among Chinese adults during the COVID-19 pandemic.

The health risks of the current COVID-19 pandemic, together with the drastic mitigation measures taken in many affected nations, pose an obvious threat to public mental health. To assess predictors of poor mental health in the context of the COVID-19 pandemic, this study first implements survey-based measures of health perception biases among Chinese adults during the pandemic. Then, it analyzes their relation to three mental health outcomes: life satisfaction, happiness, and depression (as measured by the CES-D). We show that the health overconfidence displayed by approximately 30% of the survey respondents is a clear risk factor for mental health problems; it is a statistically significant predictor of depression and low levels of happiness and life satisfaction. We also document that these effects are stronger in regions that experienced higher numbers of confirmed COVID-19 cases and deaths. Our results offer clear guidelines for the implementation of effective interventions to temper health overconfidence, particularly in uncontrollable situations like the COVID-19 pandemic.

Impact of using wearable devices on psychological Distress: Analysis of the health information national Trends survey.

AIM: This study explores the possible impact of wearables on psychological distress and their implications on designs. METHOD: The study conceptualizes and tests two exploratory models by analyzing the US-based Health Information National Trends Survey of 2019 and 2020. Six variants from the databases were used in the study as predictors. We used models 4 and 6 of the Hayes PROCESS macros to test our conceptual parallel and sequential mediation models, respectively. RESULTS: The finding indicates significant and negative indirect effects of 'Use of wearable device' on 'Psychological distress.' In parallel mediation models, 'self-care' and 'health perception' were noted to be significant mediators. Wearable devices were associated with improved 'Health perception,' 'Self-care,' and longer 'workout duration,', which in turn helped reduce 'psychological distress' (better mental health). The sequential mediation model captured the indirect effect of 'Use of wearable device' on 'Psychological distress' when sequentially mediated by 'workout duration,' 'BMI,' 'self-care,' and 'health perception' in the given order. CONCLUSION: As the adoption of digital wearables is increasing due to their growing potential to augment physiological and psychosocial health, it is critical that these technologies are designed to address the needs of users from diverse backgrounds (race, education level, age).

Changes in Health Perception among Patients with Aortic Diseases in a Severe COVID-19 Area in the West of Germany: A Longitudinal Study between the First and Second Wave of the COVID-19 Pandemic.

Background and Objectives: The rapid spread of the novel coronavirus disease (COVID-19) has become the most challenging global health pandemic since the 1918 flu. In Germany, more than 3.4 million cases are confirmed so far, including 83,000 deaths. Increased fatality rates among patients with pre-existing cardiovascular diseases (CVD) represent this group at particular risk. The aim of this study was to evaluate changes in health perception among patients with aortic diseases during the first (w1) and second wave (w2) of the COVID-19 pandemic in Germany. Material and Methods: Patients (n = 262) diagnosed with aortic disease participated in telephone interviews during w1 and w2. The perception of COVID-19 as a threat was examined using relevant items of the Brief Illness Perception (BIP) questionnaire. Results: The BIP score increased from 9.18 (SD = 7.132) to 14.58 (SD = 6.956) between w1 and w2 (p < 0.001). Although this population is at high risk their overall perception of COVID-19 as a threat was low in the beginning, but surged during w2. Main reasons were increased effects on personal life and elevated concerns about the pandemic, but did not include the educational aspect of COVID-19. Conclusions: Tailored risk communication strengthens the mental health of people in a public health crisis and ensures the success of governmental guidelines.

Comparison of Health Awareness in South Korean Middle School Students According to Type of Online Physical Education Classes during the COVID-19 Pandemic.

Coronavirus disease 2019 popularized online classes to prevent educational deficits affected by the pandemic. This study aimed to assess the differences in the importance and performance of health awareness in Korean middle school students according to the types of online physical education classes they attended during the coronavirus disease 2019 pandemic. Overall, 583 participants were selected using a convenience sampling method; the data were obtained through an online survey using Google forms. Frequency analysis, reliability analysis, independent sample t-test, and importance-performance analysis were performed. First, the differences between importance and performance were found to be the most for sleep and physical activity management, and the least for disease and hygiene management. In addition, both groups demonstrated higher importance and performance for hygiene and disease management. There were significant differences in the importance and performance of all the sub-factors. Second, hygiene, disease management, and mental health management were found in quadrant I in both groups, while physical activity, sleep, and dietary habit management were in quadrant III. No factors were in quadrants II and IV. Correspondingly, there was no significant difference in adolescents' health awareness between the assignment-based online group and interactive online group.

COVID-19, Alcohol Consumption and Stockpiling Practises in Midlife Women: Repeat Surveys During Lockdown in Australia and the United Kingdom.

Introduction: This project examined the impact of COVID-19 and associated restrictions on alcohol practises (consumption and stockpiling), and perceptions of health risk among women in midlife (those aged 45-64 years). Methods: We collected online survey data from 2,437 midlife women in the United Kingdom (UK) and Australia in May 2020, recruited using a commercial panel, in the early days of mandated COVID-19 related restrictions in both countries. Participants were surveyed again (N = 1,377) in July 2020, at a time when COVID-19 restrictions were beginning to ease. The surveys included the Alcohol Use Disorder Identification Test-Consumption (AUDIT-C) and questions alcohol stockpiling. Analysis involved a range of univariate and multivariate techniques examining the impact of demographic variables and negative affect on consumption and acquisition outcomes. Results: In both surveys (May and July), UK women scored higher than Australian women on the AUDIT-C, and residence in the UK was found to independently predict stockpiling of alcohol (RR: 1.51; 95% CI: 1.20, 1.91). Developing depression between surveys (RR: 1.53; 95% CI: 1.14, 2.04) and reporting pessimism (RR: 1.42; 95% CI: 1.11, 1.81), and fear/anxiety (RR: 1.33; 95% CI: 1.05, 1.70) at the beginning of the study period also predicted stockpiling by the end of the lockdown. Having a tertiary education was protective for alcohol stockpiling at each time point (RR: 0.69; 95% CI: 0.54, 0.87). Conclusions: COVID-19 was associated with increases in risky alcohol practises that were predicted by negative emotional responses to the pandemic. Anxiety, pessimism and depression predicted stockpiling behaviour in UK and Australian women despite the many demographic and contextual differences between the two cohorts. Given our findings and the findings of others that mental health issues developed or were exacerbated during lockdown and may continue long after that time, urgent action is required to address a potential future pandemic of alcohol-related harms.