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1.
Psychoanal Q ; 91(2): 273-291, 2022.
Article in English | MEDLINE | ID: covidwho-2017068

ABSTRACT

The author explores the unconscious meanings of the physical absence of the three-dimensional world of people and how these play a critical role in children's reactions to restrictions in human contact during the COVID-19 pandemic. When children are deprived of the corporeality of loved ones, the children's continuously emerging and unstable self-and-other arrangements may trap normative feelings of envy, jealousy, hatred, rivalry, love, and idealization. During lockdowns, there is no place where these raw emotions can be tested, so they remain untempered by the real presence of others and by interactivity with them, feeding aggression that is turned back against the child with frightening ferocity. How do children who must reside in such abstinence during a pandemic pull themselves up the ladder of growth when others whom they rely upon to help them discover who they are, are not there? A description of an observation of a young child attending a Zoom classroom is included, with accompanying commentary.


Subject(s)
COVID-19 , Child Development , Pandemics , Child , Communicable Disease Control , Emotions , Humans
2.
Infect Dis Poverty ; 11(1): 69, 2022 Jun 18.
Article in English | MEDLINE | ID: covidwho-1962899

ABSTRACT

BACKGROUND: The pandemic of coronavirus disease 2019 (COVID-19) has changed human behavior in areas such as contact patterns and mask-wearing frequency. Exploring human-human contact patterns and mask-wearing habits in high-risk groups is an essential step in fully understanding the transmission of respiratory infection-based diseases. This study had aims to quantify local human-human (H-H) contacts in high-risk groups in representative provinces of China and to explore the occupation-specific assortativity and heterogeneity of social contacts. METHODS: Delivery workers, medical workers, preschoolers, and students from Qinghai, Shanghai, and Zhejiang were recruited to complete an online questionnaire that queried general information, logged contacts, and assessed the willingness to wear a mask in different settings. The "group contact" was defined as contact with a group at least 20 individuals. The numbers of contacts across different characteristics were assessed and age-specific contact matrices were established. A generalized additive mixed model was used to analyze the associations between the number of individual contacts and several characteristics. The factors influencing the frequency of mask wearing were evaluated with a logistic regression model. RESULTS: A total of 611,287 contacts were reported by 15,635 participants. The frequency of daily individual contacts averaged 3.14 (95% confidence interval: 3.13-3.15) people per day, while that of group contacts was 37.90 (95% CI: 37.20-38.70). Skin-to-skin contact and long-duration contact were more likely to occur at home or among family members. Contact matrices of students were the most assortative (all contacts q-index = 0.899, 95% CI: 0.894-0.904). Participants with larger household sizes reported having more contacts. Higher household income per capita was significantly associated with a greater number of contacts among preschoolers (P50,000-99,999 = 0.033) and students (P10,000-29,999 = 0.017). In each of the public places, the frequency of mask wearing was highest for delivery workers. For preschoolers and students with more contacts, the proportion of those who reported always wearing masks was lower (P < 0.05) in schools/workplaces and public transportation than preschoolers and students with fewer contacts. CONCLUSIONS: Contact screening efforts should be concentrated in the home, school, and workplace after an outbreak of an epidemic, as more than 75% of all contacts, on average, will be found in such places. Efforts should be made to improve the mask-wearing rate and age-specific health promotion measures aimed at reducing transmission for the younger demographic. Age-stratified and occupation-specific social contact research in high-risk groups could help inform policy-making decisions during the post-relaxation period of the COVID-19 pandemic.


Subject(s)
COVID-19 , Pandemics , COVID-19/epidemiology , COVID-19/prevention & control , China/epidemiology , Disease Outbreaks , Humans , Pandemics/prevention & control , SARS-CoV-2
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