Experiences of queer women and nonbinary individuals with mental health care services during the COVID-19 pandemic

Background: The COVID-19 pandemic has had a negative effect on mental health. Queer women and nonbinary individuals disproportionately experience mental health issues when compared to heterosexuals, often facing challenges in receiving care from providers who are sensitive to their concerns and competent in their care. Objective: To report experience of queer women and nonbinary individuals in the United States with mental health care services before and during the pandemic. Methods: Data were gathered via a 43-item survey about experiences with mental health care services before and during the pandemic that was posted on four social media sites, and flyers hung in university student centers and businesses friendly to LGBTQ individuals. Queer women and nonbinary individuals between the ages of 18 and 75 were invited to participate. Descriptive statistics and Spearman?s correlations were used for data analysis. Results: There were 175 participants who met inclusion criteria and were included in the analysis. During the pandemic, more survey participants received mental health services compared with before the pandemic. How they received care significantly changed from before the pandemic (mostly in-person) to during the pandemic (mostly remote). Participants reported being seen significantly more frequently for mental health care during the pandemic compared to before. A higher percentage of participants received both psychotherapy and medication during the pandemic compared with before. They were generally satisfied with their mental health care;however, satisfaction was significantly higher during the pandemic. Conclusion: During the pandemic, compared with before, significantly more participants received mental health care and there were significantly more virtual mental health visits, more frequent mental health visits, more intensive therapies, and higher patient satisfaction. Telehealth care was perceived to be beneficial by most participants. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Hand hygiene behaviors in adult individuals during the covid-19 pandemic: What changed?

Background: Hand washing is vital to prevent the spread of the agent from person to person during epidemic periods and to reduce the impact of the pandemic on people's lives, health, livelihoods and health system. Objective: This study was conducted to examine the hand hygiene behavior of adults during the COVID-19 pandemic period. Methods: This descriptive and cross-sectional study was completed between 15 October 2020 and 30 November 2020 via Google Forms with 627 adult individuals. The data were collected with a questionnaire form created by the researchers as a result of the relevant literature review. Results: During the pandemic period, 91.4% of the participants stated that the habit of hand washing increased. It was observed that handwashing status of participants during the pandemic process changed in terms of age group, gender and those who considerg hand hygiene important in combating the epidemic (p<.05). When handwashing behavior of the participants during the COVID-19 pandemic was examined, it was found that only 14.5% of the participants washed their hands before entering a toilet. Nearly all of the participants (96.7%) stated that they wash their hands after using a toilet, 92.7% after coming from outside, 84.1% after shopping, and more than half (52.2%) after meeting with friends or relatives. Conclusions: During the COVID-19 pandemic, awareness of adult individuals about the importance of proper hand hygiene has changed. Handwashing behaviors of individuals in the society change during the pandemic period and this requires the attention of health professionals in particular. © 2023, Dokuz Eylul University. All rights reserved.

Investigation of the change in the physical activity levels of students when the curfew was applied during the COVID-19 pandemic period

It is important to develop approaches to encourage physical activity so that people can lead a healthy life. This study was conducted to compare the physical activity status of students during the Covid-19 pandemic period when the curfew was applied and the restriction was not applied. The sample group of the study consisted of a total of 254 participants, 108 women and 146 men, studying at Tekirdag Namik Kemal University Faculty of Sport Sciences. In the study, the International Physical Activity-Short Form (IPAQ-SF) was used to determine the physical activity status of individuals. Kolmogorov-Smirnov and Paired Sample T Test were applied to compare the analysis of the variables of individuals by gender, before and during the curfew. In this study, the level of significance was accepted as p<0.05. According to the results obtained, students' vigorous physical activities before and during restraint (p<0.05;2:494), walking (p<0.05;2:354) and total physical activity (p <0.05;2: 541) parameters were found to be significantly different. It was determined that there was a significant difference between the parameters of walking (p<0.05;2:411) and total physical activity (p<0.05;2:377) of female students before and during the restraint. Between the parameters of vigorous physical activities before and during restraint (p<0.05;2:13.499), walking (p <0.05;2:312) and total physical activity (p<0.05;2:669) of male students was found to be a significant difference. As a result, it was determined that the total physical activity levels of the students decreased significantly when the curfew was applied.

COVID-19 positive cases among asymptomatic individuals during the second wave in Ndola, Zambia.

Background: Coronavirus disease 2019 (COVID-19) is a worldwide public health concern for healthcare workers. About 80% of cases appear to be asymptomatic, and about 3% may experience hospitalisation and later die. Less than 20% of studies have looked at the positivity rate of asymptomatic individuals. Objective: This study investigated the COVID-19 positivity rates among asymptomatic individuals during the second COVID-19 wave at one of Zambia's largest testing centre. Methods: This was a retrospective cross-sectional study conducted on routine surveillance and laboratory data at the Tropical Diseases Research Centre COVID-19 laboratory in Ndola, Zambia, from 01 December 2020 to 31 March 2021. The study population was made up of persons that had tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection as a requirement for travel. Microsoft Excel was used to come up with an epidemiological curve of daily COVID-19 positive cases; proportions for gender were described using frequencies and percentages. Results: A total of 11 144 asymptomatic individuals tested for SARS-CoV-2 were sampled for the study and 1781 (16.0%) returned positive results. The median age among those tested was 36 years (interquartile range: 29-46). Testing for COVID-19 peaked in the month of January 2021 (37.4%) and declined in March 2021 (21.0%). The epidemiological curve showed a combination of continuous and propagated point-source transmission. Conclusion: The positivity rate of 16.0% among asymptomatic individuals was high and could imply continued community transmission, especially during January 2021 and February 2021. We recommend heightened testing for SARS-CoV-2 among asymptomatic individuals. What this study adds: This study adds critical knowledge to the transmission of COVID-19 among asymptomatic travellers who are usually a key population in driving community infection. This knowledge is critical in instituting evidence-based interventions in the screening and management of travellers, and its control.

Technology acceptance and COVID-19: a perspective for emerging opportunities from crisis

Ingredients for leadership development include strategic intent, sensibility, knowledge, analytic acuity, and the confidence to make tough calls. Emergencies highlight the importance of technical progress and the opportunity to enhance design and productivity. Significant technological and organisational barriers hinder acceptance of these technologies;hence it is necessary to employ strategy. Research should be at the system's heart through planned and unplanned transitions. The vision of building and maintaining business resilience and organising swift changes includes using perceptual methods. With this view, leaders can make deliberate decisions. It also tends to disrupt traditional approaches to dexterity. At the same time, strategic flexibility necessitates an evident connection between the business and the institution's mission. A leader's positive strategic intent is core that better enables investment in crisis response competencies. It includes timely use of knowledge management, organisational learning frameworks, business strategy, and system agility. Many nations in the developing world have simultaneously experienced the rise of digitisation and the spread of the covid-19 epidemic. Thus, academics should focus on the difficulties and prospects associated with people, groups, and management.

Examining a Moderated Serial Mediation Model of the Relationship between Phoenix Leadership Characteristics and Organizational Change

Drawing on the social exchange approach and an accompanying sub-theory pertaining to upper echelons theory, which are the most influential theories for describing the behavior of workers in the workplace, this study empirically investigates some corresponding moderated serial mediation variables, such as affective commitment, work meaningfulness, and perceived organizational support, which impact the relationship between Phoenix leadership and organizational change. A total of 150 employees working in the Sudanese Electricity Company participated in the questionnaire survey. The response rate was 88%. The results revealed that Phoenix leadership significantly influences organizational change and affective commitment. Affective commitment significantly influences work meaningfulness. Affective commitment and work meaningfulness mediate the relationship between Phoenix leadership and organizational change. Affective commitment mediates the relationship between Phoenix leadership and work meaningfulness. Work meaningfulness mediates the relationship between affective commitment and organizational change, but perceived organizational support does not moderate the relationship between work meaningfulness and organizational change. By testing the mediated moderation effects on the relationship between Phoenix leadership and organizational change, this research proposes a new framework for assessing the impact of mediators and moderators on teams of employees during the COVID-19 pandemic.(c) CIKD Publishing

Mechanisms behind COVID-19 scepticism among socially marginalised individuals in Europe

Homeless and materially disadvantaged people are considered particularly vulnerable to COVID-19 infection. So far, there is no systematic knowledge about how the homeless and materially disadvantaged people perceive the risks of COVID-19 and what factors influence the development of sceptical views and underestimation of dangers posed by the virus. The aim of our study is therefore to: (1) Explore COVID-19 risk perception of socially marginalised individuals, focusing on their assessment of the probability of getting infected by the virus and the perceived harmful consequences of the disease;and (2) examine the factors influencing COVID-19 risk beliefs of these individuals. We use cross-sectional survey data with 273 participants from eight countries and data from 32 interviews and five workshops with managers and staff of social care organisations in ten European countries. Our results indicate that among survey participants, 49% can be labelled COVID-19 sceptics with regard to probability of getting infected, and 38% with regard to harmful consequences of the disease. We find that COVID-19 scepticism is related to low levels of all types of social capital, low trust in information from authorities and being a minority. However, the most important predictor is the respondents' general lack of concern about health risks. Additionally, the qualitative data indicates the multifaceted nature of COVID-19 scepticism, as it may relate to the origins of COVID-19, the probability of infection, its consequences and protective measures, among others. Improved understanding about factors influencing COVID-19 scepticism in these groups contributes to a better understanding of the information disorder during crises, and the ways in which this could be managed through policies against marginalisation, including in disaster risk reduction.

Determining Factors of Psychosocial Wellbeing Among People With Disabilities During the COVID-19 Pandemic: Mediating Role of Social Support

This study aimed to understand how the COVID-19 pandemic impacted the stress levels and life satisfaction of individuals with disabilities and what role social support plays in mitigating these impacts. Data from individuals with disabilities (n = 600) were extracted from a larger international cross-sectional survey study. Regression analyses were conducted to examine how personal and environmental factors contributed to stress levels and life satisfaction changes during the pandemic. Mediation analyses were used to test whether social support mediated the association between stress level and life satisfaction. The negative impact of the pandemic, having a psychiatric disability, being a female, and being younger significantly predicted stress levels. Moreover, the negative impact of the pandemic and stress levels significantly predicted life satisfaction. The relationship between stress levels and life satisfaction was mediated by social support from significant others and friends. There is an urgent need to provide training and education for healthcare professionals, families, and caregivers on the basic aspects of mental health care, developing time-limited and culturally-sensitive mental health interventions, and strategies for expanding the social support system for the population. Broad dissemination of effective therapeutic strategies is crucial in mitigating the negative psychosocial impact of the pandemic.

Analysis of the Role of Individuals and Governments in Post-COVID-19 Health Issues: The Case of Korea

This study was conducted in order to ascertain what role government and individuals should play in the event of a pandemic such as Coronavirus occurring in Korea in the future, using information deriving from news articles available at the Bigkinds news portal site in Korea. The analysis period ran from 11 March 2020, when the pandemic was declared by the World Health Organization, to 31 January 2023, almost three years later. Text mining analysis was conducted on all the articles, as a result of which six important roles that individuals should play, and ten roles that government should play, in a pandemic situation were suggested. © 2022, European Alliance for Innovation. All rights reserved.

A Double Jeopardy: COVID-19 impacts on the travel behavior and community living of people with disabilities.

The COVID-19 pandemic response has had a significant impact on the general population's ability to participate in their communities. Individuals with disabilities, an already socially disadvantaged population, are more vulnerable to and have likely been disproportionately impacted by COVID-19 response conditions. Yet, the extent to which daily community living activities of people with disabilities have been impacted is unknown. Thus, this study assesses their travel behavior and community living during the COVID-19 pandemic conditions compared with those of the general population during the same period. A web survey was conducted using Qualtrics's online panel data (respondents included 232 people with disabilities and 161 people without disabilities). Regression models found that people with disabilities reduced their daily travel to a greater extent but at varying degrees, depending on the destination types and travel modes. Reductions in taxi rides (including ride-hailing services) were most significant among people with cognitive and sensory (vision and hearing) disabilities. By place type, cognitive disability was associated with a trip reduction for multiple destination types-grocery, restaurants, outdoor recreation, indoor recreation, and healthcare providers. Findings from this study could contribute to decision- and policy-making in planning, transportation, and community services during the remainder of the COVID-19 pandemic, in future major public health crises, as well as post-COVID, because the adjustments in travel behavior and community living might be longer-term.

Evaluation of the gut microbiome associated with COVID-19.

Introduction: In 2019, a new virus from the coronavirus family called SARS-CoV-2, infected populations throughout the world. Coronavirus disease 2019 (COVID-19), an illness induced by this virus, attacks vital organs in the body, such as the respiratory system and the gastrointestinal tract. Recent studies have confirmed changes in the gut microbiome caused by the COVID-19 disease. We examined the alteration of the gut microbiome in COVID-19 patients compared to healthy individuals. Materials and methods: in this study, the 16s metagenomics dataset, publicly available in the Sequence Read Archive (SRA) database, was used for analysis (accession number PRJNA636824). The analysis processes were performed using the CLC Microbial Genomics Module 20.1.1 (Qiagen). At first, the sequence reads of samples were trimmed and classified into operational taxonomic units (OTUs) with 97% similarity and then assigned to the Greengenes reference database (v138). Differential abundance analysis was used to determine statistically significant differences in OTUs between COVID-19 and healthy groups. Next, biodiversity analyses including the alpha diversity (intragroup diversity) and beta diversity (intergroup diversity) using defined indexes were estimated. Then, the co-occurrence network at the species level was constructed using the Pearson correlation coefficient calculation between pairs of OTUs in R software and visualized using Cytoscape software. Ultimately, the hub OTUs at the species level were identified using the cytoHubba plugin of Cytoscape based on Maximal Clique Centrality (MCC) algorithm. Results: The results of the metagenomic analysis revealed that the intestinal microbiome in healthy individuals has a higher biodiversity compared to COVID-19 patients. Indeed, healthy people also have a higher percentage of beneficial bacteria such as bifidobacteria adolescentis compared to COVID-19 patients; in contrast, COVID-19 patients have higher levels of opportunistic and pathogenic bacteria such as Streptococcus anginosus than healthy people. Also, by constructing a co-occurrence network at the species level, Bifidobacterium longum in the healthy group and Veillonella parvulain the COVID-19 group were found as hub species. Conclusion: The results of this study shed light on the relationship between the gut microbiome and COVID-19. These results could be helpful for understanding the pathogenesis, clinical features, and treatment of COVID-9.

Fear, Anxiety, and Coping Self-efficacy of Individuals With Cancer During COVID-19 and Predictive Risk Factors: A Descriptive and Correlational Study.

OBJECTIVES: In this study, we determined COVID-19-related fear, anxiety, and coping self-efficacy in individuals with cancer and predicted the risk factors of these parameters. DATA SOURCES: A descriptive and correlational study was conducted in a single cancer center with 396 individuals. The data were collected using the Participant Information Form, the Fear of Coronavirus Scale, the Coronavirus Anxiety Scale, and the Cancer Behavior Inventory Short Form. Approximately 94% of individuals had received the COVID-19 vaccine. The boosting effect of the vaccination on self-confidence (ß = 0.209), duration of diagnosis (ß = 0.219), and perception of mental health (ß = 0.284) was associated with fear of COVID-19. Smoking (ß = 0.116), vaccination dose (ß = 0.139), disease stage (ß = 0.101), perception of physical health (ß = -0.262), and perception of mental health (ß = -0.112) were associated with coping self-efficacy. CONCLUSION: We found that most individuals did not have anxiety, had a moderate level of fear, and their coping self-efficacy was satisfactory. IMPLICATIONS FOR NURSING PRACTICE: The perception of mental health was the common risk factor for fear and coping self-efficacy. Health professionals should be aware of the psychological problems experienced by individuals with cancer, and they should adopt strategies that can increase self-efficacy in coping.

Vaccine mistrust among Black individuals in Canada: The major role of health literacy, conspiracy theories, and racial discrimination in the healthcare system.

The COVID-19 pandemic disproportionately affected Black communities in Canada in terms of infection and mortality rates compared to the general population. Despite these facts, Black communities are among those with the highest level of COVID-19 vaccine mistrust (COVID-19 VM). We collected novel data to analyze the sociodemographic characteristics and factors associated with COVID-19 VM among Black communities in Canada. A survey was conducted among a representative sample of 2002 Black individuals (51.66% women) aged 14-94 years (M = 29.34; SD = 10.13) across Canada. Vaccine mistrust was assessed as the dependent variable and conspiracy theories, health literacy, major racial discrimination in healthcare settings, and sociodemographic characteristics of participants were assessed as independent variables. Those with a history of COVID-19 infection had higher COVID-19 VM score (M = 11.92, SD = 3.88) compared to those with no history of infection (M = 11.25, SD = 3.83), t (1999) = -3.85, p < 0.001. Participants who reported having experienced major racial discrimination in healthcare settings were more likely to report COVID-19 VM (M = 11.92, SD = 4.03) than those who were not (M = 11.36, SD = 3.77), t (1999) = -3.05, p = 0.002. Results also showed significant differences for age, education level, income, marital status, provinces, language, employment status, and religion. The final hierarchical linear regression showed that conspiracy beliefs (B = 0.69, p < 0.001) were positively associated with COVID-19 VM, while health literacy (B = -0.05, p = 0.002) was negatively associated with it. The mediated moderation model showed that conspiracy theories completely mediated the association between racial discrimination and vaccine mistrust (B = 1.71, p < 0.001). This association was also completely moderated by the interaction between racial discrimination and health literacy (B = 0.42, p = 0.008), indicating that despite having a high level of health literacy, those who experienced major racial discrimination in health services developed vaccine mistrust. This first study on COVID-19 VM exclusively among Black individuals in Canada provides data that can significantly impact the development of tools, trainings, strategies, and programs to make the health systems free of racism and increase their confidence in vaccination for COVID-19 and other infectious diseases.

Third SARS-CoV-2 vaccination and breakthrough infections enhance humoral and cellular immunity against variants of concern.

Introduction: SARS-CoV-2 vaccination is the leading strategy to prevent severe courses after SARS-CoV-2 infection. In our study, we analyzed humoral and cellular immune responses in detail to three consecutive homologous or heterologous SARS-CoV-2 vaccinations and breakthrough infections. Methods: Peripheral blood samples of n=20 individuals were analyzed in the time course of three SARS-CoV-2 vaccinations and/or breakthrough infection. S1-, RBD-, S2- and N-specific IgG antibodies were quantified using Luminex-based multiplex assays and electrochemiluminescence multiplex assays for surrogate neutralization in plasma. Changes in cellular immune components were determined via flow cytometry of whole blood samples. Results: All individuals (n=20) responded to vaccination with increasing S1-/RBD-/S2-specific IgG levels, whereas specific plasma IgA displayed individual variability. The third dose increased antibody inhibitory capacity (AIC) against immune-escape variants Beta and Omicron BA.1 independently of age. The mRNA-primed vaccination induced IgG and IgA immunity more efficiently, whereas vector-primed individuals displayed higher levels of memory T and B cells. Vaccinees showed SARS-CoV-2-specific T cell responses, which were further improved and specified after Omicron breakthrough infections in parallel to the appearance of new variant-specific antibodies. Discussion: In conclusion, the third vaccination was essential to increase IgG levels, mandatory to boost AIC against immune-escape variants, and induced SARS-CoV-2-specific T cells. Breakthrough infection with Omicron generates additional spike specificities covering all known variants.

Pet ownership and lifestyle behaviours of immunosuppressed individuals and their relatives in the context of COVID-19 pandemic.

The COVID-19 pandemic and containment measures will likely have a detrimental impact on immunosuppressed individuals' lifestyle behaviours. Increasing evidence suggests that pet ownership is positively associated with healthier lifestyle. Yet, no study has investigated the potential benefits of pet ownership on lifestyle behaviours of immunosuppressed individuals, a population at increased risk of COVID-19 complications. This study aims to examine 1) changes in light, moderate and vigorous intensity physical activity (LPA, MPA, VPA), sedentary time (SED), and sleep duration, assessed by comparing "before COVID-19 pandemic" and "past 7 days" (i.e., current, during pandemic) self-reported behaviours in immunosuppressed individuals and their relatives; 2) to assess if changes in lifestyle behaviours are associated with pet ownership status and whether age is a moderator of these associations. A convenience sample of 132 participants (65.2% female, 41.3% ≥55 years of age) provided self-reported LPA, MPA, VPA (days/week), SED and sleep (min/day) and pet ownership status using an online questionnaire (May-August 2020). Descriptive analyses, paired T-tests, Cohen's d effect size and linear regressions were conducted. Results show that participants reported a decrease in VPA (-0.56 days/week, d = 0.34; p < 0.01) and an increase in SED (106.79 min/day, d = -0.81; p < 0.01). Stratified analysis revealed that having at least one dog, compared to not owning pets, is associated with a reduced decline in LPA, MPA and VPA and an increase in sleep in participants aged < 55 years old only. Having a dog appears to be positively associated with healthy lifestyle behaviours in younger and middle age immunosuppressed individuals.

Frequency of COVID-19 Infection as a Function of Vitamin D Levels.

BACKGROUND: It has been speculated that higher concentrations of 25-hydroxy-vitamin D (25OHD) provide some protection against COVID-19. We assessed whether there is any relationship between 25OHD concentrations and the subsequent development of COVID-19 infection. MATERIALS AND METHODS: Concentrations of 25OHD were measured in March-April 2020 in 134 healthy subjects (57 males), age range 6-50, from a single urban general practice in central Poland. Data on COVID-19 infection during the subsequent 12 months (prior to the vaccination program) were obtained from the national database of COVID-19 cases. None of the subjects received any 25OHD supplements. RESULTS: The average 25OHD concentrations were 18.1 ± 7.39 ng/mL (37.3% had 25OHD above 20 ng/mL). Thirty-one (23.1%) patients developed COVID-19 infection, but an increased risk was only observed in individuals with 25OHD concentrations below 12 ng/mL (COVID-19 infection in 11 out of 25 patients (44%) with 25OHD < 12 ng/mL versus 20 out of 109 (18.3%) for those with 25OHD above 12 ng/mL, p = 0.0063). Such a relationship was no longer observed for subjects with 25OHD concentrations above 20 ng/mL (p = 0.2787). CONCLUSIONS: Although only a minority of healthy subjects had 25OHD concentrations above 20 ng/mL in spring, an increased risk of subsequent COVID-19 infection was only observed in those with severe 25OHD deficiency (<12 ng/mL).

Handwriting and Drawing for Depression Detection: A Preliminary Study

The events of the past 2 years related to the pandemic have shown that it is increasingly important to find new tools to help mental health experts in diagnosing mood disorders. Leaving aside the long-covid cognitive (e.g., difficulty in concentration) and bodily (e.g., loss of smell) effects, the short-term covid effects on mental health were a significant increase in anxiety and depressive symptoms. The aim of this study is to use a new tool, the "online” handwriting and drawing analysis, to discriminate between healthy individuals and depressed patients. To this purpose, patients with clinical depression (n = 14), individuals with high sub-clinical (diagnosed by a test rather than a doctor) depressive traits (n = 15) and healthy individuals (n = 20) were recruited and asked to perform four online drawing/handwriting tasks using a digitizing tablet and a special writing device. From the raw collected online data, seventeen drawing/writing features (categorized into five categories) were extracted, and compared among the three groups of the involved participants, through ANOVA repeated measures analyses. The main results of this study show that Time features are more effective in discriminating between healthy and participants with sub-clinical depressive characteristics. On the other hand, Ductus and Pressure features are more effective in discriminating between clinical depressed and healthy participants. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Role of faith-based organisations and individuals in provision of health services in Zimbabwe

This article reflects on the increasing roles of faith-based organisations (FBOs) and individual followers in the provision of health services in Zimbabwe within the context of declining capabilities of state-funded and state-owned health facilities. In colonial and post-colonial Africa in general and Zimbabwe in particular, FBOs have consistently contributed to the provision of public services and social security. We contend that state fragilities in the Zimbabwean political landscape result in severe public service delivery deficits that are often filled by FBOs and individual followers. The implications for FBOs and individual followers are twofold. Firstly, the increased involvement of FBOs in the production and provision of public services such as education and health services afford FBOs with opportunities and spaces to evangelise. Secondly, and on the downward side, the provision of health services can often be expensive and diverts attention from the core business of these religious organisations. The article reveals that in the context of economic and governance crises, FBOs play an increasingly momentous role in providing health care services in Zimbabwe. The article focuses on Zimbabwe during the crisis periods of 2007–2009 and 2018 up to the current (2022) socio-economic and political declines, poor governance, and the subsequent fragilities in the state. Contribution: Faith-based organisations assume increasing roles in the provision of health services in place of failing states. Those increased roles provide FBOs opportunities to evangelise. However, FBOs are not a sustainable replacement because they become afflicted with the same financial challenges that bedevil the state.

COVID-19 Stress in Married Individuals in Terms of Dyadic Coping and Problem-Solving in Marriage

This study aims to examine the relationship between the levels of married individuals being affected by the new life form that has emerged due to COVID-19 and the variables of dyadic coping with stress and problem-solving in marriage. The study group consists of 487 married individuals (77% women, 23% men) living in Turkey. Hierarchical multiple regression analysis was used in data analysis. It is found that regression model was significant and 46% of the COVID-19 pandemic effect was explained by problem-solving in marriage and dyadic coping with stress. The effect of both predictor variables on the COVID-19 Impact Index was moderate. This finding reveals that the couple can show greater resilience in the face of challenging life events if the ability to jointly cope with stress and problem solving is acquired. Explaining the impact of stressful life events such as Covid 19 on dyadic or triadic relationships with internal variables such as personality provides less information about the nature of relationships. In a couple relationship, the way one of the partners copes with stress and solves problems can be a source of stress for the other. For this reason, there is a need for studies that reflect the social context in studies examining the couple relationship. © Turkish Psychological Counseling and Guidance. All rights reserved.

Promoting Emergency Response for Homeless Service Agencies: Field-Based Recommendations from Two Municipalities in Nova Scotia, Canada

The fast unfolding of the global COVID-19 pandemic has disproportionately affected the homeless sector by triggering tremendous challenges for individuals experiencing homelessness (IEHs) and related service agencies. This quick-response research project qualitatively collected time-sensitive data from the IEHs and service stakeholders (SSs) experiences, challenges, efforts, and suggestions during the first wave of COVID-19 in the two most populated municipalities in the province of Nova Scotia, Canada, namely, Halifax Regional Municipality and Cape Breton Regional Municipality. Through analyzing and synthesizing the standpoints from both IEHs and SSs, this technical note presents recommendations, addressing the practical challenges that IEHs have been confronting during COVID-19 and systemic issues in which homelessness is rooted. These recommendations will assist community-based agencies in improving their emergency response capacity, better serving IEHs in COVID-19 in particular, and supporting other vulnerable and marginalized populations in future extreme events in general.