Social Risks, Social Needs, and Attitudes Toward Social Health Screening 1 Year Into the COVID-19 Pandemic: Survey of Adults in an Integrated Health Care Delivery System.

Introduction Information about demographic differences in social risks, needs, and attitudes toward social health screening in non-highly vulnerable adult populations is lacking. Methods The authors analyzed data for 2869 Kaiser Permanente Northern California non-Medicaid-covered members aged 35 to 85 who responded to a 2021 English-only mailed/online survey. The survey covered 7 social risk and 11 social needs domains and attitudes toward social health screening. The authors used data weighted to the Kaiser Permanente Northern California membership to estimate prevalence of risks, needs, and screening receptivity in the overall population, by race/ethnicity (White, Black, Latinx, Asian American/Pacific Islander) and age (35-65 years old, 66-85 years old). Multivariable regression was used to evaluate differences between groups. Results Overall, 26% of adults were financially strained, 12% food insecure, 12% housing insecure, and 5% transportation insecure. Additionally, 7%, 8%, and 17% had difficulty paying for utilities, medical expenses, and dental care, respectively. Over 40% of adults wanted help with ≥ 1 social need. Dental care, vision/hearing care, paying for medical expenses and utilities, and managing debt/credit card repayment surpassed food, housing, and transportation needs. Prevalence of social risks and needs was generally higher among middle-aged versus older and Black and Latinx versus White adults. Among the 70% of adults receptive to screening, 85% were willing to complete a questionnaire and 40% were willing to have staff ask questions; 18% did not want to be screened. Conclusion When implementing social health screening in diverse patient populations, the prevalence of social risks and needs, as well as the acceptability of social health screening and screening modalities, will vary among demographic subgroups.

The Impact of Video Advertising's Information Quality Content and Risk on Customer Trust and Intention to Buy during the Covid

Many companies use video advertising during the covid pandemic. Video advertising has a positive effect on the industry but also has a negative impact (inherent risk) such as time, physical, financial, and social risk. Video advertising content generally follows information quality characteristics to achieve the maximum result. This study will explore on how Video Advertising's Information Quality Content (VAIQC) affects social media risk, customer trust and intention to buy. The study was conducted using the Structural Equation Model and Partial Lease Square (SEM-PLS) techniques with 246 respondents. Several factors have a significant influence, such as customer trust on intention to buy, financial risk on intention to buy, Video's advertising information quality content (VAIQC) on customer trust, financial risk, physical risk, social risk and time risk. This study also looks at the effect of gender on the research model. The results of this research are very useful for the industry and future digital advertising development. © 2022 IEEE.

Intention of young travellers to travel during the COVID-19 pandemic

The global health pandemic (COVID-19) has led to a significant decline in tourism activities and challenged existing norms and practices of the tourism sector. As international travel is restricted, the tourism sector is trying to promote domestic tourism by following health guidelines. This study aims to measure the relationships among social media travel content, perceived social risk of travel, attitude toward travel, and intention to travel during the pandemic time. The data were collected from young travellers in Bangladesh. The structural equation modelling (SEM) technique was used to estimate the relationships among the constructs. The results show that both social media travel content and perceived social risk of travel are significantly related to attitude toward travel and intention to travel. The association between attitude toward travel and intention to travel is also found significant. Destination managers are recommended to implement social media activation programs (e.g., a persuasive advertising campaign) and promote safe travel on their social media platforms (e.g., Facebook) to reduce perceived social risk of travel and create a positive attitude of travellers toward travel domestically during the global pandemic. Copyright © 2022 Inderscience Enterprises Ltd.

The influence of the COVID-19 pandemic on work connectivity behavior.

Introduction: Based on event system theory, this study analyzed the influence of the event strength of major public health outside the organization on work connectivity behavior. Methods: The study collected data from 532 employees on their psychological status and working style during the COVID-19 pandemic through an online questionnaire survey. Results: The results show that driven by financial risk perception, female employees are more willing to pay work connectivity behavior than male employees and unmarried employees are more willing to pay work connectivity behavior than married employees. The risk perception of employees aged 28-33 has the greatest impact on workplace behavior. The impact of financial risk perception on behavior of employees without children is much higher than that of employees with children. The influence of financial risk perception and social risk perception on their behavior of employees with master's degree is much higher than that of health risk perception, but the workplace behavior of employees with doctor's degree is mainly affected by health risk perception. Discussion: The novelty of the Corona Virus Disease event has a negative influence on work connectivity duration. The criticality, disruption of the Corona Virus Disease event has a positive influence on work connectivity duration. The criticality of the Corona Virus Disease event has a positive influence on work connectivity frequency. Employees' social risk perception, financial risk perception and health risk perception has a positive influence on the work connectivity duration and work connectivity frequency.

Psychosocial Risk in COVID Context: The Impact of Economic Factors and Labour Protection Policy (ERTEs) in Spain.

The pandemic and the current situation have caused working poverty and therefore social risk, which implies a deterioration in well-being, affecting mental health and anxiety. In this context, the employment situation tends to be regarded ignoring previous social differences, economic and mental components, which should be considered when establishing priorities to program a global action of various synergistic elements. The study involved 4686 people (3500 women and 1186 men). They all completed a questionnaire that evaluated their anxiety, employment situation, income, changes of working status, and fears of becoming infected at the workplace. The results show the need to take into account the social determinants of mental health in vulnerable groups due to socioeconomic factors, job changes, contractual changes, age, or gender, considering the need to generate strategies to manage mental health and deal with it at a structural level, therefore displacing individual focus policies and interventions. An example of these policies are ERTEs (record of temporary employment regulation), constituting a perceived measure of protection and acting as an effective buffer against the economic crisis, thus reducing anxiety.

Intention of young travellers to travel during the COVID-19 pandemic

The global health pandemic (COVID-19) has led to a significant decline in tourism activities and challenged existing norms and practices of the tourism sector. As international travel is restricted, the tourism sector is trying to promote domestic tourism by following health guidelines. This study aims to measure the relationships among social media travel content, perceived social risk of travel, attitude toward travel, and intention to travel during the pandemic time. The data were collected from young travellers in Bangladesh. The structural equation modelling (SEM) technique was used to estimate the relationships among the constructs. The results show that both social media travel content and perceived social risk of travel are significantly related to attitude toward travel and intention to travel. The association between attitude toward travel and intention to travel is also found significant. Destination managers are recommended to implement social media activation programs (e.g., a persuasive advertising campaign) and promote safe travel on their social media platforms (e.g., Facebook) to reduce perceived social risk of travel and create a positive attitude of travellers toward travel domestically during the global pandemic.

COVID-19 and Changes in Reported Social Risk Factors at a Primary Care Practice in the South Bronx.

INTRODUCTION: Historically, Black and Hispanic patient populations in the Bronx Borough of New York City have experienced the highest rates of social risk factors, and associated poor health outcomes, in New York State. During the pandemic, Bronx communities disproportionately experienced high rates of COVID-19 illness and death. To date, little is known regarding the COVID-19 pandemic's impact on social risk factors in urban, at-risk communities. This study aimed to determine how social risk factors changed during the pandemic in a Bronx-based patient population. METHODS: Study participants were adult patients seen at a Federally Qualified Health Center in the South Bronx. Using a paired longitudinal study design, 300 participants were randomly selected for telephonic outreach during the pandemic from a sample of 865 participants who had been offered a social risk factor screener in the year prior to the pandemic. The outreach survey used included the social risk factor screener and questions regarding COVID-19 illness burden and prior engagement in social services. The McNemar test was used to analyze trends in reported social risks. RESULTS: Housing quality needs, food insecurity, and legal care needs significantly increased during the pandemic. Participants who reported COVID-19 illness burden were 1.47 times more likely to report a social risk factor (P = .02). No significant relationship was found between prior enrollment in clinic-based social services and degree of reported social risk (P = .06). CONCLUSION: Housing quality needs, food insecurity, and legal care needs increased during the COVID-19 pandemic in a predominantly Black and Hispanic identifying urban patient population. Urgently addressing this increase is imperative to achieving health equity in ongoing COVID-19 mitigation efforts.

Domestic and European leisure travel intentions: assessing the role of push motivations, destination safety, travel risk, safety concerns and social risk

Risk is fundamental in the choice, evaluation, and behaviour of tourists, consequently understanding tourists’ shifting preferences toward a destination is imperative in the post-COVID era. Thus, this study aims to examine the impact of push motivations on the intention to travel to a European and domestic destination, analyse the interrelated effects between components of risk perception, test the moderating effect of risk perception and investigate the influence of gender and educational level. Based on 1315 tourists and using structural equation modelling, it was possible to find that (1) the motivation to relax and acquire knowledge, and the perception of the destination as safe are predictors of domestic travel;(2) the motivation to acquire knowledge and the risk perception as similar between European and domestic trips positively influence the intention to travel to European destination;(3) travel risk and, indirectly, safety concerns and social risk are deterrent factors of travel intentions;(4) risk perception doesn’t affect the reason why people travel;and (5) gender doesn’t affect travel motivation, intentions or risk perception, but education level enhances the negative effect of social risk. Mostly, this study adds to the literature by detailing how different motivations and risk perceptions affect travel intentions. © 2022 The Author(s).

[In old people's homes, carers face Covid-19]. / En Ehpad, les soignants face à la Covid-19.

Many ethical issues were raised by the pandemic crisis. Caregivers were under great pressure and stress in their work in residential care facilities for the dependent elderly (Ehpad), both with residents and their families. The implementation of ethical support tools was only gradual, particularly for the management of residents' deaths. Anxiety has set in among all the people working or living in the Ehpad, blurring interpersonal relations and increasing tensions and professional exhaustion.

Social Philosophical Discourse of the World Risk Society in a Pandemic Situation

The author considers the situation associated with coronavirus pandemic and its possible consequences for social cultural processes. The difficulty in risk analysis is that the risk is between objective and subjective, between rational and irrational, between social and existential. The logic of uniqueness gives way to the logic of ambiguity, which finds its expression in the connection of the risk society with the cosmopolitism. Ulrich Beck's concept of the cosmopolitan turn of modern civilization is updated, which is revealed through the concepts of "danger", "social inequality" and through the existentials "fear", "uncertainty", which indicate the social vulnerability of modern society. We are talking about the need to distinguish between risk and danger, about their complex relationship in modern conditions. Global risks include the coronovirus pandemic: risk has become a global hazard from which future risks and crises originate. The reflexivity of the unknown and the methodological cosmopolitanism – point to a global change in the society in the 21st century, whose priority is security. Cosmopolitanism is expressed in social delocalization, which includes three dimensions: spatial, temporal, and social. Risks have symbolic and existential content and include life guidelines, traditions and cultural norms. The coronavirus was a challenge to the intellectual sphere of society. The author focuses on the transformation of risks in the field of science and education. Self-isolation and social distance initiate the active introduction of distance education and media education. Attempts are being made to identify possible risks resulting from the introduction of media technologies in the educational system. The concept of the multiplicity of interpretations of riskogenics allows us to understand the prospects for the transformation of the global risk society in a pandemic situation.Alternate : Ð’ статье рассматриваются ситуация, связанная с пандемией коронавируса в мировом обществе риска, и ее возможные последствия для социокультурных процессов. Трудность в социально-философском анализе риска заключается в том, что риск находится между субъективным и объективным, между рациональным и иррациональным, между социальным и экзистенциальным. Логика однозначности уступает место логике многозначности, которая находит свое выражение в соединении общества риска с космополитизмом. Актуализируется концепция У. Бека о космополитическом повороте современной цивилизации, это раскрывается через понятия «опасность», «социальное неравенство» и через экзистенциалы «страх», «неуверенность», которые свидетельствуют о социальной уязвимости современного общества. Речь идет о необходимости различения риска и опасности, о их сложной взаимосвязи в современных условиях. К глобальным рискам относится пандемия коронавируса: риск стал глобальной опасностью, из которой берут начало будущие риски и кризисы. Рефлексивность неизвестного и методологический космополитизм мополитизм выражается в социальной делокализации, которая включает три измерения: пространств µÐ½Ð½Ð¾Ðµ, темпоральное и социальное. Риски обладают символическим и экзистенциальным содержанием и включают жизненные ориентиры, традиции и нормы культуры. Коронавирус явился вызовом интеллектуальной сфере общества. Автор акцентирует внимание на трансформации рисков в области науки и образования. Самоизоляция и социальная дистанция инициируют активное внедрение дистанционного образования и медиаобразования. Предпринимаются попытки выявления возможных рисков в результате внедрения медиатехнологий в образовательную систему. Представление о множественности трактовок рискогенности позволяет осмыслить перспективы трансформации мирового общества риска в ситуации пандемии.

Digital Health Skillsets and Digital Preparedness: Comparison of Veterans Health Administration Users and Other Veterans Nationally.

BACKGROUND: As health care systems shift to greater use of telemedicine and digital tools, an individual's digital health literacy has become an important skillset. The Veterans Health Administration (VA) has invested resources in providing digital health care; however, to date, no study has compared the digital health skills and preparedness of veterans receiving care in the VA to veterans receiving care outside the VA. OBJECTIVE: The goal of the research was to describe digital health skills and preparedness among veterans who receive care within and outside the VA health care system and examine whether receiving care in the VA is associated with digital preparedness (reporting more than 2 digital health skills) after accounting for demographic and social risk factors. METHODS: We used cross-sectional data from the 2016-2018 National Health Interview Survey to identify veterans (aged over 18 years) who obtain health care either within or outside the VA health care system. We used multivariable logistic regression models to examine the association of sociodemographic (age, sex, race, ethnicity), social risk factors (economic instability, disadvantaged neighborhood, low educational attainment, and social isolation), and health care delivery location (VA and non-VA) with digital preparedness. RESULTS: Those who received health care within the VA health care system (n=3188) were younger (age 18-49 years: 33.3% [95% CI 30.7-36.0] vs 24.2% [95% CI 21.9-26.5], P<.01), were more often female (34.7% [95% CI 32.0-37.3] vs 6.6% [95% CI 5.5-7.6], P<.01) and identified as Black (13.1% [95% CI 11.2-15.0] vs 10.2% [95% CI 8.7-11.8], P<.01), and reported greater economic instability (8.3% [95% CI 6.9-9.8] vs 5.5% [95% CI 4.6-6.5], P<.01) and social isolation (42.6% [95% CI 40.3-44.9] vs 35.4% [95% CI 33.4-37.5], P<.01) compared to veterans who received care outside the VA (n=3393). Veterans who obtained care within the VA reported more digital health skills than those who obtained care outside the VA, endorsing greater rates of looking up health information on the internet (51.8% [95% CI 49.2-54.4] vs 45.0% [95% CI 42.6-47.3], P<.01), filling a prescription using the internet (16.2% [95% CI 14.5-18.0] vs 11.3% [95% CI 9.6-13.0], P<.01), scheduling a health care appointment on the internet (14.1% [95% CI 12.4-15.8] vs 11.6% [95% CI 10.1-13.1], P=.02), and communicating with a health care provider by email (18.0% [95% CI 16.1-19.8] vs 13.3% [95% CI 11.6-14.9], P<.01). Following adjustment for sociodemographic and social risk factors, receiving health care from the VA was the only characteristic associated with higher odds (adjusted odds ratio [aOR] 1.36, 95% CI 1.12-1.65) of being digitally prepared. CONCLUSIONS: Despite these demographic disadvantages to digital uptake, veterans who receive care in the VA reported more digital health skills and appear more digitally prepared than veterans who do not receive care within the VA, suggesting a positive, system-level influence on this cohort.

[The social capital of organization in conditions of increasing social economic risks: a publications review].

The article considers essential theoretical methodological approaches of studying problematics of social capital presented in corresponding modern publications. The key results of conducted empirical studies were analyzed too. It is noted that in conditions of spread of COVID-19 pandemic, occurs increasing of risk of "social distancing" that affects intensification of psychological anxiety feeling and decreasing of level of interpersonal and institutional trust. The presented results testify that topic of social capital becomes one of the most important in the study of processes of pandemic course. The conducted studies permitted to identify relationships between various components of social capital and scale of pandemic spread, forms of population's counteraction to pandemic. The review of scientific publications on problematics of social capital and functioning of organizations in conditions of intensification of risks of pandemic spread and developing crisis processes in economics also permits to establish particular trends in respect of developing corresponding strategies of adaption to new reality.

Social isolation, mental health, and use of digital interventions in youth during the COVID-19 pandemic: A nationally representative survey.

BACKGROUND: Public health measures to curb SARS-CoV-2 transmission rates may have negative psychosocial consequences in youth. Digital interventions may help to mitigate these effects. We investigated the associations between social isolation, COVID-19-related cognitive preoccupation, worries, and anxiety, objective social risk indicators, and psychological distress, as well as use of, and attitude toward, mobile health (mHealth) interventions in youth. METHODS: Data were collected as part of the "Mental Health And Innovation During COVID-19 Survey"-a cross-sectional panel study including a representative sample of individuals aged 16-25 years (N = 666; Mage = 21.3; assessment period: May 5, 2020 to May 16, 2020). RESULTS: Overall, 38% of youth met criteria for moderate or severe psychological distress. Social isolation worries and anxiety, and objective risk indicators were associated with psychological distress, with evidence of dose-response relationships for some of these associations. For instance, psychological distress was progressively more likely to occur as levels of social isolation increased (reporting "never" as reference group: "occasionally": adjusted odds ratio [aOR] 9.1, 95% confidence interval [CI] 4.3-19.1, p < 0.001; "often": aOR 22.2, CI 9.8-50.2, p < 0.001; "very often": aOR 42.3, CI 14.1-126.8, p < 0.001). There was evidence that psychological distress, worries, and anxiety were associated with a positive attitude toward using mHealth interventions, whereas psychological distress, worries, and anxiety were associated with actual use. CONCLUSIONS: Public health measures during pandemics may be associated with poor mental health outcomes in youth. Evidence-based digital interventions may help mitigate the negative psychosocial impact without risk of viral infection given there is an objective need and subjective demand.

Patient Experiences with Screening and Assistance for Social Isolation in Primary Care Settings.

BACKGROUND: Social isolation is a known predictor of mortality that disproportionately affects vulnerable populations in the USA. Although experts began to recognize it as a public health crisis prior to 2020, the novel coronavirus pandemic has accelerated recognition of social isolation as a serious threat to health and well-being. OBJECTIVE: Examine patient experiences with screening and assistance for social isolation in primary care settings, and whether patient experiences with these activities are associated with the severity of reported social isolation. DESIGN: Cross-sectional survey conducted in 2018. PARTICIPANTS: Adults (N = 251) were recruited from 3 primary care clinics in Boston, Chicago, and San Francisco. MAIN MEASURES: A modified version of the Berkman-Syme Social Network Index (SNI), endorsed by the National Academies of Sciences, Engineering, and Medicine; items to assess for prior experiences with screening and assistance for social isolation. KEY RESULTS: In the sample population, 12.4% reported the highest levels of social isolation (SNI = 0/1), compared to 36.7%, 34.7%, and 16.3% (SNI = 2-4, respectively). Most patients had not been asked about social isolation in a healthcare setting (87.3%), despite reporting no discomfort with social isolation screening (93.9%). Neither discomfort with nor participation in prior screening for social isolation was associated with social isolation levels. Desire for assistance with social isolation (3.2%) was associated with a higher level of social isolation (AOR = 6.0, 95% CI, 1.3-28.8), as well as poor or fair health status (AOR = 9.1; 95% CI, 1.3-64.1). CONCLUSIONS: In this study, few patients reported being screened previously for social isolation in a primary care setting, despite low levels of discomfort with screening. Providers should consider broadening social isolation screening and referral practices in healthcare settings, especially among sicker and more isolated patients who express higher levels of interest in assistance with social isolation.