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1.
Social Work Education ; 42(3):371-387, 2023.
Article in English | ProQuest Central | ID: covidwho-2314769

ABSTRACT

COVID-19 has shifted social work education and widened the gaps in services for historically marginalised communities, including people of diverse cultural, sexual and gender identities and social classes. Existing inequities based on cultural differences have been magnified, perhaps most recently evident in George Floyd's slaying and the subsequent #BlackLivesMatter demonstrations across the globe. Learning to be an ally for diverse communities and working towards the betterment of all people is a goal of social work education. We argue that simple allyship is not enough given the structural inequities present in North America and Australia the civil unrest amidst the COVID-19 pandemic. Social work education's focus should trend towards allegiance with disadvantaged communities or critical allyship and include a commitment to undertake decisive actions to redress the entrenched colonial, capitalist, systemic and structural inequities that oppress many and provide unearned privilege and advantage to others. We explore strategies used in classrooms to promote allegiance and make recommendations for social work education, policy, and practice in this time of change.

2.
Ekonomika ; 69(1):15-24, 2023.
Article in English | ProQuest Central | ID: covidwho-2292567

ABSTRACT

У кризним ситуаци)ама, као што je текуки сукоб у Укра]ит, питате учинковитости инпута у полопривредно] производти поста]е врло знача]но. У том контексту, главни цил овограда jeутвр'ивате нивоа ефикасности примене 'убрива у землама Западног Балкана. Истовремено, фокус овог рада je здравле землишта у региону, као и зависност региона од увоза "убрива.. Резултати су показали да je ефикасност 'убрива века у региону него у ЕУ. Ме'утим, с обзиром на високу зависност од увоза и наjвjeроватниje продужете кризе, дати су одре'ени предлози за поболшате ситуацsе. Заклучци овог рада могу бити од користи креаторима полопривредне политике као и полопривредним произво'ачима.Alternate :In the case of the crisis, such as the current conflict in the Ukraine, the question of input effectiveness in agricultural production has become very important. In that context, the main objective of this paper is to find the level of fertiliser efficiency in the Western Balkan countries. The paper also aims to discuss health of the soil in the region and its dependence on fertilisers imports. Results showed that fertilizer use efficiency is higher in the region than in the EU. However, considering the high dependence on imports and the most likely prolongation of the crisis, certain suggestions for improving the situation were given. This conclusion can be useful for the creators of the agricultural policy as well as for agricultural producers.

3.
International Journal of Research in Business and Social Science ; 12(2):513-528, 2023.
Article in English | ProQuest Central | ID: covidwho-2304722

ABSTRACT

Organisational functionality is critical for ensuring that the organisation remains focused on providing its performance mandate, especially in times of disruption such as the Corona Vims Pandemic, natural disasters caused by floods, earthquakes, and civil unrest. In times of disruption, organisation could enhance their functionality by applying the Viable System Model (VSM>. The KwaZulu-Natal Department of Education (KZNDOE>, experienced functionality-related challenges during the Pandemic which hindered the delivery of teaching and learning across most schools. Therefore, the study aimed to enhance the department's functionality using the VSM. The target population consisted of300 senior managers, principals, and educators at the KZNDOE. The study employed an exploratory research design gathering data from 14 respondents through interviews as the data collection instrument. Data were analysed thematically using the NVivo 12 model. The study findings revealed that KZNDOE was not prepared to deal with the complexity presented by the Corona Virus Pandemic due to a dysfunctional structure, lack of resources, and skills incompetency to deal with complexity. To address the challenges, the department reviewed the functional structure which was last reviewed in 2011 to one that is adaptive in responding to the complex environment. The review would include the change of structure by creating new structures within the department that can deal with the Pandemic. For example, the study recommended a specific structure that deals with enhancing performance, Corona Virus Pandemic communication network, empowerment structures for educators, and structures to provide for remote learning and pre-learning materials. The study however recommended that a similar study could be conducted in other provinces to have a balanced view before making national inferences.

4.
International Journal of Research in Business and Social Science ; 12(2):348-357, 2023.
Article in English | ProQuest Central | ID: covidwho-2299380

ABSTRACT

The peaceful environment of South African communities witnessed sudden civil unrest that led to the wanton destruction of public and private properties between 9-17 July 2021. The civil unrest which aggravated on daily basis within this period also culminated in massive looting in both KwaZulu-Natal Province and Gauteng Province. During the disturbances, the protestors looted and set ablaze many stores and warehouses. The turmoil was also extended to some schools, with some private and public schools looted and vandalized. Hence, this article aimed to explore the impact of this unrest on schools and to establish how teaching and learning had been affected in these South African institutions. Therefore, in this systematic review, we analysed the impact of political unrest on the education system in South Africa. A total of 139 schools were affected in Kwazulu-Natal, with six schools razed by fire, 30 damaged, and 95 schools looted. Thus, a total of 139 schools were affected. However, at the time of this article, the degree of damage in 8 other Schools was unknown. It was noted that, of the six schools set ablaze, four were only slightly damaged and two were fully destroyed. Furniture and other items such as food items the Schools Nutrition Program and offices were destroyed. Doors, windows, and others were also broken. This indicated that learners would be temporarily relocated from the burnt schools to locations where the government provided temporary classrooms for these schools. Conversely, rebuilding the damaged buildings and replacement of stolen school supplies will cost the Department of Basic Education millions of rands.

5.
Gender & Behaviour ; 20(3):20056-20083, 2022.
Article in English | ProQuest Central | ID: covidwho-2273214

ABSTRACT

Following the incarceration of former president Jacob Zuma, his supporters were angered, which resulted in riots and looting in the KwaZulu-Natal (KZN) and Gauteng provinces. With South Africa already reeling from the impact of the Covid-19 pandemic, the unexpected unrest caused further devastation to the country. This paper aimed to encourage and assist fellow South Africans in understanding the devastation and lasting effects caused by the unrest. Therefore, the engagement in civil unrest in such magnitudes can be avoided for the country's wellbeing. In light of this paper's purpose, this study collected data through the means of desktop research. This meant extracting information from journals, news reports, internet sources and scholarly publications. Based on the literature collected and analysed, it was deduced the riots and looting in July 2021 have negatively affected the South African economy and businesses, in particular small businesses. Some of the main factors depicting this impact include the following insights. An estimated 150 000 jobs were at risk within the KZN region alone. In terms of small businesses, they accounted for 89% of businesses impacted in the two provinces in which the unrest took place. More so, all together, small firms on a monthly basis stood to lose an amount of R3.4 billion in the attempt to resume business operations. This led to many small businesses facing closure. Regarding the economy, the unrest caused the rand to depreciate by 2.4%, which has adverse short and long term effects on the South African economy. These findings are critical as they provide insight into South Africa's current circumstances and what could be expected in the years to come. The main recommendation made in this paper advocated that small businesses adopt a mindset of anticipation and containment. A mindset of anticipation requires constant identification of all potential emergencies and problems, while a mindset of containment entails the embracement of adaptability and flexibility when responding to a crisis. Therefore, the adoption of an anticipation and containment mindset aids in the development of capabilities to deal with loss and commitment to resilience.

6.
Criminal Justice ; 36(3):1-1,41, 2021.
Article in English | ProQuest Central | ID: covidwho-2271612

ABSTRACT

[...]the commitment of the CJS Council and past chairs, our committee and task force members, the dedication and support of Section staff, and the consistent participation of the CJS membership have all contributed to CJS continued struggle for justice reform. When we consider the worldwide COVID-19 pandemic and its devasting impact on marginalized communities, the similar deleterious and disparate impact of social and criminal legal systems on the poor and black and brown people in this country, the continued demise of unarmed black men and women at the hands of the police, the social unrest and activism that captured the conscience of a nation and the world, and even the politicized debate about the COVID-19 vaccine and climate change, it is clear. [...]the ever-present professional and membership goals: continue serving, supporting, and growing the CJS membership.

7.
Can J Psychiatry ; 66(6): 577-585, 2021 06.
Article in English | MEDLINE | ID: covidwho-2286932

ABSTRACT

OBJECTIVES: The co-occurrence of different classes of population-level stressors, such as social unrest and public health crises, is common in contemporary societies. Yet, few studies explored their combined mental health impact. The aim of this study was to examine the impact of repeated exposure to social unrest-related traumatic events (TEs), coronavirus disease 2019 (COVID-19) pandemic-related events (PEs), and stressful life events (SLEs) on post-traumatic stress disorder (PTSD) and depressive symptoms, and the potential mediating role of event-based rumination (rumination of TEs-related anger, injustice, guilt, and insecurity) between TEs and PTSD symptoms. METHODS: Community members in Hong Kong who had utilized a screening tool for PTSD and depressive symptoms were invited to complete a survey on exposure to stressful events and event-based rumination. RESULTS: A total of 10,110 individuals completed the survey. Hierarchical regression analysis showed that rumination, TEs, and SLEs were among the significant predictors for PTSD symptoms (all P < 0.001), accounting for 32% of the variance. For depression, rumination, SLEs, and PEs were among the significant predictors (all P < 0.001), explaining 24.9% of the variance. Two-way analysis of variance of different recent and prior TEs showed significant dose-effect relationships. The effect of recent TEs on PTSD symptoms was potentiated by prior TEs (P = 0.005). COVID-19 PEs and prior TEs additively contributed to PTSD symptoms, with no significant interaction (P = 0.94). Meanwhile, recent TEs were also potentiated by SLEs (P = 0.002). The effects of TEs on PTSD symptoms were mediated by rumination (ß = 0.38, standard error = 0.01, 95% confidence interval: 0.36 to 0.41), with 40.4% of the total effect explained. All 4 rumination subtypes were significant mediators. CONCLUSIONS: Prior and ongoing TEs, PEs, and SLEs cumulatively exacerbated PTSD and depressive symptoms. The role of event-based rumination and their interventions should be prioritized for future research.


Subject(s)
COVID-19 , Depression , Rumination, Cognitive/classification , Stress Disorders, Post-Traumatic , Stress, Psychological , Adult , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19/psychology , Communicable Disease Control/methods , Depression/diagnosis , Depression/epidemiology , Depression/etiology , Female , Hong Kong/epidemiology , Humans , Life Change Events , Male , Mass Screening/methods , Mental Health , Psychological Techniques , Public Health , Risk Assessment , SARS-CoV-2 , Sociological Factors , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/epidemiology , Stress Disorders, Post-Traumatic/etiology , Stress, Psychological/epidemiology , Stress, Psychological/etiology , Surveys and Questionnaires
8.
Psychodyn Psychiatry ; 51(1): 45-62, 2023 03.
Article in English | MEDLINE | ID: covidwho-2254220

ABSTRACT

We find ourselves in a unique time in history with the confluence of a pandemic, global warming, and social chasms felt throughout the world. In this article, it is suggested that the grieving process is necessary for progress. The article addresses grief from a psychodynamic lens and progresses through the neurobiological changes that occur in the grieving process. The article discusses grief as both a result of and a necessary response to COVID-19, global warming, and social unrest. It is argued that grief is a vital process in order to fully change as a society and move forward. The role of psychiatry, and specifically psychodynamic psychiatry, is integral in paving the way to this new understanding and a new future.


Subject(s)
COVID-19 , Depressive Disorder , Humans , Global Warming , Neurobiology , Pandemics , Grief
9.
J Adolesc Health ; 72(5): 788-795, 2023 05.
Article in English | MEDLINE | ID: covidwho-2179973

ABSTRACT

PURPOSE: Hong Kong youth and young adults experienced unprecedented stress amid social unrest and the COVID-19 pandemic. Few studies have examined how these stressors were related to psychological distress among youth and young adults. This study assessed how psychological distress is associated with stress from social unrest, financial circumstances, and the COVID-19 pandemic, and whether poor sleep quality may explain these associations. METHODS: Participants of a representative phone survey included 1,501 Hong Kong youth and young adults (Mage = 26.1 (4.0); 48.2% female). We examined the associations between psychological distress and three types of stress (social unrest, financial, and COVID-19 stress), and the indirect effect of poor sleep. RESULTS: Eleven point nine percent, 4.1%, and 9.7% of respondents reported feeling very seriously distressed by social unrest, financial circumstances, and the COVID-19 pandemic, respectively. All three forms of stress were associated with poor sleep. The indirect effects of poor sleep on the association between all three forms of stress and psychological distress were identified. Moderated indirect effect analysis indicated that being female intensified the effect of COVID-19-related stress on psychological distress and that younger female youth and older male youth were more vulnerable to financial stress and social unrest stress (vs. older female youth and younger male youth). DISCUSSION: Sleep may be one mechanism that accounts for the association between psychological distress and protracted stressors among Hong Kong youth and young adults. These results suggest the importance of prioritizing sleep improvement in mental health interventions during times of societal change.


Subject(s)
COVID-19 , Psychological Distress , Sleep Initiation and Maintenance Disorders , Young Adult , Adolescent , Humans , Male , Female , Hong Kong/epidemiology , Pandemics , Sleep
10.
J Clin Transl Sci ; 6(1): e112, 2022.
Article in English | MEDLINE | ID: covidwho-2036661

ABSTRACT

Introduction: Social unrest tied to racism negatively impacted half of NIH-funded extramural researchers underrepresented (UR) in science. UR early-career scientists encounter more challenges in their research careers, but the impact of social unrest due to systemic racism in this group is unclear. We used mixed methods to describe the impact of social unrest due to systemic racism on mentoring relationships, research, and psychological well-being in UR post-doctoral fellows and early-career faculty. Methods: This is a cross-sectional analysis of data collected in September 2021-January 2022 from 144 UR early-career researchers from 25 academic medical centers in the Building Up Trial. The primary outcomes were agreement on five-point Likert scales with social unrest impact statements (e.g., "I experienced psychological distress due to events of social unrest regarding systemic racism"). Thematic analysis was conducted on responses to one open-ended question assessing how social unrest regarding systemic racism affected participants. Results: Most participants were female (80%), non-Hispanic Black (35%), or Hispanic (40%). Over half of participants (57%) experienced psychological distress as a result of social unrest due to systemic racism. Participants described direct and indirect discrimination and isolation from other persons of color at their institutions. Twice as many participants felt their mentoring relationships were positively (21%) versus negatively (11%) impacted by social unrest due to systemic racism. Conclusions: Experiences with racial bias and discrimination impact the career and well-being of UR early-career researchers. Mentoring relationships and institutional support play an important role in buffering the negative impact of racial injustice for this population.

11.
Perífrasis ; 12(24):105-105–110, 2021.
Article in Spanish | ProQuest Central | ID: covidwho-1912592
12.
Sanglap ; 8(2):22-34, 2022.
Article in English | ProQuest Central | ID: covidwho-1897770

ABSTRACT

Dubbed the "Summer of Love," the summer of 1967 found U.S. youth coming together for music, sex, and drugs, but more importantly, coming together for an escape from and opposition to dire circumstances of social unrest, including the Vietnam War and the civil rights conflicts that abounded in the 1960s. [...]the topics at the forefront of intellectual and broader societal thought in the 1960s are some of the very same topics we wrestle with today. Antiintellectual disdain for experts and critical thinkers has reappeared as documented in Susan Jacoby's The Age of American Unreason (2008), Russell Jacoby's The Last Intellectuals (2000), Tom Nichols's pre-Trump-era essay, "The Death of Expertise" (2014), and David Masciotra's "Anti-Intellectualism is Back" (2020), which reprised Hofstadter's work in reference to attacks on Dr. Anthony Fauci and the development of COVID-19 vaccines in the U.S. Climate change is a current critical topic, but has an important history in the album's 1967. A 2015 poll was conducted by The Carbon Brief, in which members of the last Intergovernmental Panel on Climate Change chose an article by Manabe and Wetherald (1967), written in the Journal of Atmospheric Sciences from the same year as Reynolds's album, as the most influential paper on climate change research and the first to demonstrate the effects of carbon dioxide on global temperatures through a computer model (Pidock 2015).

13.
Front Public Health ; 10: 838606, 2022.
Article in English | MEDLINE | ID: covidwho-1776043

ABSTRACT

Background: Social unrest affects people's health and well-being. People's health-related needs during social unrest are concerns in both research and clinical practice. This study aimed to build and test a framework to describe and understand the health status and needs of people with post-traumatic stress disorder (PTSD) during social unrest. Methods: This study was a cross-sectional survey. A total of 460 people who had experienced post-traumatic distress as a result of the social unrest in 2019 and 2020 were included. A conceptual model comprised four essential areas, namely posttraumatic distress symptoms, participation restrictions, perceived stigma and functional disability, was built from literature. Part 1 validated four instruments that evaluate and define the factor structure of these four areas, In Part II, structural equation modeling was used to test and validate a combined model. Results: Factors underlying the four areas were defined. Analysis using structural equation modeling confirmed a best fit of the model. PTSD symptoms, perceived stigma and participation restriction during social unrest contributed significantly to functional disability; PTSD symptoms exerted a direct effect on participation restriction and perceived stigma; and the effect of PTSD symptoms on functional disability was mediated through its influence on perceived stigma during social unrest. Conclusions: A community-based inclusive approach is essential to understand the holistic needs of people with PTSD during social unrest. To improve health and well-being in addition to evaluating mental health impacts, considering interactions with the rapid change and stressful social environment is essential.


Subject(s)
Civil Disorders , Stress Disorders, Post-Traumatic , Cross-Sectional Studies , Factor Analysis, Statistical , Humans , Latent Class Analysis
14.
Journal of Latin American Cultural Studies ; : 15, 2022.
Article in English | Web of Science | ID: covidwho-1612348

ABSTRACT

The following conversation took place on 20 September 2020, during a virtual encounter jointly organised by Princeton University's Latin American Studies Programme, and the journal Cuadernos de Literatura, from the Pont!ficia Universidad Javeriana, Bogota. "Thinking in the Present" offered a critical opportunity to confront the interpretative volatility and paralysis of criticism of the current moment, the failure of liberal democracy, the deepening of inequality based on intersectionality, and the geopolitics of the COVID-19 pandemic. The virus has disorganised and exposed the intrinsic failure of the algorithms set in the past few decades to predict our movements, to anticipate, and therefore to control, life on the planet, our behavioural patterns and wishes: from how we shop to how we vote. The interpretative failure vis-a-vis the virus's global behaviour - its universalisation in other words, that attempts an interpretation that could apply from New Zealand to Colombia, from Honduras to Singapore - summons forth two thinkers who have worked around the notion of uncertainty, thinkers who could be defined with a key word: suspicion. The photograph featured on the event poster (Figure 1) is by Lotty Rosenfeld, who had recently passed away in Santiago de Chile. The encounter also took place in memoriam of this unforgettable artist, who taught us how to cross the sign. Her crosses bear witness to an indelible act: Lotty Rosenfeld (1943-2020).

15.
Africa Today ; 68(2):142-148, 2021.
Article in English | ProQuest Central | ID: covidwho-1603943

ABSTRACT

Tshepo, a young South African, has faced huge life challenges in the last four years as he has struggled to focus on his studies amid numerous student protests against the hiking of university fees. Despite these challenges, he was determined to complete his undergraduate degree, which he did at the end of 2020. The story of Tshepo and the evidence found in our current research highlight how Africa's young people confront high rates of unemployment. Bohlmann et al argue that unless governments and society take steps to curb the scourge of youth unemployment, social unrest and an exodus of youth out of the continent are likely. They pose a few questions that take them away from the usual questions asked and researched when it comes to youth unemployment. These questions and others can set a new agenda for studies on youth unemployment in Africa.

16.
Int J Environ Res Public Health ; 19(1)2021 12 26.
Article in English | MEDLINE | ID: covidwho-1580812

ABSTRACT

The COVID-19 pandemic and social unrest have posed a unique set of challenges to Hong Kong. During these two social events, parents of children with special educational needs (SEN) who were already experiencing caregiving pressure, likely coped with additional stressors; they were at a higher risk of mental health problems. A pre-registered, cross-sectional survey study was carried out among 234 Hong Kong parents of children with SEN, investigating the associations of stigmatized identity, perceived discrimination, and subjective well-being under the impact of these social events. Utilizing the Bayesian modelling, we found that highly self-stigmatized parents not only perceived more daily-life discriminating behaviors against them, but also reported having higher distress, more negative emotions, and lower life satisfaction. A higher perceived impact of social events and more discrimination were also associated with lower well-being. Additionally, stigmatized identity, perceived discrimination, and perceived impact of social events demonstrated unique associations with well-being variables, indicating they were substantial stressors. The study called out for public attention to the mental health conditions among parents of children with SEN and other disadvantaged groups in society.


Subject(s)
COVID-19 , Bayes Theorem , Child , Cross-Sectional Studies , Hong Kong , Humans , Pandemics , Perceived Discrimination , SARS-CoV-2
17.
J Affect Disord ; 300: 263-268, 2022 Mar 01.
Article in English | MEDLINE | ID: covidwho-1587418

ABSTRACT

BACKGROUND: Stressors at the population level affect women more than men. The influence of prolonged stressors on mental disorders in women is yet unknown, especially when social movements and pandemics coexist. METHODS: This study analysed data from an online mental health self-help service for women in Hong Kong between May and September 2020. We collected demographic data, PTSD symptoms, and exposure to social unrest-related traumatic events (TEs), pandemic-related traumatic events (PEs), and personal stressful life experiences (SLEs). Multiple logistic regression was performed to examine the links between TEs, PEs, and SLEs and PTSD. RESULTS: The study found that 38.4% of 751 women had moderate-to-severe depressive symptoms and 23.8% had probable PTSD. The most common TEs, PEs, and SLEs were violence via media, major physical health concerns, and plans thwarted due to COVID-19, respectively. Younger age, less education, unemployment, and more stressors (individually or collectively, except for high TEs and PEs) were linked to increased odds of moderate-to-severe depressive symptoms. TEs and PEs increased the risk of probable PTSD only when SLEs were present. LIMITATION: The non-random samplinging procedure reduced the generalisability to the entire women population. CONCLUSIONS: Exposure to social conflicts and pandemics may increase depressive and PTSD symptoms in women. Developing mental health services for women should consider the impact of concurrent major events.


Subject(s)
COVID-19 , Stress Disorders, Post-Traumatic , Depression/epidemiology , Female , Hong Kong/epidemiology , Humans , Male , Pandemics , SARS-CoV-2 , Stress Disorders, Post-Traumatic/epidemiology
18.
J Prof Nurs ; 37(5): 978-984, 2021.
Article in English | MEDLINE | ID: covidwho-1331152

ABSTRACT

BACKGROUND: The duration and magnitude of the coronavirus (COVID-19) posed unique challenges for nursing students, whose education was altered because of the pandemic. PURPOSE: To explore the perceptions and experiences of nursing students whose clinical rotations were abruptly interrupted by COVID-19's initial surge in the United States. METHODS: This qualitative study was conducted at a midwestern, academic medical center to elicit senior nursing students' experiences. An online survey was administered with eight open-ended questions asking about: initial impressions of the pandemic; experiences of being a senior nursing student; sources of stress and coping mechanisms; preparing to work as a registered nurse; and views on the nursing profession. RESULTS: Among the 26 students who completed the survey, the majority were female (92%), aged 28 ∓ 4.1 years. A total of 18 subcategories emerged with four main themes identified as: a) breakdown of normal systems, b) feeling alone and the inability to escape, c) protective factors/adaptability, and d) role identify and formation. CONCLUSIONS: Findings indicate students implemented a variety of strategies while adapting to the abrupt interruption of in-person clinical rotations, mandated restrictions, and social unrest. The cascading themes illustrate the enormity of sudden changes and their significant impact on daily life.


Subject(s)
COVID-19 , Education, Nursing, Baccalaureate , Students, Nursing , Female , Humans , Male , Pandemics , Qualitative Research , SARS-CoV-2 , United States
19.
Aust N Z J Psychiatry ; 56(4): 376-384, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1282199

ABSTRACT

OBJECTIVE: Co-occurring population-level events, such as social unrest and coronavirus disease 2019, are observed in many societies today. Few studies have explored their combined mental health effects on young people. While self-focused rumination has been suggested to be a key mechanism underlying depression, the role of event-based rumination in mediating the impact of population stressors has yet to be elucidated. METHODS: Data were collected from 6988 young people in a large-scale community online survey in Hong Kong. The survey assessed symptoms of post-traumatic stress disorder and depression, direct exposure to social unrest-related traumatic events, coronavirus disease 2019 pandemic-related events, personal stressful life events, event-based rumination and other individual risk factors. RESULTS: High levels of comorbid post-traumatic stress disorder and depressive symptoms were observed. Logistic regression analysis revealed that probable post-traumatic stress disorder was associated with traumatic events (odds ratio = 1.73, 95% confidence interval = [1.64, 1.82]), pandemic-related events (odds ratio = 1.08, confidence interval = [1.01, 1.16]), stressful life events (odds ratio = 1.20, confidence interval = [1.21, 1.37]), high event-based rumination (odds ratio = 3.00, confidence interval = [2.58, 3.48]), lower resilience (odds ratio = 1.18, confidence interval = [1.15, 1.21]), higher smartphone reliance (odds ratio = 1.09, confidence interval = [1.05, 1.13]) and financial concerns (odds ratio = 1.25, confidence interval = [1.18, 1.33]). The odds for probable post-traumatic stress disorder was also significantly higher when two or more traumatic events were experienced (odds ratio = 4.03, confidence interval = [3.52, 4.62]). Factors associated with moderate-to-severe level depressive symptoms were similar. Event-based rumination significantly mediated between different types of external events (traumatic events, pandemic-related events, stressful life events) and both post-traumatic stress disorder and depressive symptoms. CONCLUSION: These findings suggest that diverse types of stressful events during population-level crises could add to personal stressors to affect mental health outcomes in young people. Among other protective and risk factors, event-based rumination presented as a prominent transdiagnostic mediator for different symptom dimensions which may be a potentially important target for early risk detection and intervention.


Subject(s)
COVID-19 , Stress Disorders, Post-Traumatic , Adolescent , COVID-19/epidemiology , Hong Kong/epidemiology , Humans , Mental Health , Pandemics , Stress Disorders, Post-Traumatic/psychology
20.
JDR Clin Trans Res ; 6(1): 40-46, 2021 01.
Article in English | MEDLINE | ID: covidwho-781414

ABSTRACT

OBJECTIVES: The aim of this study was to unravel the professional and social consequences of COVID-19 as compared with the AIDS pandemic according to oral health care providers, staff, and administrators. METHODS: An exploratory qualitative inquiry via at-a-distance, semistructured interviews engaged a purposefully recruited sample of oral health care team workers in British Columbia. Interviews took place between April 20 and May 15, 2020; they were audio recorded, transcribed verbatim, and deidentified for interactive thematic analysis. An inductive process of coding was used to identify themes, subthemes, and categories of information. RESULTS: Forty-five interviews were conducted with 18 dentists, 12 dental hygienists, 6 certified dental assistants, and 9 administrators; 22 were females. Interviews each lasted an average of 48 min. After the transcripts were coded, 3 subthemes emerged: 1) personal protective equipment and universal precautions as commonsense approaches to care during both pandemics; 2) an (un)collapsed world in terms of global lockdowns; and 3) social unrest in terms of the potential for stigma and discrimination caused by both pandemics. These subthemes made up the COVID-19-AIDS parallel theme. CONCLUSION: This study explored the extent to which the current COVID-19 pandemic is leading to professional and social consequences when a parallel is drawn with the AIDS pandemic. This is the first qualitative study that identifies the potential social unrest of the pandemic from the perspective of oral health care providers and administrators. Future studies should include other providers across Canada, as well the patients receiving oral health care during this pandemic. KNOWLEDGE TRANSFER STATEMENT: The COVID-19 pandemic has unraveled potential societal implications in a parallel to the HIV/AIDS era from the perspectives of oral health care providers and their staff. Such implications are changing the way that oral health care is delivered; it may also be leading to social unrest in the form of stigma and discrimination. This study discusses some of these implications from the perspective of oral health care providers and administrators.


Subject(s)
COVID-19 , SARS-CoV-2 , British Columbia/epidemiology , Communicable Disease Control , Dentistry , Female , Humans , Pandemics , Patient Care Team
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