Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 384
Filter
1.
Women ; 2(1):15, 2022.
Article in English | ProQuest Central | ID: covidwho-1818235

ABSTRACT

Although far fewer women exercise regularly than men, one women-dominated sport growing in popularity internationally is roller derby. A limited number of predominantly US-based and qualitative studies have explored roller derby. This Scotland-based qualitative study explored reasons for women starting, continuing, and stopping participation in roller derby in order to inform people involved in promoting physical activity for health benefits. Semi-structured interviews with six participants from a Scottish women’s roller derby league were recorded and transcribed verbatim. Data analysis using Interpretative Phenomenological Analysis generated five super-ordinate themes. Most participants learned about roller derby from watching the sport on film, attending a bout (game), or word of mouth. The main motivators and benefits of participating in this sport were found to be challenge, enjoyment, increased confidence, health benefits, and motivation to exercise. Participants were empowered by involvement and motivated by community, team spirit, and support to develop. Despite high commitment, some women could not sustain team involvement due to barriers such as injury, changing life roles, and conflicting commitments—a lack of support was described when this happened. Greater inclusivity is needed to enable changing levels of participation as women’s commitments change, to facilitate ongoing health benefits and inspire others.

2.
Sexes ; 3(1):98, 2022.
Article in English | ProQuest Central | ID: covidwho-1818195

ABSTRACT

The goal of adolescent sexual reproductive health (SRH) services is to provide information, education and healthcare to promote safe health practices and protect adolescents from negative health outcomes;however, access to timely, effective, and affordable SRH services by adolescents in Edmonton, Canada remains relatively unknown. Our study sought to understand the perspectives and experiences of adolescent girls and service providers in relation to availability, accessibility, and quality of SRH services available in Edmonton. The study objectives were to explore SRH services adolescents seek, uncover barriers in accessing SRH services and identify areas to improve accessibility. Qualitative description design was employed to conduct this study. Five service providers specializing in SRH, and eight females (ages 17–20 years) that access SRH services were recruited from the Alberta Health Services Birth Control Centre (BCC). Semi-structured interviews took place via Zoom. Thematic analysis was conducted using NVIVO software. Findings consisted of four primary themes: (1) views and current SRH practices;(2) barriers to accessibility;(3) the effects of COVID-19 on accessibility;(4) identified gaps in SRH care. The findings from our study support the development of knowledge translation strategies and make recommendations to improve the present quality of SRH services in Edmonton.

3.
Revista de Psicanalise da Sociedade Psicanalitica de Porto Alegre ; 28(2):369-390, 2021.
Article in Portuguese | APA PsycInfo | ID: covidwho-1812851

ABSTRACT

Faced with the challenges set before the psychoanalytic practice in the context of the current pandemic, one of the most pronounced concerns communication. Mediation of sessions by means of technical media has become ubiquitous. This paper proposes a dialogue between psychoanalysis and the theory of the materialities of communication in order to outline a media-psychoanalytic look over some of these challenges, which also include renewed theoretical discussions. After a brief overview of the theses of some prominent authors in the field of materialities (McLuhan, Flusser, Kittler), we try to frame the rediscussion-based on the idea that the meaning of communication always emerges within the core of a specific material agency-of some seminal theoretical points of the psychoanalytic theory, especially the concepts of setting and analytical scene. Initial threads are thus established for a debate that is already fruitful between psychoanalysis and the theories of communication that denaturalize the relationship between man and technique. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) Diante dos desafios com que a pratica psicanalitica se depara no contexto da pandemia atual, um dos mais notaveis diz respeito a comunicacao. A mediacao das sessoes por midias tecnicas tornou-se ubiqua. Este artigo propoe um dialogo entre a psicanalise e a teoria das materialidades da comunicacao para esbocar um olhar midia-psicanalitico sobre alguns destes desafios, que ensejam tambem renovadas discussoes teoricas. Apos um breve panorama das teses de alguns autores de destaque no campo das materialidades (McLuhan, Flusser, Kittler), procuramos delimitar a rediscussao - a luz da tese de que o sentido da comunicacao emerge sempre no seio de um agenciamento material especifico - de alguns pontos teoricos fundamentais da teoria psicanalitica, em especial as nocoes de setting e cena analitica. Estabelecem-se, assim, linhas iniciais para um debate que ja se demonstra frutifero entre a psicanalise e as teorias comunicacionais que desnaturalizam a relacao entre homem e tecnica. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) Ante los desafios a los que se enfrenta la practica psicoanalitica en el contexto de la pandemia actual, uno de los mas destacables se refiere a la comunicacion. La mediacion de sesiones por medios tecnicos se ha vuelto ubicua. Este articulo propone un dialogo entre el psicoanalisis y la teoria de las materialidades de la comunicacion para esbozar una mirada media-psicoanalitica sobre algunos de estos desafios, que tambien dan lugar a renovadas discusiones teoricas. Tras una breve resena de las tesis de algunos autores destacados en el campo de las materialidades (McLuhan, Flusser, Kittler), buscamos definir la rediscusion-a la luz de la tesis de que el sentido de la comunicacion siempre emerge en el seno de una gestion material especifica-de algunos puntos teoricos fundamentales de la teoria psicoanalitica, especialmente las nociones de setting y escena analitica. Asi, se establecen las lineas iniciales de un debate que ya se presenta fructifero entre el psicoanalisis y las teorias comunicacionales que desnaturalizan la relacion entre hombre y tecnica. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

4.
Natural Volatiles & Essential Oils ; 8(5):3803-3827, 2021.
Article in English | GIM | ID: covidwho-1812615

ABSTRACT

Medical therapeutic communication is the medical staff and patients' interaction process with the purpose to help patients express their feelings and thoughts comfortably. However, this process encountered obstacles, such as the patient ignoring the advice of the medical staff, the lack of understanding of the patient's language, hearing disorders, and the cognitive function decline of the elderly patient. However, not yet known exactly what obstacles are felt by medical personnel, how to overcome them, and the supporting factors so that the process runs effectively. Therefore, this study aims to analyze the obstacle and supporting factors effectiveness of medical therapeutic communication, so that medical personnel can overcome these obstacles to increase the effectiveness of medical therapeutic communication at Medan City hospitals. This research at three hospitals in Medan is qualitative research with a phenomenological approach. 33 informants were selected purposively. The data were analyzed by deductive and inductive thematic analysis. Based on the results obtained three supporting and inhibiting factors. Barriers from medical personnel are knowledge, time, technology, psychology, and personal protective equipment. Barriers from patients are physical, personality, age, culture, and compliance. Barriers from hospitals are activities to increase the effectiveness of communication, patient screening, and consultation rooms. Supporters from medical personnel are motivation, time management, and health protocol compliance. Support from the patient is the patient's companion. Supporters from the hospital include activities related to communication, PPE, Covid-19 vaccination, patient screening, consultation rooms, information for patients, and internet networks. Therefore, it is concluded that obstacles can be overcome by strengthening the role of hospital management facilitators so that they can increase the effectiveness of medical therapeutic communication in Medan City hospitals.

5.
Medical Science ; 26(121):11, 2022.
Article in English | Web of Science | ID: covidwho-1812222

ABSTRACT

Background: COVID-19 still poses a threat to healthcare workers (HCW). Aim: Study knowledge and attitude of the HCWs of King Abdulaziz Specialist Hospital (KASH), Taif, Saudi Arabia, about COVID-19 and the vaccine rollout. Methods: A questionnaire was self-administered to achieve study aim. Results: The participants aged 39.3 +/- 3.9;41.5% were physicians, 58.5% non-physicians. A questionnaire's mean overall score [93.5 (62.3%)]<cutoff [105 (70.0%);p<0.001] was recorded;"physician" was predictor for score variability (p<0.001). A mean "COVID-19 epidemiological/clinical knowledge" score [22.2/32 (69.4%)] comparable to the cutoff [22.4/32 (70%), p=0.64];and that [21.7/38 (57.1%)] for "COVID-19 infection prevention/ control (IPC) guidelines" <cutoff [26.6/38 (70%), p<0.001] were recorded. Perception [21.3/28 (76.0%)] of the latter exceeded the cutoff [19.5/28 (70%), p<0.001]. Despite a modest vaccine response, 86.5% HCWs were vaccinated candidates. Being a physician, male, had COVID-19 infection were vaccination predictors. Conclusion: A satisfactory COVID-19 knowledge and a favorable IPC attitude;with a modest vaccine response yet a notable vaccination acceptance were reported. Supplementing our HCWs' adequate COVID-19 control practice, e.g., through holistic COVID-19 training until enough evidence for vaccine safety has been established is warranted.

6.
International Journal of Chronic Obstructive Pulmonary Disease ; 17:141-153, 2022.
Article in English | Web of Science | ID: covidwho-1808737

ABSTRACT

Introduction: Low- and middle-income countries bear a disproportionately high burden of global morbidity and mortality caused by chronic respiratory diseases. Pulmonary rehabilitation is recommended as a core intervention in the management of people with chronic respiratory diseases. However, the intervention remains poorly accessed/utilised globally, especially in low- and middle-income countries. Aim: This qualitative study explored barriers and enablers to pulmonary rehabilitation in low- and middle-income countries from the perspective of healthcare professionals with pulmonary rehabilitation experience in these settings. Methods: Online-based semi-structured in-depth interviews with healthcare professionals were undertaken to data saturation, exploring lived barriers and enablers to pulmonary rehabilitation in their low- or middle-income country. Anonymised interviews were audiorecorded, transcribed verbatim, and analysed using thematic analysis. Results: A total of seven healthcare professionals from seven low- and middle-income countries representing Africa, Asia, and South America were interviewed. They included five physiotherapists (four females), one family physician (male), and one pulmonologist (female). Themes for barriers to pulmonary rehabilitation included limited resources, low awareness, coronavirus disease 2019, and patient access-related costs. Themes for enablers included local adaptation, motivated patients, coronavirus disease 2019 (which spanned both enablers and barriers), better awareness/recognition, provision of PR training, and resource support. Conclusion: Barriers to pulmonary rehabilitation in low- and middle-income countries include limited resources, low awareness, coronavirus disease 2019, and patient accessrelated costs. Enablers include local adaptation, motivated patients, coronavirus disease 2019 (which spanned both enablers and barriers), better awareness/recognition, provision of PR training, and resource support. Successful implementation of these enablers will require engagement with multiple stakeholders. The findings of this study are a necessary step towards developing strategies that can overcome the existing pulmonary rehabilitation evidence-practice gap in low- and middle-income countries and alleviating the burden of chronic respiratory diseases in these countries.

7.
J Pharm Pract ; : 8971900221081621, 2022.
Article in English | PubMed | ID: covidwho-1808066

ABSTRACT

The COVID-19 pandemic has had a significant impact on communities across the United States (US). Three vaccines have now been granted Emergency Use Authorization by the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) for use in the US. However, barriers to vaccination exist, some of which are well documented in the literature, including lack of knowledge, fear, accessibility, mistrust in the healthcare system, and systemic and operational obstacles. Vaccine hesitancy in the US could potentially hinder all the efforts and resources being used to beat COVID-19, which has resulted in more than 594 000 deaths in the US per the CDC as of early June 2021. In order to overcome this pandemic, vaccine distribution and uptake is crucial. Pharmacists play a crucial role as healthcare providers as they can dismantle vaccine hesitancy and make an outstanding impact on the efforts to overcome this pandemic.

8.
Contraception ; 2022.
Article in English | ScienceDirect | ID: covidwho-1803825

ABSTRACT

Objective Assessing access to sexual and reproductive health care during the COVID-19 pandemic, experiences with intimate partner violence (IPV), and exploring sociodemographic disparities Study Design From Sept. 2020 to Jan. 2021, we recruited 436 individuals assigned female at birth (18-49 yrs.) in Georgia, USA for an online survey. The final convenience sample was n=423;a response rate could not be calculated. Survey themes included: sociodemographic and financial information, access to contraceptive services/care, IPV, and pregnancy. Respondents who reported a loss of health insurance, difficulty accessing contraception, barriers to medical care, or IPV were characterized as having a negative sexual and reproductive health experience during the pandemic. We explored associations between sociodemographic variables and negative sexual and reproductive health experiences. Results Since March 2020, 66/436 (16%) of respondents lost their health insurance, and 45% (89/436) reported income loss. Of our sample, 144/436 people (33%) attempted to access contraception. The pandemic made contraceptive access more difficult for 38/144 (26%) of respondents;however, 106/144 (74%) said it had no effect or positive effect on access. Twenty-one respondents reported IPV (5%). COVID-19 amplified negative views of unplanned pregnancy. Seventy-six people (18%) reported at least one negative sexual and reproductive health experience during the pandemic;people in an urban setting and those identifying as homo/bisexual were more likely to report negative experiences (24%, 28% respectively). Conclusion Urban and sexual minority populations had negative sexual and reproductive health experiences during COVID-19 more than their counterparts. The pandemic has shifted perspectives on family planning, likely due to the diverse impacts of COVID-19, including loss of health insurance and income.

9.
Journal of the International AIDS Society ; 25(4), 2022.
Article in English | ProQuest Central | ID: covidwho-1802359

ABSTRACT

IntroductionSouth Africa's progress towards the 95‐95‐95 goals has been significantly slower among adolescents living with HIV (ALHIV), among whom antiretroviral therapy (ART) adherence, retention in care and viral suppression remain a concern. After 2 years of living with COVID‐19, it is important to examine the direct and indirect effects of the pandemic on healthcare resources, access to HIV services and availability of support structures, to assess their impact on HIV care for ALHIV.DiscussionThe COVID‐19 response in South Africa has shifted healthcare resources towards combatting COVID‐19, affecting the quality and availability of HIV services—especially for vulnerable populations, such as ALHIV. The healthcare system's response to COVID‐19 has threatened to diminish fragile gains in engaging ALHIV with HIV services, especially as this group relies on overburdened public health facilities for their HIV care. Reallocation of limited health resources utilized by ALHIV disrupted healthcare workers’ capacity to form and maintain therapeutic relationships with ALHIV and monitor ALHIV for ART‐related side effects, treatment difficulties and mental health conditions, affecting their ability to retain ALHIV in HIV care. Prevailing declines in HIV surveillance meant missed opportunities to identify and manage opportunistic infections and HIV disease progression in adolescents. “Lockdown” restrictions have limited access to healthcare facilities and healthcare workers for ALHIV by reducing clinic appointments and limiting individual movement. ALHIV have had restricted access to social, psychological and educational support structures, including national feeding schemes. This limited access, coupled with reduced opportunities for routine maternal and sexual and reproductive health services, may place adolescent girls at greater risk of transactional sex, child marriages, unintended pregnancy and mother‐to‐child HIV transmission.ConclusionsAdolescent HIV care in South Africa is often overlooked;however, ART adherence among ALHIV in South Africa is particularly susceptible to the consequences of a world transformed by COVID‐19. The current structures in place to support HIV testing, ART initiation and adherence have been reshaped by disruptions to health structures, new barriers to access health services and the limited available education and psychosocial support systems. Reflecting on these limitations can drive considerations for minimizing these barriers and retaining ALHIV in HIV care.

10.
Economic and Social Development: Book of Proceedings ; : 302-313, 2022.
Article in English | ProQuest Central | ID: covidwho-1801232

ABSTRACT

Migrations are on the rise and so is remote work. Migrant entrepreneurs and digital nomads are among the key protagonists of both phenomena. Many recent global events (COVID-19 pandemic, natural disasters, armed conflicts, political instabilities) have influenced their lives in the most diverse ways. Based on the primary and secondary data this paper seeks to identify the main barriers perceived by the digital nomads and migrant entrepreneurs currently residing in Croatia. It also aims to provide an overview of the key activities implemented by support organisations in charge of these two migrant groups. Finally, it investigates whether those support initiatives are able to compensate for the obstacles faced by migrant entrepreneurs and digital nomads in the Croatian business environment.

11.
Health Psychology Report ; 10(2):139-148, 2022.
Article in English | Web of Science | ID: covidwho-1798817

ABSTRACT

BACKGROUND Risk perceptions are central to health behavior, but some types of risk perceptions may be more strongly connected to behavior than others. This research examined different risk perceptions of COVID-19 and their respective associations with behavior intentions and worry. PARTICIPANTS AND PROCEDURE U.S. college students (N= 248) and general adults (N= 300) reported their risk perceptions of COVID-19 - including absolute numerical, verbal, comparative, and feelings of risk - as well as their worry and intentions to do things such as get vaccinated. RESULTS Although most risk perceptions related to intentions and worry, feelings of risk were the most strongly and consistently related. The associations showed that the higher people's feelings of risk were, the greater were their intentions and worry. CONCLUSIONS Assessing feelings of risk of COVID-19 may provide the best insight into people's perceived threat of this virus.

12.
Am J Health Syst Pharm ; 2022.
Article in English | PubMed | ID: covidwho-1795385

ABSTRACT

DISCLAIMER: In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: While some guidelines recognize the need for β-lactam therapeutic drug monitoring (TDM), there is still a paucity of data regarding the prevalence of and barriers to performing β-lactam TDM in the United States. We sought to estimate the prevalence of β-lactam TDM, describe monitoring practices, and identify actual and perceived barriers to implementation among health systems in the US. METHODS: A multicenter, cross-sectional, 40-item electronic survey was distributed to all postgraduate year 2 (PGY2) infectious diseases (ID) pharmacy residency program directors (RPDs) listed in the American Society of Health-System Pharmacists pharmacy residency directory. The primary outcome was the percentage of institutions with established β-lactam TDM. Secondary outcomes included assessing β-lactam TDM methods and identifying potential barriers to implementation. RESULTS: The survey was distributed to 126 PGY2 ID RPDs, with a response rate of 31.7% (40 of 126). Only 7.7% of respondents (3 of 39) performed β-lactam TDM. Patient populations, therapeutic targets, and frequency and timing of obtaining repeat β-lactam concentration measurements varied among institutions. The greatest barrier to implementation was lack of access to testing with a rapid turnaround time. Institutions were unlikely to implement β-lactam TDM within the next year but were significantly more inclined to do so within 5 years (P < 0.001). CONCLUSION: Β-lactam TDM was infrequently performed at the surveyed US health systems. Lack of access to serum concentration testing with rapid turnaround and lack of US-specific guidelines appear to be considerable barriers to implementing β-lactam TDM. Among institutions that have implemented β-lactam TDM, there is considerable variation in monitoring approaches.

13.
JMIR Aging ; 5(2):e34326, 2022.
Article in English | PubMed | ID: covidwho-1793157

ABSTRACT

BACKGROUND: Despite the increasing availability of telemedicine video visits during the COVID-19 pandemic, older adults have greater challenges in getting care through telemedicine. OBJECTIVE: We aim to better understand the barriers to telemedicine in community-dwelling older adults to improve the access to and experience of virtual visits. METHODS: We conducted a mixed methods needs assessment of older adults at two independent living facilities (sites A and B) in Northern California between September 2020 and March 2021. Voluntary surveys were distributed. Semistructured interviews were then conducted with participants who provided contact information. Surveys ascertained participants' preferred devices as well as comfort level, support, and top barriers regarding telephonic and video visits. Qualitative analysis of transcribed interviews identified key themes. RESULTS: Survey respondents' (N=249) average age was 84.6 (SD 6.6) years, and 76.7% (n=191) of the participants were female. At site A, 88.9% (111/125) had a bachelor's degree or beyond, and 99.2% (124/125) listed English as their preferred language. At site B, 42.9% (51/119) had a bachelor's degree or beyond, and 13.4% (16/119) preferred English, while 73.1% (87/119) preferred Mandarin. Regarding video visits, 36.5% (91/249) of all participants felt comfortable connecting with their health care team through video visits. Regarding top barriers, participants at site A reported not knowing how to connect to the platform (30/125, 24%), not being familiar with the technology (28/125, 22.4%), and having difficulty hearing (19/125, 15.2%), whereas for site B, the top barriers were not being able to speak English well (65/119, 54.6%), lack of familiarity with technology and the internet (44/119, 36.9%), and lack of interest in seeing providers outside of the clinic (42/119, 35.3%). Three key themes emerged from the follow-up interviews (n=15): (1) the perceived limitations of video visits, (2) the overwhelming process of learning the technology for telemedicine, and (3) the desire for in-person or on-demand help with telemedicine. CONCLUSIONS: Substantial barriers exist for older adults in connecting with their health care team through telemedicine, particularly through video visits. The largest barriers include difficulty with technology or using the video visit platform, hearing difficulty, language barriers, and lack of desire to see providers virtually. Efforts to improve telemedicine access for older adults should take into account patient perspectives.

14.
Indian J Palliat Care ; 26(Suppl 1): S76-S80, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-1792220

ABSTRACT

INTRODUCTION: COVID-19, the new pandemic faced by the world, is a novel betacoronavirus causing severe respiratory coronavirus syndrome. Elderly patients, people with underlying chronic illnesses, cancer patients, and those who are immunocompromised are at higher risk and account for higher mortality rate. Unfortunately, there is no approved medication for treatment, till date, thereby supporting triage management and difficult decision-making. Thus, there should be a substantial increase in the palliative care in times of pandemic. There should be an increase in the availability of palliative care services in different care settings. Due to a surge in the number of cases of COVID-19, it has been reported on how palliative care is being delayed, discontinued, or deprioritized. AIM: The aim of this study is to evaluate the barriers occurring in providing the palliative care to the patients with nonmalignant illness. METHODOLOGY: A questionnaire was designed after studying previous work over palliative care and pandemic crisis and was distributed among the physicians, surgeons, and the residents; a total of 95 health-care workers were involved. The survey was done through mails. The response then was evaluated and analyzed. RESULTS: As seen by the responses we got from the health-care workers, the main issue is the nonavailability of the personal protective equipment during this pandemic. Keeping the current scenario in mind, regarding COVID-19, the patients are at fear of coming to the hospital at first place, and even if they come then the fear of being alone haunts them. One of the biggest fears of the patient is dying alone, without being in contact with their loved ones. CONCLUSION: Palliative care should be an essential part of any health-care service in any humanitarian crisis, including the COVID-19 pandemic. Thus, effort should be made to remove the barriers and provide palliative care to the patient.

15.
Transgender Health ; 7(2):175-178, 2022.
Article in English | ProQuest Central | ID: covidwho-1788467

ABSTRACT

Background: Transgender and Gender-Nonconforming (TGNC) people continue to experience severe health discrimination and limited access to care. Methods: Using survey data collected during August-September, 2020, we report on our findings regarding volunteer provider and patient satisfaction with a student-run free gender-affirming care telehealth clinic at the University of North Carolina at Chapel Hill School of Medicine. Results: We find that patients report overall excellent experiences with telehealth care, primarily due to decreased transportation burden, more efficient use of time, and more frequent communication with student volunteer providers. Conclusion: Our findings show that telehealth is a viable option for student-run clinics in the TGNC community.

16.
Disability and Health Journal ; : 101325, 2022.
Article in English | ScienceDirect | ID: covidwho-1783277

ABSTRACT

Background The COVID-19 pandemic has exacerbated historical inequities for people with disabilities including barriers in accessing online information and healthcare appointment websites. These barriers were brought to the foreground during the vaccine rollout and registration process. Objective This cross-sectional study aimed to examine accessibility of U.S. state and territory COVID-19 information and registration centralized websites. Methods The Johns Hopkins Disability Health Research Center created a COVID-19 Vaccine Dashboard compiling COVID-19 information and vaccine registration web pages from 56 states and territories in the United States (U.S.) reviewed between March 30 through April 5, 2021 and analyzed accessibility using WAVE Web Accessibility Evaluation Tool (WAVE). WAVE identifies website accessibility barriers, including insufficient contrast, alternative text, unlabeled buttons, total number of errors, and error density. Web pages were ranked and grouped into three groups by number of errors, creating comparisons between states on accessibility barriers for people with disabilities. Results All 56 U.S states and territories had COVID-19 information web pages and 29 states had centralized state vaccine registration web pages. Total errors, error density, and alert data were utilized to generate accessibility scores for each web page, the median score was 259 (range=14 to 536 and IQR=237) for information pages, and 146 (range=10 to 281 and IQR=105) for registration pages. Conclusions These results highlight barriers people with disabilities may encounter when accessing information and registering for the COVID-19 vaccine, which underscore inequities in the pandemic response for the disability community and elevate the need to prioritize accessibility of public health information.

17.
Int J Equity Health ; 21(1): 48, 2022 Apr 11.
Article in English | MEDLINE | ID: covidwho-1785154

ABSTRACT

BACKGROUND: The COVID-19 pandemic has shed new light on inequities in healthcare access faced by immigrant and refugee communities. To address ongoing disparities, there is an urgent need for ecological approaches to better understand the barriers that hinder and resources that facilitate access to healthcare. This study investigates barriers to healthcare system access faced by Yazidi refugees in the Midwestern United States. METHODS: Informed by the Interpretative Phenomenological Approach, three focus group meetings with a community advisory board were conducted between September 2019 and January 2020. The nine-member focus group included social workers, healthcare providers, and members of the Yazidi community. Meeting recordings were transcribed into English, coded for themes, and validated. RESULTS: We describe themes related to specific barriers to healthcare access; analyze the influence of relational dynamics in the focus group; explore experiential themes related to healthcare access in the Yazidi community, and finally interpret our findings through a social-ecological lens. CONCLUSION: Community agencies, healthcare organizations, policymakers, and other stakeholders must work together to develop strategies to reduce systemic barriers to equitable care. Community representation in priority-setting and decision-making is essential to ensure relevance, acceptability, and utilization of developed strategies.


Subject(s)
COVID-19 , Refugees , Health Services Accessibility , Humans , Midwestern United States , Pandemics , Qualitative Research
18.
Transp Res Part A Policy Pract ; 159: 157-168, 2022 May.
Article in English | MEDLINE | ID: covidwho-1783776

ABSTRACT

Prior to the COVID-19 pandemic, transportation barriers prevented millions of Americans from accessing needed medical care. Then the pandemic disrupted medical and transportation systems across the globe. This research explored ways the COVID-19 pandemic changed how people experienced transportation barriers to accessing health care. We conducted in-depth interviews with social workers, nurses, and other care coordinators in North Carolina to identify barriers to traveling for medical care during the pandemic and explore innovative solutions employed to address these barriers. Analyzing these interviews using a flexible coding approach, we found that the pandemic exacerbated existing transportation barriers and created new barriers. Yet, simultaneously, temporary policy responses expanded the utilization of telehealth. The interviews identified specific advantages of expanded telehealth, including increasing access to mental health services in rural areas, reducing COVID-19 exposure for high-risk patients, and offering continuity of care for COVID-19 patients with other health conditions. While telehealth cannot address all medical needs, such as emergency or cancer care, it may be well-suited for preliminary screenings and follow-up visits. The findings provide insights on how post-pandemic telehealth policy changes can benefit individuals facing transportation barriers to accessing health care and support more accommodating and convenient health care for patients and their families.

19.
BMC Geriatr ; 22(1): 288, 2022 Apr 06.
Article in English | MEDLINE | ID: covidwho-1779599

ABSTRACT

BACKGROUND: COVID-19 vaccination is recommended for older adults by the World Health Organization. However, by July 15, 2021, only 26% of individuals over 60 years old in Hong Kong had received a first dose of the vaccine. The health belief model and the theory of planned behavior have been used to understand the determinants for COVID-19 vaccination in past literature. However, vaccination determinants can be complex and involve social and cultural factors that cannot be explained by micro-individual factors alone; hence, the health belief model and the theory of planned behavior cannot provide a complete understanding of vaccine hesitancy. Few studies on the barriers to, hesitancy toward, and motivations for COVID-19 vaccination among older Chinese adults have been performed. The aim of this study is to fill this gap by conducting a comprehensive analysis of this subject using the critical medical anthropology framework, extending the health belief model and the theory of planned behavior in understanding vaccination determinants among the older adult population. METHODS: Between November 2020 and February 2021, 31 adults (24 women and 7 men) over the age of 65 took part in semi-structured, one-on-one interviews. The data we gathered were then analyzed through a phenomenological approach. RESULTS: Two major themes in the data were examined: barriers to vaccination and motivations for vaccination. The participants' perceptions of and hesitancy toward vaccination demonstrated a confluence of factors at the individual (trust, confidence, and social support networks), microsocial (stigma toward health care workers), intermediate-social (government), and macrosocial (cultural stereotypes, civic and collective responsibility, and economic considerations) levels according to the critical medical anthropology framework. CONCLUSIONS: The decision to receive a COVID-19 vaccination is a complex consideration for older adults of low socioeconomic status in Hong Kong. Using the critical medical anthropology framework, the decision-making experience is a reflection of the interaction of factors at different layers of social levels. The findings of this study extend the health belief model and the theory of planned behavior regarding the understanding of vaccination perceptions and relevant behaviors in an older adult population.


Subject(s)
COVID-19 , Vaccines , Aged , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19 Vaccines , Female , Hong Kong/epidemiology , Humans , Male , Middle Aged , Vaccination
20.
3rd International Conference on Informatics, Multimedia, Cyber, and Information System, ICIMCIS 2021 ; : 114-119, 2021.
Article in English | Scopus | ID: covidwho-1779109

ABSTRACT

The Covid-19 pandemic was first discovered in 2019 and was resistant to all available cures despite all efforts. Vietnam, as well as other nations, suffers significant economic harm due to its presence. Businesses in Vietnam, particularly small and medium-sized businesses (SMEs), must plan for this scenario. It has been shown that E-marketing is a successful technique for finding and communicating with consumers worldwide. The disease has been aided by lockdowns and social isolation in the Covid-19 pandemic. This study seeks to discover the impact of several variables on small business owners' plans to utilize e-marketing in Vietnam as part of the Covid-19 pandemic. The study used both qualitative and quantitative research techniques. The qualitative approach is used to confirm and modify a scale, whereas quantitative research is used to help establish a range. The results show that 04 variables impact e-marketing intention, including (1) Compatibility, (2) attitudes towards the use of E-marketing, (3) perceived usefulness, and (4) perceived barriers to use, (5) subjective norms, where perceived usefulness is the most critical influence. The research has put forward many proposals to enhance the desire of businesses to utilize E-Marketing. © 2021 IEEE.

SELECTION OF CITATIONS
SEARCH DETAIL