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1.
Percept Mot Skills ; 127(5): 960-979, 2020 Oct.
Article in English | MEDLINE | ID: covidwho-626367

ABSTRACT

As the Covid 19 crisis has revealed, the internet is a first-line tool for learning critical health-related information. However, internet searches are a complex and dynamic process that can be fraught with subtleties and potential error. The mechanics of searching for and using electronic health (eHealth) information is ostensibly cognitively demanding; yet we know little about the role of neurocognitive abilities in this regard. Fifty-six young adults completed two naturalistic eHealth search tasks: fact-finding (eHealth Fact) and symptom-diagnosis (eHealth Search). Participants also completed neurocognitive tests of attention, psychomotor speed, learning/memory, and executive functions. Shorter eHealth symptom-diagnosis search time was related to better executive functions, while better eHealth symptom-diagnosis search accuracy was related to better episodic and prospective memory. In contrast, neither eHealth Fact search time nor its accuracy were related to any of the neurocognitive measures. Our findings suggest a differential relationship between neurocognitive abilities and eHealth search behaviors among young adults such that higher-order abilities may be implicated in eHealth searches requiring greater synthesis of information. Future work should examine the cognitive architecture of eHealth search in persons with neurocognitive disorders, as well as that of other aspects of eHealth search behaviors (e.g., search term generation, website reliability, and decision-making).


Subject(s)
Aptitude , Attention , Cognition , Consumer Health Information , Executive Function , Information Seeking Behavior , Internet , Memory , Adolescent , Adult , Betacoronavirus , Coronavirus Infections , Decision Making , Female , Health Behavior , Health Literacy , Humans , Learning , Male , Pandemics , Pneumonia, Viral , Psychomotor Performance , Telemedicine , Young Adult
2.
Accid Anal Prev ; 144: 105686, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-650346

ABSTRACT

INTRODUCTION: Understanding who heeds the driving-related COVID-19 restrictions is critical for assisting public health professionals improve response to this and future pandemic events. The purpose of the current study was to characterize driving behavior changes among adolescents as a function of COVID-19 restrictions. It was hypothesized that adolescent driving would be reduced by COVID-19 restrictions, especially for younger teens, non-minorities, females, non-working teens, and those with higher prosocial tendencies. METHODS: Participants were licensed drivers in "REACT," a longitudinal study of adolescent driving attention. Upon enrollment in REACT, drivers were required to be age 16 or 18, have been issued a driver's license within the last two weeks, and be fluent in written/spoken English. The current observational cohort study was of drivers reporting driving exposure between February 8 and April 22, 2020. Linear mixed-effects models estimated differences in driving changes between COVID-19 periods. RESULTS: Results indicated a decrease across pre-COVID-19 period (February 8 - March 13, 2020) in days driven per week and vehicle miles driven (VMD) was explained by the change of slope post-COVID-19 restrictions (March 14 - April 22, 2020). Post-COVID-19, driving days per week decreased by 37 % and VMD decreased by 35 %. This decrease was lower in ethnic minorities, older adolescents, and employed adolescents. Those with greater dire prosocial tendencies showed greater post-COVID-19 driving decline. DISCUSSION: Findings provide early evidence of COVID-19 restriction-related adolescent driving changes suggesting older, employed, minority teens and teens with lower prosocial tendencies are less likely to reduce driving behavior. These observations provide a foundation for more extensive studies of adolescent drivers during various driving and contact restrictions and inform future public health campaigns for social distancing.


Subject(s)
Adolescent Behavior , Automobile Driving , Coronavirus Infections , Pandemics , Pneumonia, Viral , Accidents, Traffic , Adolescent , Attention , Betacoronavirus , Cohort Studies , Coronavirus Infections/epidemiology , Coronavirus Infections/virology , Female , Humans , Licensure , Longitudinal Studies , Male , Pneumonia, Viral/epidemiology , Pneumonia, Viral/virology , Social Distance , Social Isolation
4.
J Med Internet Res ; 22(6): e19981, 2020 06 15.
Article in English | MEDLINE | ID: covidwho-605112

ABSTRACT

BACKGROUND: Social media has become increasingly important as a source of information for the public and is widely used for health-related information. The outbreak of the coronavirus disease (COVID-19) has exerted a negative impact on dental practices. OBJECTIVE: The aim of this study is to analyze the nature and diffusion of COVID-19-related oral health information on the Chinese social media site Weibo. METHODS: A total of 15,900 tweets related to oral health and dentistry information from Weibo during the COVID-19 outbreak in China (December 31, 2019, to March 16, 2020) were included in our study. Two researchers coded 1000 of the total tweets in advance, and two main thematic categories with eight subtypes were refined. The included tweets were analyzed over time and geographic region, and coded into eight thematic categories. Additionally, the time distributions of tweets containing information about dental services, needs of dental treatment, and home oral care during the COVID-19 epidemic were further analyzed. RESULTS: People reacted rapidly to the emerging severe acute respiratory syndrome coronavirus 2 threat to dental services, and a large amount of COVID-19-related oral health information was tweeted on Weibo. The time and geographic distribution of tweets shared similarities with epidemiological data of the COVID-19 outbreak in China. Tweets containing home oral care and dental services content were the most frequently exchanged information (n=4803/15,900, 30.20% and n=4478, 28.16%, respectively). Significant differences of public attention were found between various types of bloggers in dental services-related tweets (P<.001), and the tweets from the government and media engaged the most public attention. The distributions of tweets containing information about dental services, needs of dental treatment, and home oral care information dynamically changed with time. CONCLUSIONS: Our study overviewed and analyzed social media data on the dental services and oral health information during the COVID-19 epidemic, thus, providing insights for government organizations, media, and dental professionals to better facilitate oral health communication and efficiently shape public concern through social media when routine dental services are unavailable during an unprecedented event. The study of the nature and distribution of social media can serve as a useful adjunct tool to help make public health policies.


Subject(s)
Betacoronavirus , Coronavirus Infections/epidemiology , Dentistry , Health Communication , Health Education , Oral Health/statistics & numerical data , Pneumonia, Viral/epidemiology , Social Media/statistics & numerical data , Asian Continental Ancestry Group , Attention , China/epidemiology , Disease Outbreaks , Humans , Pandemics
6.
J Psychiatr Res ; 128: 1-4, 2020 09.
Article in English | MEDLINE | ID: covidwho-478074

ABSTRACT

Prenatal COVID-19 infection is anticipated by the U.S. Centers for Disease Control to affect fetal development similarly to other common respiratory coronaviruses through effects of the maternal inflammatory response on the fetus and placenta. Plasma choline levels were measured at 16 weeks gestation in 43 mothers who had contracted common respiratory viruses during the first 6-16 weeks of pregnancy and 53 mothers who had not. When their infants reached 3 months of age, mothers completed the Infant Behavior Questionnaire-Revised (IBQ-R), which assesses their infants' level of activity (Surgency), their fearfulness and sadness (Negativity), and their ability to maintain attention and bond to their parents and caretakers (Regulation). Infants of mothers who had contracted a moderately severe respiratory virus infection and had higher gestational choline serum levels (≥7.5 mM consistent with U.S. Food and Drug Administration dietary recommendations) had significantly increased development of their ability to maintain attention and to bond with their parents (Regulation), compared to infants whose mothers had contracted an infection but had lower choline levels (<7.5 mM). For infants of mothers with choline levels ≥7.5 µM, there was no effect of viral infection on infant IBQ-R Regulation, compared to infants of mothers who were not infected. Higher choline levels obtained through diet or supplements may protect fetal development and support infant early behavioral development even if the mother contracts a viral infection in early gestation when the brain is first being formed.


Subject(s)
Betacoronavirus/pathogenicity , Brain , Child Development , Choline , Fetal Development , Infant Behavior , Pregnancy Complications, Infectious , Adult , Attention , Brain/drug effects , Brain/growth & development , Child Development/drug effects , Child Development/physiology , Choline/administration & dosage , Choline/blood , Coronavirus Infections/blood , Coronavirus Infections/complications , Coronavirus Infections/virology , Dietary Supplements , Female , Fetal Development/drug effects , Fetal Development/physiology , Gestational Age , Humans , Infant , Infant Behavior/physiology , Infant Behavior/psychology , Male , Nootropic Agents/administration & dosage , Nootropic Agents/blood , Object Attachment , Pandemics , Pneumonia, Viral/blood , Pneumonia, Viral/complications , Pneumonia, Viral/virology , Pregnancy , Pregnancy Complications, Infectious/blood , Pregnancy Complications, Infectious/virology , Prenatal Care/methods
7.
Psychol Trauma ; 12(S1): S255-S257, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-401603

ABSTRACT

In this commentary we discuss a downstream consequence of increases in stress and anxiety during the COVID-19 pandemic. Stress and anxiety can lead to mind wandering, which in turn competes for limited cognitive resources. We encourage researchers to be understanding and patient concerning the inevitable cognitive impact of the pandemic and subsequent reduced productivity levels from our students, colleagues, and ourselves. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Anxiety/physiopathology , Attention/physiology , Cognitive Dysfunction/physiopathology , Coronavirus Infections , Executive Function/physiology , Pandemics , Pneumonia, Viral , Psychotherapy , Stress, Psychological/physiopathology , Adult , Efficiency , Humans , Mindfulness , Students , Universities , Young Adult
8.
J Med Internet Res ; 22(5): e18825, 2020 05 04.
Article in English | MEDLINE | ID: covidwho-174961

ABSTRACT

BACKGROUND: Since the coronavirus disease (COVID-19) epidemic in China in December 2019, information and discussions about COVID-19 have spread rapidly on the internet and have quickly become the focus of worldwide attention, especially on social media. OBJECTIVE: This study aims to investigate and analyze the public's attention to events related to COVID-19 in China at the beginning of the COVID-19 epidemic (December 31, 2019, to February 20, 2020) through the Sina Microblog hot search list. METHODS: We collected topics related to the COVID-19 epidemic on the Sina Microblog hot search list from December 31, 2019, to February 20, 2020, and described the trend of public attention on COVID-19 epidemic-related topics. ROST Content Mining System version 6.0 was used to analyze the collected text for word segmentation, word frequency, and sentiment analysis. We further described the hot topic keywords and sentiment trends of public attention. We used VOSviewer to implement a visual cluster analysis of hot keywords and build a social network of public opinion content. RESULTS: The study has four main findings. First, we analyzed the changing trend of the public's attention to the COVID-19 epidemic, which can be divided into three stages. Second, the hot topic keywords of public attention at each stage were slightly different. Third, the emotional tendency of the public toward the COVID-19 epidemic-related hot topics changed from negative to neutral, with negative emotions weakening and positive emotions increasing as a whole. Fourth, we divided the COVID-19 topics with the most public concern into five categories: the situation of the new cases of COVID-19 and its impact, frontline reporting of the epidemic and the measures of prevention and control, expert interpretation and discussion on the source of infection, medical services on the frontline of the epidemic, and focus on the worldwide epidemic and the search for suspected cases. CONCLUSIONS: Our study found that social media (eg, Sina Microblog) can be used to measure public attention toward public health emergencies. During the epidemic of the novel coronavirus, a large amount of information about the COVID-19 epidemic was disseminated on Sina Microblog and received widespread public attention. We have learned about the hotspots of public concern regarding the COVID-19 epidemic. These findings can help the government and health departments better communicate with the public on health and translate public health needs into practice to create targeted measures to prevent and control the spread of COVID-19.


Subject(s)
Attention , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Health Education , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Public Opinion , Social Media/statistics & numerical data , China/epidemiology , Coronavirus Infections/transmission , Emotions , Health Education/methods , Health Education/statistics & numerical data , Humans , Pneumonia, Viral/transmission , Public Health/methods , Public Health/statistics & numerical data , Social Media/supply & distribution
9.
Epilepsia ; 61(6): 1166-1173, 2020 06.
Article in English | MEDLINE | ID: covidwho-143876

ABSTRACT

OBJECTIVE: To compare the severity of psychological distress between patients with epilepsy and healthy controls during the COVID-19 outbreak in southwest China, as well as identify potential risk factors of severe psychological distress among patients with epilepsy. METHODS: This cross-sectional case-control study examined a consecutive sample of patients older than 15 years treated at the epilepsy center of West China Hospital between February 1 and February 29, 2020. As controls, sex- and age-matched healthy visitors of inpatients (unrelated to the patients) were also enrolled during the same period. Data on demographics and attention paid to COVID-19 were collected by online questionnaire, data on epilepsy features were collected from electronic medical records, and psychological distress was evaluated using the 6-item Kessler Psychological Distress Scale (K-6). Potential risk factors of severe psychological distress were identified using multivariate logistic regression. RESULTS: The 252 patients and 252 controls in this study were similar along all demographic variables except family income. Patients with epilepsy showed significantly higher K-6 scores than healthy controls and spent significantly more time following the COVID-19 outbreak (both P < .001). Univariate analyses associated both diagnosis of drug-resistant epilepsy and time spent paying attention to COVID-19 with severe psychological distress (defined as K-6 score >12; both P ≤ .001). Multivariate logistic regression identified two independent predictors of severe psychological distress: time spent paying attention to COVID-19 (odds ratio [OR] = 1.172, 95% confidence interval [CI] = 1.073-1.280) and diagnosis of drug-resistant epilepsy (OR = 0.283, 95% CI = 0.128-0.623). SIGNIFICANCE: During public health outbreaks, clinicians and caregivers should focus not only on seizure control but also on mental health of patients with epilepsy, especially those with drug-resistant epilepsy. K-6 scores > 12 indicate severe psychological distress. This may mean, for example, encouraging patients to engage in other activities instead of excessively following media coverage of the outbreak.


Subject(s)
Anxiety/epidemiology , Coronavirus Infections , Depression/epidemiology , Epilepsy/epidemiology , Pandemics , Pneumonia, Viral , Psychological Distress , Adolescent , Adult , Anxiety/psychology , Attention , Betacoronavirus , Case-Control Studies , China/epidemiology , Cross-Sectional Studies , Depression/psychology , Disease Outbreaks , Drug Resistant Epilepsy/epidemiology , Female , Humans , Male , Severity of Illness Index , Time Factors , Young Adult
11.
J Med Internet Res ; 22(5): e18825, 2020 05 04.
Article in English | MEDLINE | ID: covidwho-96776

ABSTRACT

BACKGROUND: Since the coronavirus disease (COVID-19) epidemic in China in December 2019, information and discussions about COVID-19 have spread rapidly on the internet and have quickly become the focus of worldwide attention, especially on social media. OBJECTIVE: This study aims to investigate and analyze the public's attention to events related to COVID-19 in China at the beginning of the COVID-19 epidemic (December 31, 2019, to February 20, 2020) through the Sina Microblog hot search list. METHODS: We collected topics related to the COVID-19 epidemic on the Sina Microblog hot search list from December 31, 2019, to February 20, 2020, and described the trend of public attention on COVID-19 epidemic-related topics. ROST Content Mining System version 6.0 was used to analyze the collected text for word segmentation, word frequency, and sentiment analysis. We further described the hot topic keywords and sentiment trends of public attention. We used VOSviewer to implement a visual cluster analysis of hot keywords and build a social network of public opinion content. RESULTS: The study has four main findings. First, we analyzed the changing trend of the public's attention to the COVID-19 epidemic, which can be divided into three stages. Second, the hot topic keywords of public attention at each stage were slightly different. Third, the emotional tendency of the public toward the COVID-19 epidemic-related hot topics changed from negative to neutral, with negative emotions weakening and positive emotions increasing as a whole. Fourth, we divided the COVID-19 topics with the most public concern into five categories: the situation of the new cases of COVID-19 and its impact, frontline reporting of the epidemic and the measures of prevention and control, expert interpretation and discussion on the source of infection, medical services on the frontline of the epidemic, and focus on the worldwide epidemic and the search for suspected cases. CONCLUSIONS: Our study found that social media (eg, Sina Microblog) can be used to measure public attention toward public health emergencies. During the epidemic of the novel coronavirus, a large amount of information about the COVID-19 epidemic was disseminated on Sina Microblog and received widespread public attention. We have learned about the hotspots of public concern regarding the COVID-19 epidemic. These findings can help the government and health departments better communicate with the public on health and translate public health needs into practice to create targeted measures to prevent and control the spread of COVID-19.


Subject(s)
Attention , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Health Education , Pandemics/prevention & control , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , Public Opinion , Social Media/statistics & numerical data , China/epidemiology , Coronavirus Infections/transmission , Emotions , Health Education/methods , Health Education/statistics & numerical data , Humans , Pneumonia, Viral/transmission , Public Health/methods , Public Health/statistics & numerical data , Social Media/supply & distribution
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