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Int J Environ Res Public Health ; 19(1)2021 Dec 28.
Article in English | MEDLINE | ID: covidwho-1580800


The health crisis generated by the COVID-19 pandemic has induced, among other things, an increase in the importance of remote work or teleworking (TL) in the current period. The objective of this research is to identify the economic and social impact of telework in changing the behavior of employees in Romania. The research was conducted approximately one year after the onset of the pandemic until the beginning of the vaccination period in Romania. The research proposed includes three main directions of analysis of the extracted data, which are related to telework efficiency, this being considered one of the most important indicators for a company. In order to obtain conclusive results, we used a mixed methodology, combining results obtained through a survey based on a self-administered electronic questionnaire, with a data mining analysis. Detailed analysis of the groups identified based on work efficiency allowed us to highlight the most common employee profiles. This analysis was doubled by a second classification experiment, which provided us a more detailed analysis of the groups identified based on job satisfaction and highlighted the most common employee profiles. The expansion of telework in various economic areas is a result of adaptation to the new economic and social conditions caused by the COVID-19 pandemic.

COVID-19 , Data Mining , Humans , Pandemics , SARS-CoV-2 , Social Change , Teleworking
BMJ Open ; 11(11): e050945, 2021 11 12.
Article in English | MEDLINE | ID: covidwho-1515301


OBJECTIVES: Non-healthcare keyworkers face distinct occupational vulnerabilities that have received little consideration within broader debates about 'essential' work and psychological distress during the COVID-19 pandemic. The aim of this study was therefore to explore the impact of the pandemic on the working lives and mental health and well-being of non-healthcare keyworkers in the UK. DESIGN: In-depth, qualitative interviews, analysed using a reflexive thematic analysis. SETTING: Telephone or video call interviews, conducted in the UK between September 2020 and January 2021. PARTICIPANTS: 23 participants aged 26-61 (mean age=47.2) years employed in a range of non-healthcare keyworker occupations, including transport, retail, education, postal services, the police and fire services, waste collection, finance and religious services. RESULTS: Keyworkers experienced adverse psychological effects during the COVID-19 pandemic, including fears of COVID-19 exposure, contagion and subsequent transmission to others, especially their families. These concerns were often experienced in the context of multiple exposure risks, including insufficient personal protective equipment and a lack of workplace mitigation practices. Keyworkers also described multiple work-related challenges, including increased workload, a lack of public and organisational recognition and feelings of disempowerment. CONCLUSIONS: In efforts to reduce psychosocial concerns among non-healthcare keyworkers, there is a need for appropriate support during the COVID-19 pandemic and in preparation for other infections (eg, seasonal influenza) in the future. This includes the provision of psychological and workplace measures attending to the intersections of personal vulnerability and work conditions that cause unique risks and challenges among those in frontline keyworker occupations.

COVID-19 , Pandemics , Health Personnel , Humans , Middle Aged , SARS-CoV-2 , Social Change , United Kingdom/epidemiology
Mol Biol Cell ; 32(22): ae2, 2021 12 01.
Article in English | MEDLINE | ID: covidwho-1500972


If this was not happening in the midst of the COVID-19 pandemic, I imagine that I would be speaking these words instead of writing them on my laptop. Even so, I am so jazzed for this opportunity! No word or phrase describes what I am feeling in this moment in receiving the 2021 American Society for Cell Biology Prize for Excellence in Inclusivity. It is certainly an honor to be recognized in this way. I am grateful to the Howard Hughes Medical Institute for awarding me additional resources to keep on keeping on. My approach to finding the connection between people and their science certainly could use the monetary support. Resources open doors. At the same time that I am grateful for the attention, I am not exactly sure what to do with the spotlight. Importantly, there are a host of other folks out there also doing amazing things who have never been recognized. Let's work to ensure that their contributions are supported, appreciated, and recognized. Instead of focusing the spotlight on me, I would rather redirect it to recognize my foundational influences. I also hope to encourage the need for institutional approaches beyond celebrating individual accomplishment.

Awards and Prizes , Cultural Diversity , Social Change , Academies and Institutes , History, 21st Century , Humans , Social Environment
Biomedica ; 40(Supl. 2): 73-76, 2020 10 30.
Article in English, Spanish | MEDLINE | ID: covidwho-1384010


Amid the global pandemic crisis, international concern has centered on the control and prevention measures aimed at reducing the speed of the virus transmission while a more radical sanitary measure, such as vaccines, is achieved. Governmental and social efforts have had great impact on various sectors of society and their consequences have exceeded the sphere of health. This essay discusses the scope of specific measures in the sense of the appropriation of risk control measures and proposes the epidemiological method as an alternative that goes beyond the quantification of risks and the attribution of responsibilities. To conclude, the emphasis is placed on the need to promote information about socialization processes to better understand the consequences of individual acts favoring alternatives other than pandemic control based on the use of coercive measures.

En medio de la crisis pandémica a nivel global, la preocupación internacional ha girado en torno a la adopción de medidas de control y prevención orientadas a la reducción de la velocidad de propagación del virus en espera de que se disponga de una medida sanitaria radical como la vacuna. El esfuerzo gubernamental y social ha tenido un gran impacto en diversos sectores de la sociedad y las consecuencias han superado el ámbito sanitario. En este ensayo se discute su alcance en el sentido de la apropiación de las medidas de control del riesgo y se propone el método epidemiológico como una alternativa que va más allá de la cuantificación de los riesgos y la atribución de responsabilidades. Por último, se plantea la necesidad de fomentar procesos de socialización de la información que ayuden a la comprensión de las consecuencias de los actos individuales y favorezcan la superación de la expectativa de control pandémico únicamente basada en el uso de medidas coercitivas.

Communicable Disease Control/methods , Coronavirus Infections/prevention & control , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Self Care , Social Change , Social Responsibility , COVID-19 , Communicable Disease Control/organization & administration , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Humans , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Public Health , Public Policy , Risk Reduction Behavior , Social Determinants of Health , Socioeconomic Factors
Am J Occup Ther ; 75(Supplement_1): 7511347030p1-7511347030p7, 2021.
Article in English | MEDLINE | ID: covidwho-1362703


During the coronavirus disease 2019 (COVID-19) pandemic, health care practitioners' primary focus has been on its physical consequences. Yet, the emotional strain of the pandemic exposed the mental health needs of survivors and society as a result of forced changes in occupational choices, habits, and roles. These forced changes caused a collective confusion, fear, loss, and grief. This column focuses on occupational therapy's critical contributions to supporting society's mental health and wellness. Occupational therapy has a unique opportunity to provide interventions to address population-wide mental health and wellness, targeted prevention of mental health concerns for people at risk, and intensive intervention for people with COVID-19-induced mental health diagnoses.

COVID-19 , Occupational Therapy , Humans , Pandemics , SARS-CoV-2 , Social Change
Sci Rep ; 11(1): 16524, 2021 08 16.
Article in English | MEDLINE | ID: covidwho-1360205


The aims of the current study were to identify factors associated with sleep disturbance and Coronavirus disease-19 related psychological distress (CPD), and to develop a conceptual model to verify the mediating effect of CPD on the association between social impact and sleep disturbance. This study recruited patients with schizophrenia. Factors associated with the level of sleep disturbance and CPD were identified using univariate linear regression, and further selected into a stepwise multivariate linear regression model. Using structural equation modeling, a mediation model was developed to test the mediating effect of CPD on the association between social impact and sleep disturbance. After estimating with the stepwise and bootstrap regression, higher levels of CPD were associated with higher levels of social anxiety and subjects without a regular diet. Sleep disturbance was associated with a higher level of social anxiety, a history of psychological trauma, chronic disease, and those who did not smoke. The final model confirmed the mediating effects of CPD; whereas, the direct effect from social impact to sleep disturbance did not reach statistical significance. The current study manifests the crucial role of CPD on the association between social impact and sleep disturbance, and timely intervention for CPD is warranted.

COVID-19/psychology , Psychological Distress , Schizophrenia/complications , Sleep Wake Disorders/psychology , Social Change , Adult , COVID-19/epidemiology , COVID-19/transmission , Cross-Sectional Studies , Female , Health Services Accessibility , Humans , Male , Middle Aged , Pandemics , Risk Factors , Schizophrenic Psychology , Self Report/statistics & numerical data , Sleep Wake Disorders/diagnosis , Sleep Wake Disorders/epidemiology , Taiwan/epidemiology
J Perinatol ; 41(8): 2108-2109, 2021 08.
Article in English | MEDLINE | ID: covidwho-1349640
Rev. baiana enferm ; 34: e36953, 2020. tab
Article in Spanish | LILACS (Americas) | ID: covidwho-1328336


Objetivo describir las preocupaciones y los cambios sociales de las personas durante la pandemia por coronavirus en Colombia. Método estudio cuantitativo de tipo descriptivo-exploratorio, realizado con 352 personas en Colombia, por medio de un formulario estructurado de Google Forms en marzo de 2020. El análisis de datos se realizó por medio de estadística descriptiva. Resultados el aislamiento social o físico ha generado un impacto en el estilo de vida de las personas en Colombia, lo que los ha llevado a tener preocupaciones que conducen a pensamientos rumiantes, asociados con factores generadores de estrés, relacionados con los problemas económicos, laborales y de salud de sus familiares. Conclusión la pandemia de coronavirus ha causado preocupaciones, alteraciones y cambios consecuentes al estilo de vida de las personas en Colombia, situación que debe ser manejada interprofesional y holísticamente por profesionales de Enfermería.

Objetivo descrever as preocupações e as mudanças sociais das pessoas durante a pandemia do coronavírus na Colômbia. Método estudo quantitativo descritivo-explicativo, realizado com 352 pessoas na Colômbia, utilizando um formulário estruturado do Google Forms em março de 2020. A análise dos dados foi feita por meio de estatística descritiva. Resultados o isolamento social ou físico gerou um impacto no estilo de vida das pessoas na Colômbia, o que as levou a ter preocupações que geram pensamentos ruminantes, associados a fatores de estresse relacionados a problemas econômicos, trabalhistas e de saúde de seus familiares. Conclusão a pandemia de coronavírus causou preocupações, alterações e consequentes mudanças no estilo de vida das pessoas na Colômbia, uma situação que deve ser gerenciada interprofissional e holisticamente por profissionais de Enfermagem.

Objective to describe the concerns and social changes of people during the coronavirus pandemic in Colombia. Method quantitative descriptive-exploratory study, carried out with 352 people in Colombia, using a structured form on Google Forms in March 2020. The data analysis was done by descriptive statistics. Results social or physical isolation has generated an impact on the lifestyle of people in Colombia, which has led them to have concerns that lead to ruminant thoughts, associated with stress generators, related to economic, labor and health problems of their families. Conclusion the coronavirus pandemic has caused concerns, alterations and consequent changes to the lifestyle of people in Colombia, a situation that must be managed interprofessionally and holistically by nursing professionals.

Humans , Self Concept , Social Change , Colombia , Coronavirus Infections , Pandemics , Social Isolation , Health Education , Nursing Care
Riv Psichiatr ; 56(4): 189-197, 2021.
Article in English | MEDLINE | ID: covidwho-1325469


BACKGROUND: Evidence highlights healthcare workers (HCWs) facing outbreaks, particularly the ongoing covid-19 pandemic, are at increased risk of negative mental health outcomes, particularly post-traumatic stress symptoms (PTSS), anxiety and depression. Data from previous outbreaks highlighted the risk for a negative impact on HCWs' social and occupational functioning, but scant data have investigated this issue in the framework of the covid-19 pandemic. A number of effective interventions have been proposed to support mental health and well-being of HCWs in emerging infectious outbreaks, but it is important to acknowledge the differential impact of mental disorders on different dimensions of functioning. METHODS: The study explored the associations between work and social functioning and PTSS, depression and anxiety in a sample of 265 frontline HCWs employed at a major university hospital in Italy (Pisa), facing the first period of the covid-19 pandemic. Individuals were assessed by means of the Impact of Event Scale-Revised (IES-R) for PTSS, the Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, the General Anxiety Disorder-7 Item (GAD-7) for anxiety symptoms and the Work and Social Adjustment Scale (WSAS) to assess work and social functioning. RESULTS: Higher levels of functioning impairment were found among individuals with moderate to severe acute PTSS, depressive and anxiety symptoms with respect to those without. Acute PTSS and depressive symptoms were predictive factors of impairment in each domain of functioning analyzed. Anxiety symptoms were associated with impairment in both work and home management activities. Frontline activity was associated with impairment in both private and social leisure activities. CONCLUSIONS: Long-term perspective studies are warranted to better investigate the psychopathological burden on HCWs' work and social functioning and to promote adequate intervention strategies.

Anxiety/etiology , COVID-19/psychology , Depression/etiology , Health Personnel/psychology , SARS-CoV-2 , Stress Disorders, Post-Traumatic/etiology , Adaptation, Psychological , Adult , Anxiety/epidemiology , COVID-19/complications , Depression/epidemiology , Diagnostic Self Evaluation , Family Relations , Female , Hospitals, University , Humans , Interpersonal Relations , Italy/epidemiology , Male , Middle Aged , Occupations , Pandemics , Psychosocial Support Systems , Social Adjustment , Social Change , Stress Disorders, Post-Traumatic/epidemiology , Surveys and Questionnaires , Uncertainty , Workload
Riv Psichiatr ; 56(4): 182-188, 2021.
Article in Italian | MEDLINE | ID: covidwho-1325468


INTRODUCTION: Italy, one of the first countries to be heavily hit by the spread of the new Coronavirus, has activated precautionary measures aimed at limiting its spread. This emergency situation may be cause of psychological distress in the general population. Therefore, the Italian Twins Registry has decided to carry out an epidemiological study to investigate the social and mental health impact of the covid-19 pandemic on Italian adults. METHODS: The study has a longitudinal design and is aimed at twins of all ages residing in Italy. An online questionnaire was administered to collect information on socio-economic and health status of the participants, as well as of the households during the lockdown, and on the impact of the pandemic on participants' lives. Levels and prevalence of symptoms of anxiety, stress and depression were measured using validated instruments, such as the STAI-6, IES-R and PHQ-9. This article shows the results of the first wave of the survey (June 2020). RESULTS: A total of 2589 twins participated in the study, with a mean age of 45 years (range 18-93 years). Covid-19's prevalence among respondents was less than 1% and about 13% of the subjects reported that, at least, one of the household's members had symptoms of covid-19. Sixty percent of the participants changed the place and way of working and a third of the sample had to completely suspend their work. About half of the sample showed symptoms of an anxiety disorder and about 10% of the subjects had symptoms of a probable post-traumatic stress or depressive disorder. Higher mean scores on the three assessment instruments were observed among women, subjects with a low level of education and those residing in the Southern of Italy. Anxiety symptoms decreased with age. CONCLUSION: The study shows that the pandemic has had important repercussions on the socio-economic condition and mental health of the Italian population and suggests that some individuals are more vulnerable than others.

COVID-19/epidemiology , Diseases in Twins/epidemiology , SARS-CoV-2 , Social Change , Adolescent , Adult , Aged , Aged, 80 and over , Anxiety/epidemiology , Anxiety/etiology , COVID-19/psychology , Depression/epidemiology , Depression/etiology , Educational Status , Humans , Interpersonal Relations , Italy/epidemiology , Middle Aged , Occupations , Pandemics , Prevalence , Quarantine , Stress Disorders, Post-Traumatic/epidemiology , Stress Disorders, Post-Traumatic/etiology , Young Adult
BMJ Open ; 11(7): e046863, 2021 07 20.
Article in English | MEDLINE | ID: covidwho-1319398


OBJECTIVES: To understand the impact of COVID-19 and public health measures on different social groups, we conducted a mixed-methods study in five countries ('SEBCOV-social, ethical and behavioural aspects of COVID-19'). Here, we report the results of the online survey. STUDY DESIGN AND STATISTICAL ANALYSIS: Overall, 5058 respondents from Thailand, Malaysia, the UK, Italy and Slovenia completed the self-administered survey between May and June 2020. Poststratification weighting was applied, and associations between categorical variables assessed. Frequency counts and percentages were used to summarise categorical data. Associations between categorical variables were assessed using Pearson's χ2 test. Data were analysed in Stata 15.0 RESULTS: Among the five countries, Thai respondents reported having been most, and Slovenian respondents least, affected economically. The following factors were associated with greater negative economic impacts: being 18-24 years or 65 years or older; lower education levels; larger households; having children under 18 in the household and and having flexible/no income. Regarding social impact, respondents expressed most concern about their social life, physical health, mental health and well-being.There were large differences between countries in terms of voluntary behavioural change, and in compliance and agreement with COVID-19 restrictions. Overall, self-reported compliance was higher among respondents who self-reported a high understanding of COVID-19. UK respondents felt able to cope the longest and Thai respondents the shortest with only going out for essential needs or work. Many respondents reported seeing news perceived to be fake, the proportion varying between countries, with education level and self-reported levels of understanding of COVID-19. CONCLUSIONS: Our data showed that COVID-19 and public health measures have uneven economic and social impacts on people from different countries and social groups. Understanding the factors associated with these impacts can help to inform future public health interventions and mitigate their negative consequences. TRIAL REGISTRATION NUMBER: TCTR20200401002.

COVID-19 , Social Change , Child , Cross-Sectional Studies , Humans , Italy , Malaysia , SARS-CoV-2 , Slovenia , Surveys and Questionnaires , Thailand , United Kingdom
Int J Ment Health Nurs ; 30 Suppl 1: 1366-1375, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1238433


This study explored the perceptions of NHS employees working within a UK mental health trust in relation to the social impacts of the COVID-19 pandemic. Questioning focussed on social isolation and desire to interact with others before and since COVID-19; effects of safety measures including personal protective equipment and social distancing; and perceived influences of the pandemic on service users and social aspects of service delivery. All employees at an English NHS mental health service were invited to complete an anonymous online questionnaire (July-September 2020), resulting in 464 completed questionnaires. Response frequencies were summed across the total sample, and the influence of patient contact, age, and vulnerability to COVID-19 were explored using pairwise comparisons. Approximately two thirds of employees felt there had been a fundamental change in how they felt about interacting with others, and many had lost confidence in their ability to relate emotionally to others. Respondents were keen to adhere to safety guidance, but the majority believed that face masks and social distancing could have a detrimental effect on communication and rapport within the workplace. Other concerns included passing on the virus, social isolation of employees and service users, and a reduction in community services. COVID-19 safety measures may impact morale, communication, empathy, and the provision of client-centred care. More generally, the pandemic has changed the attitudes of mental health workers towards social interaction, with younger employees reporting more mental health difficulties that may be linked to concerns about longer term social change.

COVID-19 , Mental Health Services , Humans , Pandemics , SARS-CoV-2 , Social Change , State Medicine , United Kingdom
AIDS Behav ; 25(12): 4125-4140, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1237526


Understanding the clinical impact of COVID-19 has been central to emerging research in the HIV field, but in focusing on the biomedical, researchers must not overlook the socially embedded nature of HIV and the potential social impacts of this new pandemic on PLHIV. We conducted a scoping review to explore emerging research examining the social impacts of COVID-19 on PLHIV in OECD countries over the first 12 months of the pandemic. Twenty articles were identified and included for review. Key themes included: impacts on HIV care access/telehealth; stress and mental health; social isolation and loneliness; food insecurity; changes to sexual behaviour; changes to substance use; impacts on income, education and employment; and racial and social inequality. Results from this review can help guide research into areas where it is needed to help minimise the negative social impacts of the COVID-19 pandemic.

COVID-19 , HIV Infections , HIV Infections/epidemiology , HIV Infections/prevention & control , Humans , Pandemics/prevention & control , SARS-CoV-2 , Social Change
Home Healthc Now ; 38(4): 187, 2020.
Article in English | MEDLINE | ID: covidwho-1232241
Lancet Planet Health ; 5(4): e230-e236, 2021 04.
Article in English | MEDLINE | ID: covidwho-1174587


COVID-19 is a sign of a global malaise. The pandemic is an outcome of what we term a planetary dysbiosis, for which underlining drivers include inequality and the exploitation and extraction of human and non-human labours. The implication is that the usual fixes to outbreaks of infectious diseases (ie, surveillance, pharmaceutical measures, and non-pharmaceutical measures) will be insufficient without a thorough reappraisal of and investment in planetary health. Given the heterogeneity and diversity of environments and populations, we envisage these actions as a matter for the generation of new kinds of public, requiring widespread and multiple forms of engagement to generate lasting solutions. We use and extend the concept of healthy publics to suggest a movement that can start to reclaim planetary health as a collective and ongoing issue.

Disease Outbreaks/prevention & control , Environment , Global Health , One Health , Public Health , Social Change , Social Determinants of Health , Animals , COVID-19/prevention & control , Disease Management , Humans , International Cooperation , SARS-CoV-2
Lancet Planet Health ; 5(4): e181-e182, 2021 04.
Article in English | MEDLINE | ID: covidwho-1174586