Engaged women's relationships, weddings, and mental health during Covid-19

We examined the association between mental health and relationship and wedding factors among engaged women planning their weddings before and during Covid-19. Survey data from 715 non-Covid-19 and 427 Covid-19 participants revealed that Covid-19 participants experienced depression in greater proportion than non-Covid-19 participants. Wedding satisfaction and financial strain were stronger predictors of depression for Covid-19 than non-Covid-19 participants. Other significant predictors of Covid-19 participants' depression included social isolation, relational satisfaction and turbulence, and wedding disillusionment. Additionally, 22.0% of Covid-19 participants reported severe levels of anxiety, which was significantly predicted by social isolation, relational turbulence, wedding financial strain, wedding disillusionment, and wedding satisfaction. According to Covid-19 participants' open-ended responses, less depressed participants liked something better about their revised wedding plans, more anxious participants could not identify positive aspects of their revised plans, and less anxious participants appreciated the perspective that came with revising wedding plans due to Covid-19. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

COVID-19 and MCO-community partnerships to address enrollee social needs.

OBJECTIVES: Many Medicaid managed care organizations (MCOs) now screen enrollees and connect them to community-based organizations (CBOs) to address unmet social needs. COVID-19 has significantly disrupted health care delivery and overall economic activity in the United States. We examined how partnerships between Medicaid MCOs and CBOs to address social determinants of health have been affected by the pandemic. STUDY DESIGN: Guided by questions and recruitment strategies developed with our stakeholder advisory board, we conducted 26 interviews with representatives from all 6 of Kentucky's Medicaid MCOs. METHODS: In-depth, structured interviews for data collection and iterative content analyses to identify themes. RESULTS: Several themes emerged, including substantial increases in enrollees' unmet needs and the demand to find new ways to be responsive, changing funding patterns, disruptions to and evolving modes of communication, and shifting partner relationships. In virtually all areas of impact, COVID-19 has been associated with both negative and positive change. CONCLUSIONS: Unmet social needs associated with the pandemic placed tremendous strain on CBOs, limiting their capacity to sustain some programs and partnerships. Isolation associated with COVID-19 also had wide-ranging effects on service delivery, communication with enrollees and partners, and the ability to maintain relationships. Nonetheless, the pandemic also had some silver linings, including additional resources and flexibility for addressing unmet needs. Federal and state agencies, along with MCO leaders, should carefully evaluate what innovations have been particularly effective during the pandemic and craft new flexibilities into their policies, procedures, and regulations.

Counter-Hegemonic narratives of white weddings: Brides responses to wedding disruptions during the covid-19 pandemic

Dominant cultural discourses dictate what the ideal wedding should look like, and these discourses often center around the white wedding. White weddings typically include a bride in a white dress, a large reception, and a honeymoon. Given that western culture privileges the white wedding, weddings that deviate from this norm are sometimes delegitimatized. We used Relational Dialectics Theory 2.0 to examine dominant discourses of weddings during Covid-19. Covid-19 necessitated that many couples alter their wedding plans and prompted them to explicitly consider the taken-for-granted assumptions of the white wedding. We conducted a contrapuntal analysis of 87 recently married women's open-ended survey responses about how Covid-19 changed their wedding plans and what the women liked and disliked about these changes. These disruptions in wedding plans afford the opportunity to explore dominant white wedding discourses among brides. The following discourses emerged from our analysis: the centripetal discourse of the white wedding, the centrifugal discourse of the focus on relationships, the centripetal discourses of the perfect day, and the centrifugal discourses of the perfect day. [ FROM AUTHOR]

A mixed methods study exploring requests for unproven COVID therapies such as ivermectin and healthcare distrust in the rural South.

The COVID-19 pandemic has led to contentious discourse regarding unproven COVID-19 therapies (UCTs),(e.g. ivermectin). Despite recommendations against it, ivermectin remains, in some areas, highly demanded. The goal of this study is to understand patient and provider perspectives about UCTs (e.g., ivermectin) and how responses to requests for UCTs impact healthcare distrust. This mixed methods observational study was conducted in a rural healthcare system in the Southern United States. Adults (n = 26) with a history of COVID-19 or clinicians (n = 8) from the same system were interviewed using questionnaires assessing healthcare distrust and qualitatively interviewed exploring perceptions about UCTs. Patient themes were: 1) Importance of anecdotal stories for decision-making; 2) Use of haphazard approaches to 'research'; 3) Strong distrust of government and healthcare organizations; 4) Inherent trust in local healthcare; 5) Decision-making as weighing pros/cons; and 6) Feeling a right to try medications. High survey medians indicated high distrust with differences of 8.5 points for those who requested/used ivermectin versus those who did not (p = 0.027). Clinician themes were: 1) Frustration when patients trust social media over clinicians; 2) Acceptance of community beliefs about UCTs; 3) Distrust originating outside of the healthcare system; 4) Feeling torn about prescribing UCTs to build trust; and 5) Variable educational strategies. When clinicians are perceived as aligned with government, this may void patients' trust of clinicians. Clinicians should leverage trust in local healthcare and distance themselves from distrusted information sources. Ethical questions arise regarding appropriateness of acquiescing to patient requests for ivermectin for building trust.

Engaged Women’s Relationships, Weddings, and Mental Health During Covid-19

We examined the association between mental health and relationship and wedding factors among engaged women planning their weddings before and during Covid-19. Survey data from 715 non-Covid-19 and 427 Covid-19 participants revealed that Covid-19 participants experienced depression in greater proportion than non-Covid-19 participants. Wedding satisfaction and financial strain were stronger predictors of depression for Covid-19 than non-Covid-19 participants. Other significant predictors of Covid-19 participants? depression included social isolation, relational satisfaction and turbulence, and wedding disillusionment. Additionally, 22.0% of Covid-19 participants reported severe levels of anxiety, which was significantly predicted by social isolation, relational turbulence, wedding financial strain, wedding disillusionment, and wedding satisfaction. According to Covid-19 participants? open-ended responses, less depressed participants liked something better about their revised wedding plans, more anxious participants could not identify positive aspects of their revised plans, and less anxious participants appreciated the perspective that came with revising wedding plans due to Covid-19.