Health-promoting behavior among undergraduate students in the COVID-19 era: Its association with problematic use of social media, social isolation, and online health information-seeking behavior

Objective To examine the association between problematic use of social media, online health information-seeking, social isolation, and health-promoting behaviors among Korean undergraduate students. Methods In total, 178 undergraduate students participated in this study. A multiple linear regression analysis was performed. Results Predictors of health-promoting behaviors included overall time spent on social media, problematic social media use, social isolation, and online information-seeking, explaining 33.5 % of the variance in health-promoting behaviors. Conclusion Prolonged social media use and social isolation negatively affected undergraduate students' health-promoting behaviors, while online information-seeking positively affected them. Nurses should assist young adults in improving health-promoting behaviors by preventing problematic social media uses, reducing social isolation, and strengthening their online health information-seeking ability.

Estimation of Total Cost Required in Controlling COVID-19 Outbreaks by Financial Incentives.

In this article, we present a Monte Carlo simulation (MCS) to estimate the total cost required to control the spread of the COVID-19 pandemic by financial incentives. One of the greatest difficulties in controlling the spread of the COVID-19 pandemic is that most infected people are not identified and can transmit the virus to other people. Therefore, there is an urgent need to rapidly identify and isolate the infected people to avoid the further spread of COVID-19. To achieve this, we can consider providing a financial incentive for the people who voluntarily take the COVID-19 test and test positive. To prevent the abuse of the financial incentive policy, several conditions should be satisfied to receive the incentive. For example, an incentive is offered only if the recipients know who infected them. Based on the data obtained from epidemiological investigations, we calculated an estimated total cost of financial incentives for the policy by generating various possible infection routes using the estimated parameters and MCS. These results would help public health policymakers implement the proposed method to prevent the spread of the COVID-19 pandemic. In addition, the incentive policy can support various preparations such as hospital bed preparation, vaccine development, and so forth.

Controlling COVID-19 Outbreaks with Financial Incentives.

In this paper, we consider controlling coronavirus disease 2019 (COVID-19) outbreaks with financial incentives. We use the recently developed susceptible-unidentified infected-confirmed (SUC) epidemic model. The unidentified infected population is defined as the infected people who are not yet identified and isolated and can spread the disease to susceptible individuals. It is important to quickly identify and isolate infected people among the unidentified infected population to prevent the infectious disease from spreading. Considering financial incentives as a strategy to control the spread of disease, we predict the effect of the strategy through a mathematical model. Although incentive costs are required, the duration of the disease can be shortened. First, we estimate the unidentified infected cases of COVID-19 in South Korea using the SUC model, and compute two parameters such as the disease transmission rate and the inverse of the average time for confirming infected individuals. We assume that when financial incentives are provided, there are changes in the proportion of confirmed patients out of unidentified infected people in the SUC model. We evaluate the numbers of confirmed and unidentified infected cases with respect to one parameter while fixing the other estimated parameters. We investigate the effect of the incentives on the termination time of the spread of the disease. The larger the incentive budget is, the faster the epidemic will end. Therefore, financial incentives can have the advantage of reducing the total cost required to prevent the spread of the disease, treat confirmed patients, and recover overall economic losses.

The susceptible-unidentified infected-confirmed (SUC) epidemic model for estimating unidentified infected population for COVID-19.

In this article, we propose the Susceptible-Unidentified infected-Confirmed (SUC) epidemic model for estimating the unidentified infected population for coronavirus disease 2019 (COVID-19) in China. The unidentified infected population means the infected but not identified people. They are not yet hospitalized and still can spread the disease to the susceptible. To estimate the unidentified infected population, we find the optimal model parameters which best fit the confirmed case data in the least-squares sense. Here, we use the time series data of the confirmed cases in China reported by World Health Organization. In addition, we perform the practical identifiability analysis of the proposed model using the Monte Carlo simulation. The proposed model is simple but potentially useful in estimating the unidentified infected population to monitor the effectiveness of interventions and to prepare the quantity of protective masks or COVID-19 diagnostic kit to supply, hospital beds, medical staffs, and so on. Therefore, to control the spread of the infectious disease, it is essential to estimate the number of the unidentified infected population. The proposed SUC model can be used as a basic building block mathematical equation for estimating unidentified infected population.