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Gómez-Salgado J, Carrión-Rico D, García-Iglesias JJ, Climent-Rodríguez JA, Miranda-Plata R, Pichardo-Hexamer R, Navarro-Abal Y, Fagundo-Rivera J, Vaca-Acosta RM, Ruiz-Frutos C, Allande-Cussó R. Psychological distress among unemployed migrants settling in southwestern Spain: A cross-sectional study. Medicine (Baltimore) 2024; 103:e37418. [PMID: 38608085 PMCID: PMC11018158 DOI: 10.1097/md.0000000000037418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2023] [Accepted: 02/07/2024] [Indexed: 04/14/2024] Open
Abstract
Migrants living in the informal settlements of Southern Spain tend to have precarious employment and poor living conditions, making then vulnerable to mental health issues. This study aimed to assess psychological distress in a sample of unemployed migrants residing in informal settlements in the province of Huelva (southern Spain), during the fourth wave of the COVID-19 pandemic. A descriptive cross-sectional study was conducted during the months of April to June 2021, through a heteroadministered questionnaire, in informal settlements. The measurement instrument was the General Health Questionnaire (GHQ-12), used to analyze psychological distress, and other sociodemographic and health-related variables. Univariate and bivariate descriptive data analysis were performed, using the nonparametric statistics Mann-Whitney U test, Kruskal-Wallis H test, and Tau β correlation. A categorical regression analysis was performed to study the relationship between psychological distress and the rest of the variables. The sample consisted of 317 subjects, 83.9% of whom were males, and the mean age was 33.4 years (SD = 10.7 years). The mean score obtained in the GHQ-12 questionnaire was 13.69 points (SD = 3.86). Significant differences were found between levels of psychological distress and substance abuse (H = 14.085; P = .049), people who wished to stay in Spain (t = 6987; P = .049), people who experienced isolation due to COVID-19 contact (t = 1379.5; P = .001), people who needed medical assistance due to COVID-19 (t = 7.990; P = .018), and those who reported having chronic illnesses (t = 2686.5, P = .02). The mean score of psychological distress indicates general high levels of psychological distress. Participants who had experienced isolation due to COVID-19 contact, who consumed substances, and who had chronic illnesses reported the highest levels of psychological distress.
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Affiliation(s)
- Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
| | - David Carrión-Rico
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
| | - Juan Jesús García-Iglesias
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
| | | | | | | | - Yolanda Navarro-Abal
- Faculty of Education, Psychology and Sports Sciences, University of Huelva, Huelva, Spain
| | | | - Rosa María Vaca-Acosta
- Department of Business Management and Marketing, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
| | - Carlos Ruiz-Frutos
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
| | - Regina Allande-Cussó
- Department of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry. University of Seville, Seville, Spain
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Coronado-Vázquez V, Ramírez-Durán MDV, Barrio-Cortes J, Benito-Alonso E, Holgado-Juan M, Dorado-Rabaneda MS, Gómez-Salgado J. The Influence of Socioeconomic and Educational Factors on the Level of Anxiety and Fear of COVID-19. Healthcare (Basel) 2024; 12:99. [PMID: 38201005 PMCID: PMC10778703 DOI: 10.3390/healthcare12010099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Revised: 12/25/2023] [Accepted: 12/29/2023] [Indexed: 01/12/2024] Open
Abstract
During the COVID-19 pandemic, there were reports of heightened levels of anxiety and fear of contagion in the general population. Such psychological responses may be influenced by the socio-environmental context in which individuals reside. This study aimed to examine the relationship between socioeconomic and educational factors and the level of anxiety and fear related to COVID-19. A multicenter, cross-sectional design was used, including patients aged 18 years or older who attended primary care physician consultations at various primary health centers in Toledo, Spain, between October 2020 and January 2021. By means of a non-probabilistic sampling, a total of 150 participants were selected for the study, with 146 of them providing responses to the AMICO questionnaire The level of fear and anxiety associated with COVID-19 was assessed using the validated Anxiety and Fear of COVID-19 Assessment Scale (AMICO). A significant linear relationship was revealed between social class, employment status, and anxiety levels. Specifically, as social class decreased (p = 0.001) and employment situation worsened (unemployment) (p = 0.037), the proportion of participants reporting a high level of anxiety increased. During the second phase of the pandemic, more than half of the patients attending family medicine consultations exhibited a high level of fear and anxiety towards COVID-19, which was significantly associated with lower social class and unemployment.
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Affiliation(s)
- Valle Coronado-Vázquez
- Las Cortes Health Centre, Madrid Health Service, 28014 Madrid, Spain
- Investigacion facultad de Medicina, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| | | | - Jaime Barrio-Cortes
- Fundación para la Investigación e Innovación Biosanitaria en Atención Primaria (FIIBAP), 28003 Madrid, Spain;
- Faculty of Health, Universidad Camilo José Cela, 28013 Madrid, Spain
- Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), 28009 Madrid, Spain
- Red de Investigación en Cronicidad, Atención Primaria y Prevención y Promoción de la Salud (RICAPPS), 28029 Madrid, Spain
| | - Elena Benito-Alonso
- El Viso de San Juan Health Centre, Servicio de Salud de Castilla La Mancha, 45215 Toledo, Spain
| | - Marina Holgado-Juan
- Illescas Health Centre, Servicio de Salud de Castilla La Mancha, 45200 Illescas, Spain
| | | | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil 092301, Ecuador
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de Paula AJ, Condeles PC, da Silva JA, dos Santos LM, Fonseca LMM, Ruiz MT, Wernet M. Fear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors? Rev Bras Enferm 2023; 76Suppl 2:e20220755. [PMID: 38088656 PMCID: PMC10704700 DOI: 10.1590/0034-7167-2022-0755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Accepted: 08/14/2023] [Indexed: 12/18/2023] Open
Abstract
OBJECTIVE to identify factors associated with fear of COVID-19 among women who experienced pregnancy or childbirth during the pandemic. METHODS a cross-sectional study, nested within a prospective cohort, using an online survey, from August 2021 to February 2022, based on descriptive data analysis. RESULTS of the 431 participants, 52.8% were postpartum women and 20.1% were pregnant women. With regard to fear of COVID-19, a mean score of 20.46 was obtained (moderate fear). The highest fear scores were present in women whose newborns were admitted to hospital in neonatal critical units (p=0.032), and the lowest among those covered by supplementary health (insurance) (p=0.016). CONCLUSION among pregnant and postpartum women, high fear of COVID-19 translated into the possibility of having newborns admitted to hospital in a critical unit. The importance of supporting actions to support pregnant/postpartum women's mental health in relation to COVID-19 or other threats that may influence the neonatal outcome stands out.
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Affiliation(s)
- Ana Júlia de Paula
- Universidade Federal do Triângulo Mineiro. Uberaba, Minas Gerais, Brazil
| | | | | | | | | | | | - Monika Wernet
- Universidade Federal de São Carlos. São Carlos, São Paulo, Brazil
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Villarreal-Zegarra D, Segovia-Bacilio P, Paredes-Angeles R, Vilela-Estrada AL, Cavero V, Diez-Canseco F. Provision of community mental health care before and during the COVID-19 pandemic: A time series analysis in Peru. Int J Soc Psychiatry 2023; 69:1996-2006. [PMID: 37449754 PMCID: PMC10350579 DOI: 10.1177/00207640231185026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/18/2023]
Abstract
BACKGROUND A consequence of the COVID-19 pandemic was that the provision of mental health services was reduced in several countries around the world, while the demand for mental health services increased. AIMS Our study aims to determine any variation in the number of users served, health appointments, and care activities conducted at 58 Peruvian community mental health centers (CMHCs) between March 2019 and October 2021. METHODS Our study used an observational design and analyzed information from the care provided in CMHCs. We evaluate the number of users served, health appointments, and care activities performed per month. The main statistical analysis used segmented regression with Newey-West standard errors, taking into account each month of the evaluation. RESULTS We had 988,456 unique users during the period evaluated. Regarding diagnoses, 7.4% (n = 72,818) had a severe mental problem, 39.4% (n = 389,330) a common mental problem, and 53.2% (n = 526,308) others health problems. The study found a reduction in the number of users served and health care appointments at the 58 CMHCs in March 2020, the month in which the closure measures were declared to reduce COVID-19 infections in Peru. This reduction was followed by an upward trend in the three variables during the pandemic in the 58 CMHCs studied. In, November 2020, 9 months after the pandemic started, the deficit in the average number of users served per month was recovered. CONCLUSIONS Our study suggests that CMHCs in the Peruvian system were able to regain care capacity approximately 1 year after the pandemic. In addition, we discuss the efforts made to respond to mental health needs in the context of a global health crisis.
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Affiliation(s)
| | | | - Rubí Paredes-Angeles
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Ana Lucía Vilela-Estrada
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Victoria Cavero
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Francisco Diez-Canseco
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
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Alexandrou R, Kyprianidou M, Photiou G, Kassianos AP, Giannakou K. Factors associated with perceived fear of future pandemics and/or epidemics: a cross-sectional study in Cyprus. Sci Rep 2023; 13:12194. [PMID: 37500807 PMCID: PMC10374585 DOI: 10.1038/s41598-023-39381-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Accepted: 07/25/2023] [Indexed: 07/29/2023] Open
Abstract
This study aims to understand the levels of fear experienced by individuals regarding future pandemics and/or epidemics among the general population of Cyprus and comprehensively examine the diverse factors that influence this perceived fear. The cross-sectional study was conducted from October 1st, 2022, to February 19th, 2023. A proportionate quota sampling method was used for the recruitment, by recruiting a fixed number of participants from each age group, sex, and place of residence. The study collected information on sociodemographic and health-related characteristics, health literacy, trust, COVID-19 vaccination information, and perceived fear of future epidemics and/or pandemics using a self-administered questionnaire. The survey included 1075 participants, with 53.7% of them reporting fear of future pandemics. Logistic regression analysis revealed that women (OR = 2.37, 95% CI 1.78, 3.16) and individuals vaccinated against COVID-19 (OR = 1.57, 95% CI 1.02, 2.43) were significantly more likely to experience fear of future pandemics. Moreover, higher levels of trust (OR = 1.04, 95% CI 1.02, 1.06) and higher health literacy (OR = 1.05, 95% CI 1.03, 1.08) were associated with an increased likelihood of fearing future pandemics. Conversely, unemployment (OR = 0.30, 95% CI 0.13, 0.65) and having a postgraduate education decreased the likelihood of fearing future pandemics (OR = 0.56, 95% CI 0.34, 0.90). The linear regression model revealed that older age (β = - 0.10, 95% CI - 0.14, - 0.05) was negatively associated with a higher score of fear regarding future pandemics. Conversely, being in a vulnerable group (β = 2.02, 95% CI 0.75, 3.28) and having at least one chronic disease (β = 1.76, 95% CI 0.68, 2.84) showed positive associations with increased fear of future epidemics and/or pandemics. The findings emphasize the need for relevant authorities to prioritize mental health and disseminate information in a manner that avoids spreading fear and panic, particularly among vulnerable population groups.
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Affiliation(s)
- Romina Alexandrou
- Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus
| | - Maria Kyprianidou
- Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus
| | - Galatia Photiou
- Cyprus International Institute for Environmental and Public Health, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Angelos P Kassianos
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Konstantinos Giannakou
- Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
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Pouradeli S, Ahmadinia H, Vazirinezhad R, Amyan A, Souresrafil A, Rezaeian M. An analysis of suicide rates in Kerman province, the largest province in Iran, before and after COVID-19: (2017-2020). Asian J Psychiatr 2023; 85:103614. [PMID: 37137226 DOI: 10.1016/j.ajp.2023.103614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 04/09/2023] [Accepted: 04/27/2023] [Indexed: 05/05/2023]
Abstract
This study aimed to investigate the suicide incidence rate in Kerman before and after the pandemic and the characteristics of suicides. During four years, 642 suicide occurred in Kerman province. The suicide rate of suicide has increased in 2020 compared to previous years. Suicide among females, singles, people with bachelor's degrees, students, governmental, non-governmental occupations, and people without a history of mental illness, and suicide history increased in 2020. Identifying individuals at risk is crucial in order to get exceptional support from the government and society during crises like COVID-19.
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Affiliation(s)
- Shiva Pouradeli
- Department of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Hassan Ahmadinia
- Department of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Reza Vazirinezhad
- Department of Epidemiology and Biostatistics, School of Health, Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | | | - Aghdas Souresrafil
- Department of Health Services and Health Promotion, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Mohsen Rezaeian
- Department of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
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Moya-Salazar J, Villareal CA, Cañari B, Moya-Salazar B, Chicoma-Flores K, Contreras-Pulache H. COVID-19 may lower quality of life when infections and deaths increase: A longitudinal study in the Peruvian jungle. Front Psychiatry 2023; 14:905377. [PMID: 37056407 PMCID: PMC10086153 DOI: 10.3389/fpsyt.2023.905377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Accepted: 03/06/2023] [Indexed: 04/15/2023] Open
Abstract
Background Quality of life (QoL) is a multifactorial concept on the perception of the individual's wellbeing underpinned by environmental, psychological, and physical factors. Several studies have shown changes in QoL in the COVID-19 pandemic and may be due to increases in mortality rates, however, no study has investigated this among Peruvian jungle dwellers. Here, we have sought to estimate the QoL of individuals before and after the increase in cases and deaths from COVID-19. Methods A questionnaire-based longitudinal study was conducted in 102 inhabitants (mean 40.75 ± 7.49 years). The Spanish version of the WHOQOL-BREF was used in two stages: April and June. The first stage was accomplished before the first confirmed case of COVID-19, and the second stage was when the daily mortality rate was 3.5% with an incidence of 87%. Results Sixty (54.8%) participants were women, 67 (61.9%) were >31 years, and 38 (34.5%) and 32 (29.1%) participants had primary and secondary education, respectively. In the first and second stage we obtained an overall mean QoL of 46.65 ± 23.2 and 35 ± 27.7 points, respectively. Individuals had significantly lower QoL in the face of increased deaths in physical (p = 0.001), mental (p = 0.028) and environmental (p = 0.001) health domains, with the latter having the greatest impact (51.84 ± 5.81 vs. 16.66 ± 5.55 points). Conclusion Quality of life of Peruvian jungle dwellers is reduced during periods of increased mortality and incidence by COVID-19. Preventive strategies aimed at reducing the impact of COVID-19 on the mental health and global wellbeing of individuals living in the Amazon are recommended to Peruvian authorities.
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Affiliation(s)
- Jeel Moya-Salazar
- South America Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, Peru
- Hospital Nacional Docente Madre Niño San Bartolomé, Lima, Peru
- *Correspondence: Jeel Moya-Salazar,
| | | | - Betsy Cañari
- Faculties of Health Science, School of Medicine, Universidad Norbert Wiener, Lima, Peru
| | - Belén Moya-Salazar
- Faculties of Health Science, School of Medicine, Universidad Norbert Wiener, Lima, Peru
- Infectious Unit, Nesh Hubbs, Lima, Peru
| | | | - Hans Contreras-Pulache
- South America Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, Peru
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8
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Ouali U, Aissa A, Rjaibi S, Zoghlami N, Zgueb Y, Larnaout A, Zid M, Kacem I, Charfi F, Moro MF, Touihri N, Melki W, Aounallah-Skhiri H, Nacef F, Gouider R, El Hechmi Z, Carta MG. Prevalence of Mood Disorders and Associated Factors at the Time of the COVID-19 Pandemic: Potocol for a Community Survey in La Manouba Governorate, Tunisia. Clin Pract Epidemiol Ment Health 2022; 18:e174501792210250. [PMID: 37274854 PMCID: PMC10156032 DOI: 10.2174/17450179-v18-e221026-2022-19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Revised: 09/10/2022] [Accepted: 09/23/2022] [Indexed: 06/07/2023]
Abstract
Aims The present survey aims to assess the overall mood disorder prevalence and identify associated socio-demographic and clinical factors in a Tunisian community sample, with special attention to the COVID-19 pandemic. Background Mood disorders are one of the leading causes of all non-fatal burdens of disease, with depression being at the top of the list. The COVID-19 pandemic may have increased the prevalence of mood disorders, especially in Low and Middle-income countries (LMICs) and in vulnerable populations. Objective 1/ Assess point and lifetime prevalence of depressive and bipolar disorders as well as subthreshold bipolarity in a representative population sample of La Manouba governorate and assess treatment patterns for these disorders; 2/Study socio-demographic and clinical correlates of mood disorders 3/ Assess the association between mood disorders and quality of life 4/ Study the impact of the COVID-pandemic on the prevalence of mood disorders 5/ Assess coping mechanisms to the COVID-pandemic and whether these mechanisms moderate the appearance of mood disorders or symptoms since the beginning of the pandemic. Methods This is a household cross-sectional observational survey to be conducted in La Manouba Governorate in a sample of 4540 randomly selected individuals aged ≥ 15 years. Data collection will be carried out by trained interviewers with clinical experience, through face-to-face interviews and the use of the computer assisted personal interviewing approach (CAPI). The following assessment tools are administered. Results Structured clinical Interview for DSM IV-TR (Mood disorder section and Screening questions on Anxiety), Mood Disorder Questionnaire (MDQ), Suicide Behaviors Questionnaire-Revised (SBQ), 12-item Short Form Survey (SF-12), the Brief-COPE, and a questionnaire about a headache. In addition, socio-demographic and clinical data will be collected. Conclusion This will be one of the very few household surveys in a general population sample to assess mental health problems and COVID-19-related variables since the beginning of the pandemic. Through this research, we aim to obtain an epidemiological profile of mood disorders in Tunisia and an estimation of the impact of the COVID-19 pandemic on their prevalence. Results should contribute to improving mental health care in Tunisia.
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Affiliation(s)
- Uta Ouali
- Department Psychiatry A, Razi Hospital La Manouba, Tunis 1068, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Research Laboratory LR18SP03, Tunisia
| | - Amina Aissa
- Department Psychiatry A, Razi Hospital La Manouba, Tunis 1068, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Research Laboratory LR18SP03, Tunisia
| | - Salsabil Rjaibi
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- National Institute of Health, Tunis, Tunisia
| | | | - Yosra Zgueb
- Department Psychiatry A, Razi Hospital La Manouba, Tunis 1068, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Research Laboratory LR18SP03, Tunisia
| | - Amine Larnaout
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Department Psychiatry D, Razi Hospital La Manouba, Manouba 2010, Tunisia
| | - Mejdi Zid
- National Institute of Health, Tunis, Tunisia
| | - Imen Kacem
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Research Laboratory LR18SP03, Tunisia
- Department of Neurology, Razi Hospital La Manouba, Manouba 2010, Tunisia
| | - Fatma Charfi
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Department of Child Psychiatry, Mongi Slim Hospital La Marsa, Marsa, Tunisia
| | | | | | - Wahid Melki
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Department Psychiatry D, Razi Hospital La Manouba, Manouba 2010, Tunisia
- Technical Committee for Mental Health Promotion at the Ministry of Health, Tunis, Tunisia
| | - Hajer Aounallah-Skhiri
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- National Institute of Health, Tunis, Tunisia
- Laboratoire de Recherche en Epidémiologie Nutritionnelle (SURVEN), Tunis, Tunisia
| | - Fethi Nacef
- Department Psychiatry A, Razi Hospital La Manouba, Tunis 1068, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Research Laboratory LR18SP03, Tunisia
| | - Riadh Gouider
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1068, Tunisia
- Research Laboratory LR18SP03, Tunisia
- Department of Neurology, Razi Hospital La Manouba, Manouba 2010, Tunisia
| | | | - Mauro Giovanni Carta
- Center for Liaison Psychiatry and Psychosomatics, University Hospital, University of Cagliari, Cagliari, Italy
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Alhusban A, Alzoubi KH, Al-Azzam S, Nuseir KQ. Evaluation of Vulnerability Factors for Developing Stress and Depression due to COVID-19 Spread and its Associated Lockdown. Clin Pract Epidemiol Ment Health 2022; 18:e174501792209291. [PMID: 37274853 PMCID: PMC10156051 DOI: 10.2174/17450179-v18-e2209291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 05/24/2022] [Accepted: 08/03/2022] [Indexed: 06/07/2023]
Abstract
Background COVID-19 is a pandemic that has been widespread throughout the world. The disease and the measures employed to contain its spread have a detrimental effect on the mental health of individuals. Countries across the world have applied variable combinations of quarantine and social distancing measures to contain the spread of COVID-19. This project aims at identifying the susceptible groups for the development of depression and stress due to COVID-19-associated containment measures. This evaluation will help in prioritizing efforts to ameliorate the detrimental effects of COVID-19 on psychological health. Methods A cross-sectional study was conducted through an online survey that included questions on the demographics and COVID-19 experience. The prevalence of depressive symptoms was evaluated using the PHQ-9 survey, whereas stress levels were detected using the perceived stress scale (PSS). Data regarding demographics as well as exposure to COVID-19, working at home and the financial impact of the pandemic were collected. Results Data were collected from 1541 participants from the MENA region. Depressive symptoms were detected in 54.2% of the participants, and the average stress score was 18.4±0.8. Adjusting for demographics and other variables, younger participants were more likely to report depressive symptoms and higher stress scores. Additionally, younger age, female gender, the coexistence of depressive symptoms, negative effects on monthly income, and ability to do work were found to be independent predictors of higher stress scores. Conclusion Young individuals are more likely to develop depression symptoms and stress. Thus, there is a need for prompt measures to alleviate COVID-19-associated effects on this group.
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Affiliation(s)
- Ahmed Alhusban
- Department of Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Karem H. Alzoubi
- Department of Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Sayer Al-Azzam
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Khawla Q Nuseir
- Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
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10
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Makhashvili N, Pilauri K, Mulick A, Javakhishvili JD, Sturua L, Fuhr DC, Roberts B. Changes in Mental Health Needs during COVID-19 in the Republic of Georgia: A Longitudinal Follow-up Study. Clin Pract Epidemiol Ment Health 2022; 18:e174501792208100. [PMID: 37274862 PMCID: PMC10156052 DOI: 10.2174/17450179-v18-e2208100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 01/26/2022] [Accepted: 02/23/2022] [Indexed: 06/07/2023]
Abstract
Background To examine changes in COVID-19 stressors and symptoms of mental disorders in the Republic of Georgia. Methods A longitudinal design was used. Following on from our study of May-June 2020, this follow-up study in January-March 2021 was conducted at: (i)an individual level with the same respondents involved in the May-June 2020 study (repeat responders/cohort); and (ii) at a population-wide level, using non-probabilistic sampling. Questionnaire sections covered: (i)demographic, socio-economic characteristics; (ii)level of burden caused by COVID-19-related stressors/concern; and (iii)symptoms of anxiety(GAD-7), depression(PHQ-9), PTSD(ITQ), adjustment disorder(ADNM8). Descriptive and multivariable regression analyses were conducted. Results Among population-level survey respondents(N=1195), the probability of reporting mental ill health symptoms increased in 2021 compared to 2020 for PTSD(OR1.82), depression(OR1.40), adjustment disorder(OR 1.80), and marginally for anxiety(OR1.17). For the individual repeat respondents(N=455), the probability increased for depression(OR1.88) and adjustment disorder(OR2.56). The perceived burden of pandemic concern worsened in 2021 compared to 2020 for almost all stressors, particularly around access to health care, infecting others, and conflict in the home. PTSD was associated with an increased concern score from 2020 to 2021. Conclusion Our study highlights the need to strengthen response strategies to address the elevated mental health needs related to COVID-19 in Georgia. It recommends increasing accessibility of early interventions and the need to modernise mental health services to strengthen access to care. It also calls for monitoring patterns of mental health disorders for better understanding and responses to mental health needs in Georgia.
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Affiliation(s)
- Nino Makhashvili
- Mental Health Resource Centre, Ilia State University, Q. Cholokashvili Av. 3/5. E 122. Tbilisi, Georgia
| | - Ketevan Pilauri
- Ilia State University, Q. Cholokashvili Av. 3/5. E 122. Tbilisi, Georgia
| | - Amy Mulick
- Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, Keppel Street, London, UK
| | | | - Lela Sturua
- National Center for Disease Control and Public Health of Georgia, 99, Kakhety highway, P. Shotadze Tbilisi Medical Academy; 51/2 Ketevan Dedofali Ave, Tbilisi, Georgia
| | - Daniela C. Fuhr
- Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, UK
| | - Bayard Roberts
- Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, UK
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11
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Allande-Cussó R, García-Iglesias JJ, Miranda-Plata R, Pichardo-Hexamer R, Ruiz-Frutos C, Gómez-Salgado J. Social Determinants of Health in the COVID-19 Pandemic Context of the Migrant Population Living in Settlements in Spain. Int J Public Health 2022; 67:1604628. [PMID: 35990191 PMCID: PMC9385961 DOI: 10.3389/ijph.2022.1604628] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 07/05/2022] [Indexed: 11/15/2022] Open
Abstract
Objectives: The aim of this study was to describe and evaluate the sociodemographic profile and assess the levels of anxiety and fear, work engagement, and psychological distress on a sample of migrants living in settlements in the province of Huelva (Spain) during the COVID-19 pandemic. Methods: A descriptive cross-sectional study was conducted on a sample of 623 migrants during the months of April to June 2021, based on the Anxiety and Fear of COVID-19 (AMICO) assessment scale, the 9-item Utrecht Work Engagement Scale to assess work engagement, and the General Health Questionnaire (GHQ-12) to analyse psychological distress. Results: A low level of education, dwelling of less than 3 m2 and the desire to return to the country of origin may be related to the presence of anxiety and fear of COVID-19 and lower levels of work engagement. Conclusion: There is a need to improve the study of the concept of health of the migrant population residing in the settlements of Huelva (Spain) and the assessment of their physical and mental health, in an official way.
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Affiliation(s)
- Regina Allande-Cussó
- Department of Nursing, Faculty of Nursing, Podiatry and Physiotherapy, University of Seville, Seville, Spain
| | - Juan Jesús García-Iglesias
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, Huelva, Spain
- *Correspondence: Juan Jesús García-Iglesias,
| | | | | | - Carlos Ruiz-Frutos
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, Huelva, Spain
- Safety and Health Postgraduate Programme, Guayaquil, Ecuador
| | - Juan Gómez-Salgado
- Safety and Health Postgraduate Programme, Guayaquil, Ecuador
- Sociology, Social Work and Public Health, Huelva, Spain
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12
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Carrà G, Crocamo C, Bartoli F, Riboldi I, Sampogna G, Luciano M, Albert U, Carmassi C, Cirulli F, Dell’Osso B, Menculini G, Nanni MG, Pompili M, Sani G, Volpe U, Fiorillo A. Were anxiety, depression and psychological distress associated with local mortality rates during COVID-19 outbreak in Italy? Findings from the COMET study. J Psychiatr Res 2022; 152:242-249. [PMID: 35753244 PMCID: PMC9212315 DOI: 10.1016/j.jpsychires.2022.06.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 06/07/2022] [Accepted: 06/10/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND The mental health of the Italian population declined at the onset of the COVID-19 pandemic. However, nationwide population prevalence estimates may not effectively reproduce the heterogeneity in distress responses to the pandemic. In particular, contextual determinants specific to COVID-19 pandemic need to be considered. We thus aimed to explore the association between local COVID-19 mortality rates and mental health response among the general population. METHODS We capitalised on data (N = 17,628) from a large, cross-sectional, national survey, the COMET study, run between March and May 2020. While psychological distress was measured by General Health Questionnaire-12 (GHQ-12), the Depression, Anxiety and Stress Scale-21 Items (DASS-21) was used to assess relevant domains. In addition, a Covid-19 mortality ratio was built to compare single regional mortality rates to the national estimate and official statistics were used to control for other area-level determinants. RESULTS Adjusted ordered regression analyses showed an association between mortality ratio and moderate (OR = 1.10, 95%CI 1.03-1.18) and severe (OR = 1.11, 95%CI 1.03-1.21) DASS-21 anxiety levels. No effects of mortality ratio on GHQ-12 scores and DASS-21 depression and stress levels, uniformly high across the country, were estimated. CONCLUSIONS Although we could not find any association between regional COVID-19 mortality ratio and depression or psychological distress, anxiety levels were significantly increased among subjects from areas with the highest mortality rates. Local mortality rate seems a meaningful driver for anxiety among the general population. Considering the potentially long-lasting scenario, local public health authorities should provide neighbouring communities with preventive interventions reducing psychological isolation and anxiety levels.
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Affiliation(s)
- Giuseppe Carrà
- Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy,Division of Psychiatry, University College London, London, UK
| | - Cristina Crocamo
- Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
| | - Francesco Bartoli
- Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy
| | - Ilaria Riboldi
- Department of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
| | - Gaia Sampogna
- Department of Psychiatry, University of Campania “L. Vanvitelli”, Naples, Italy
| | - Mario Luciano
- Department of Psychiatry, University of Campania “L. Vanvitelli”, Naples, Italy
| | - Umberto Albert
- Department of Medicine, Surgery and Health Sciences, University of Trieste and Department of Mental Health, Azienda Sanitaria Universitaria Giuliano Isontina – ASUGI, Trieste, Italy
| | - Claudia Carmassi
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - Francesca Cirulli
- Center for Behavioral Sciences and Mental Health, National Institute of Health, Rome, Italy
| | - Bernardo Dell’Osso
- Department of Biomedical and Clinical Sciences Luigi Sacco and Aldo Ravelli Center for Neurotechnology and Brain Therapeutic, University of Milan, Milano, Italy
| | | | - Maria Giulia Nanni
- Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
| | - Maurizio Pompili
- Department of Neurosciences, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - Gabriele Sani
- Department of Neuroscience, Section of Psychiatry, University Cattolica del Sacro Cuore, Rome, Italy,Department of Psychiatry, Fondazione Policlinico Agostino Gemelli IRCCS, Rome, Italy
| | - Umberto Volpe
- Clinical Psychiatry Unit, Department of Clinical Neurosciences, Università Politecnica delle Marche, Ancona, Italy
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania “L. Vanvitelli”, Naples, Italy
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13
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Metin A, Erbiçer ES, Şen S, Çetinkaya A. Gender and COVID-19 related fear and anxiety: A meta-analysis. J Affect Disord 2022; 310:384-395. [PMID: 35561885 PMCID: PMC9090872 DOI: 10.1016/j.jad.2022.05.036] [Citation(s) in RCA: 34] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 03/24/2022] [Accepted: 05/05/2022] [Indexed: 01/11/2023]
Abstract
Studies conducted during the pandemic revealed strong associations between gender and COVID-19 related fear and anxiety. Females perceive coronavirus as a greater threat to personal health and population than males. The aim of the current meta-analysis is to estimate gender difference in COVID-19 related fear and anxiety. The second purpose of this study is to clarify the role of potential moderators in COVID-19 fear and anxiety. For these reasons, studies published between March 2020 and October 2021 were searched in various databases (Web of Science, SCOPUS, PubMed, and Google Scholar). In total, 315 studies met the inclusion criteria, and 60 studies for COVID-19 related fear and 23 studies for COVID-19 related anxiety were included in the current study. Cohen's d effect size values were calculated based on these individual studies showing the difference between males and females in terms of COVID-19 related fear and anxiety. Results revealed that gender has a moderate and statistically significant effect on COVID-19 related fear (ES = 0.307) and anxiety (ES = 0.316) in favor of females. Moderator analyses showed that continent variable was a statistically significant moderator of gender difference in COVID-19 related fear and anxiety. The highest effect size of gender differences in COVID-related fear and anxiety were obtained from the studies conducted in Europe. However, other moderators (the average age of sample, culture, timing, and population) were not statistically significant. Although this meta-analysis has a few limitations, the findings showed that COVID-19 outbreak negatively affected females more.
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Affiliation(s)
- Ahmet Metin
- Faculty of Education, Department of Guidance and Psychological Counseling, Erciyes University, Talas, Kayseri, Turkey.
| | - Eyüp Sabır Erbiçer
- Faculty of Education, Department of Guidance and Psychological Counseling, Hacettepe University, Beytepe, Ankara, Turkey
| | - Sedat Şen
- Harran University, Şanlıurfa, Turkey
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14
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Yassin A, Al-Mistarehi AH, Soudah O, Karasneh R, Al-Azzam S, Qarqash AA, Khasawneh AG, Alhayk KA, Al Qawasmeh M, Kofahi RM, Bashayreh SY, El-Salem K. Trends of Prevalence Estimates and Risk Factors of Depressive Symptoms among Healthcare Workers Over one Year of the COVID-19 Pandemic. Clin Pract Epidemiol Ment Health 2022; 18:e174501792206160. [PMID: 37274865 PMCID: PMC10158079 DOI: 10.2174/17450179-v18-e2206160] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/21/2022] [Accepted: 04/27/2022] [Indexed: 06/07/2023]
Abstract
Background COVID-19 pandemic has an overwhelming psychologic burden on healthcare workers (HCWs). This study aims to investigate the changes in the prevalence, estimates, severity, and risk factors of depressive symptoms among HCWs within the first year of the COVID-19 pandemic. Methods An observational e-survey collected data on HCWs' socio-demographic characteristics, occupational situation, and depressive symptoms as measured by Patient Health Questionnaire-9 (PHQ-9). The e-survey was distributed one month after the onset of the COVID-19 pandemic (onset group) and again after one year (one-year group). Results A total of 422 HCWs were included (Mean (SD) age, 35.3 (9.9) years; 71.3% males), with 211 (50%) participants in each group. In the total cohort, the mean PHQ-9 score was 8.5, and 36.7% reported clinically significant levels of depressive symptoms with a PHQ-9 score of ≥10. Compared to the onset group, the one-year group reported a higher risk of major depressive disorder (41.7% vs. 31.8%; OR 1.538; 95%CI 1.032-2.291; p=0.034), a higher mean PHQ-9 score (9.5 (6.8) vs. 7.4 (5.3), p<0.001), and more severe depressive symptoms (p<0.005). Participants who were younger, unmarried, underwent testing for COVID-19, reported lower monthly income, did not receive special COVID-19 education, or had lower satisfaction with institutional preparedness had significantly higher depression scores and symptoms in both onset and one-year groups (p<0.05 for each category). Female gender and direct contact with COVID-19 patients or samples were significant risk factors within the onset group. Occupation as a physician, history of COVID-19 testing or infection, and perception of significant changes in work schedule or intensity were significantly associated with higher depression scores and symptoms among the one-year group. Conclusion This study sheds light on an unspoken but significant rise in prevalence estimates and severity of depressive symptoms among HCWs over a year of the COVID-19 pandemic and shows the vulnerable subgroups for whom a psychological intervention might be warranted.
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Affiliation(s)
- Ahmed Yassin
- Department of Neurology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Abdel-Hameed Al-Mistarehi
- Department of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Ola Soudah
- Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan
| | - Reema Karasneh
- Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan
| | - Sayer Al-Azzam
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Aref A. Qarqash
- Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Aws G. Khasawneh
- Department of Psychiatry, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Kefah A. Alhayk
- Department of Neurology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Majdi Al Qawasmeh
- Department of Neurology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Raid M. Kofahi
- Department of Neurology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Salma Y. Bashayreh
- Department of Neurology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Khalid El-Salem
- Department of Neurology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
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15
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Aviles-Gonzalez CI, Scano A, Cossu G, Littera R, Campagna M, Deidda S, Romano F, Kalcev G, Firinu D, Meloni F, Carta MG, Del Giacco S, Restivo A, Zorcolo L, Marongiu L, Tamburini G, Maleci A, Orrù G, Chessa L, Brasesco MV. Verifying the Theory of Climate Affecting Lethality of COVID-19 by an Analysis in Two Climatic Zones of Chile. THE OPEN PUBLIC HEALTH JOURNAL 2022; 15. [DOI: 10.2174/18749445-v15-e2204140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 02/08/2022] [Accepted: 03/02/2022] [Indexed: 09/22/2023]
Abstract
Introduction:
The study of seasonal influences on the COVID-19 pandemic can take advantage of the unique position of Chile and its different climatic profiles in the north-south extension. The purpose is to verify the influence of seasonal climate changes on the COVID-19 in the temperate and sub-arctic areas of Chile.
Methods:
We monitored the evolution of CFR in temperate versus sub-boreal regions, reporting from the John Hopkins University COVID-19 Center on the CFR in each province in midwinter, spring, and early summer.
Results:
CFR worsened from mid-winter to mid-spring in the temperate zone of Chile, while in the sub-boreal area the CFR improves in the same period, (Kruskal Wallis Test, p=0.004). In the temperate zone after the increase in late winter-early spring, CRF tends to stabilize; on the contrary in the sub-boreal zone, there is a more marked tendency to worsen the CFR at the same time (Kruskal Wallis Test, p=0.010). The temperate zone of Chile shows a CFR increasing until spring-like temperate Europe, unlike Europe CFR does not decrease in summer, but the mean minimum temperature in temperate Chile is lower in summer than in temperate Europe. In Patagonian, CFR remains stable or drops from winter to spring but increases in early summer.
Conclusion:
The temperate and sub-boreal zones of Chile have a markedly different CFR variation profile during the COVID-19 pandemic.
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16
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Galanis P, Vraka I, Katsiroumpa A, Siskou O, Konstantakopoulou O, Katsoulas T, Mariolis-Sapsakos T, Kaitelidou D. Attitudes toward COVID-19 Pandemic among Fully Vaccinated Individuals: Evidence from Greece Two Years after the Pandemic. Acta Med Litu 2022; 29:245-257. [PMID: 37733398 PMCID: PMC9798998 DOI: 10.15388/amed.2022.29.2.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2022] [Revised: 09/01/2022] [Accepted: 09/02/2022] [Indexed: 11/22/2022] Open
Abstract
Background Considering the major effects of COVID-19 pandemic on health, social, economic, and political dimensions of all countries, positive attitudes toward COVID-19 pandemic are essential to control the pandemic. In our study, we investigated attitudes toward COVID-19 pandemic among fully COVID-19 vaccinated individuals two years after the pandemic and we identified predictors of attitudes. Materials and Methods We conducted an on-line cross-sectional study with 815 fully COVID-19 vaccinated individuals in Greece during May 2022. A self-administered and valid questionnaire was disseminated through social media platforms. We measured socio-demographic variables and COVID-19-related variables as potential predictors of attitudes toward COVID-19 pandemic. The outcome variable was attitudes toward COVID-19 pandemic (compliance with hygiene measures, trust in COVID-19 vaccination, fear of COVID-19, and information regarding the COVID-19 pandemic and vaccination). Results We found a very high level of compliance with hygiene measures, a high level of trust and information about the COVID-19 pandemic and vaccination, and a moderate level of fear of COVID-19. Also, we identified that females, participants with a higher educational level, those with a chronic disease, those with a better self-perceived physical health, and those without a previous COVID-19 diagnosis adhered more in hygiene measures. Trust in COVID-19 vaccination was higher among females, older participants, those with a higher educational level, those with a better self-perceived physical health, and those without a previous COVID-19 diagnosis. Moreover, females, older participants, those with a higher educational level, those with a chronic disease, those with a better self-perceived physical health, those that received a flu vaccine in previous season, and those without a previous COVID-19 diagnosis experienced more fear of COVID-19. Finally, level of information regarding COVID-19 pandemic and vaccination was higher for participants with a higher educational level, those without a chronic disease, those with a better self-perceived physical health, and those that received a flu vaccine in previous season. Conclusions Understanding predictors of attitudes toward COVID-19 pandemic among fully vaccinated individuals is crucial for developing appropriate public health campaigns in the future. Vaccination should be accompanied by positive attitudes in order to decrease the frequency of negative outcomes of COVID-19, such as hospitalization, complications and mortality.
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Affiliation(s)
- Petros Galanis
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | - Irene Vraka
- Department of Radiology, P. & A. Kyriakou Children’s Hospital, Athens, Greece
| | - Aglaia Katsiroumpa
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | - Olga Siskou
- Department of Tourism Studies, University of Piraeus, Piraeus, Greece
| | - Olympia Konstantakopoulou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | - Theodoros Katsoulas
- Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Daphne Kaitelidou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece
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17
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Carta MG, Orrù G, Cossu G, Velluzzi F, Atzori L, Aviles Gonzalez CI, Romano F, Littera R, Chessa L, Firinu D, Del Giacco S, Restivo A, Deidda S, Scano A, Onali S, Kalcev G, Coghe F, Minerba L. Covid-19 vaccines work but other factors play a relevant role: a data analysis on spread and mortality in 24 countries. J Public Health Res 2022; 11. [PMID: 35322646 PMCID: PMC8996068 DOI: 10.4081/jphr.2022.2665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 12/11/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND The aim was to outline a methodology to monitor the impact of vaccinations in different countries comparing at two different times within countries and between countries the frequency of new cases and Covid-19 related deaths and the percentage of vaccinations conducted. DESIGN AND METHODS The 25 countries with the largest increase in SARS-CoV-2 cases on 8 August 2021 were evaluated. In each nation was calculated the proportion of Covid-19 deaths divided per new cases x 100 and the proportion of new cases per 1.000 inhabitants on 10 January 2021 (before vaccinations' distribution) and 8 August 2021 (when large percentage of the population had been vaccinated in many countries). RESULTS The study shows that in the countries with the highest number of cases as of 8 August 2021, the proportion of vaccinations carried out in the population correlates negatively with both the proportion between Covid-19 dead people x100 infected people and with the rate of new cases. However, the proportion of vaccinations does not correlate with the differences in the two same indicators considered in the weeks observed, thus additional factors seem to play an important role. CONCLUSIONS This work indicates that mass vaccination is associated with a lower spread of the pandemic and, to greater extent, with a lowering of mortality in infected people.
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Affiliation(s)
| | - Germano Orrù
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Giulia Cossu
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Fernanda Velluzzi
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Laura Atzori
- Department of Medical Sciences and Public Health, University of Cagliari.
| | | | | | - Roberto Littera
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Luchino Chessa
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Davide Firinu
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Stefano Del Giacco
- Internal Medicine, Allergy and Clinical Immunology, Department of Medical Sciences, University of Cagliari.
| | - Angelo Restivo
- Colorectal Surgery Unit, Department of Surgical Science, University of Cagliari.
| | - Simona Deidda
- Colorectal Surgery Unit, Department of Surgical Science, University of Cagliari.
| | | | - Simona Onali
- Department of Biomedical Sciences, University of Cagliari.
| | - Goce Kalcev
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Ferinando Coghe
- Department of Medical Sciences and Public Health, University of Cagliari.
| | - Luigi Minerba
- Department of Medical Sciences and Public Health, University of Cagliari.
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18
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Carta MG, Fornaro M, Minerba L, Pau M, Velluzzi F, Atzori L, Aviles Gonzalez CI, Romano F, Littera R, Chessa L, Firinu D, Del Giacco S, Restivo A, Deidda S, Orrù G, Scano A, Onali S, Coghe F, Kalcev G, Cossu G. Previous functional social and behavioral rhythms affect resilience to COVID-19-related stress among old adults. J Public Health Res 2022; 11. [PMID: 35299585 PMCID: PMC8973204 DOI: 10.4081/jphr.2022.2768] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 01/10/2022] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Functioning of Social Behavioral Rhythms (SBRs) may affect resilience toward stressful events across different age groups. However, the impact of SBRs on the coronavirus disease of 2019 (COVID-19) in elder people is yet to ascertain, representing the aim of the present report. DESIGN AND METHODS Follow-up of a peer-reviewed randomized controlled trial on exercise on old adults (³65 years), concurrent to the onset of the pandemic-related lockdown. Post-RCT evaluations occurred after further 12 and 36 weeks since the beginning of the lockdown phase. People with Major Depressive Episode (MDE) at week-48 (follow-up endpoint) were deemed as cases, people without such condition were considered controls. MDE was ascertained using the Patient Health Questionnaire-9 (PHQ-9); SBRs functioning at week 12 onward, through the Brief Symptom Rating Scale (BSRS). RESULTS Seventy-nine individuals (53.2%, females) entered the RCT-follow-up phase. The frequency of MDE did not significantly change before versus during lockdown (OR 2.60, CI95%=0.87-9.13). People with BSRS>1 standard deviation of the whole sample score at week-12 had an inflated risk of DE during lockdown (OR=5.6, 95%CI: 1.5-21.4) compared to those with lower BSRS scores. Such odd hold after excluding individuals with MDD at week-12. The post-hoc analysis could be potentially affected by selection bias. CONCLUSIONS Overall, older adults were resilient during the first phase of the pandemic when functioning of pre-lockdown was still preserved, in contrast to the subsequent evaluations when the impairment of daily rhythms was associated with impaired reliance.
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Affiliation(s)
| | | | - Luigi Minerba
- Department of Medical Science and Public Health, University of Cagliari.
| | - Massimiliano Pau
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari.
| | - Fernanda Velluzzi
- Department of Medical Science and Public Health, University of Cagliari.
| | - Laura Atzori
- Department of Medical Science and Public Health, University of Cagliari.
| | | | | | - Roberto Littera
- Unit of Medical Genetics, R. Binaghi Hospital, Local Public Health and Social Care Unit (ASSL) of Cagliari, Sardinian Regional Company for the Protection of Health (ATS Sardegna), Cagliari.
| | - Luchino Chessa
- Department of Medical Science and Public Health, University of Cagliari.
| | - Davide Firinu
- Department of Medical Science and Public Health, University of Cagliari.
| | - Stefano Del Giacco
- Department of Medical Science and Public Health, University of Cagliari.
| | - Angelo Restivo
- Department of Surgical Sciences, University of Cagliari.
| | - Simona Deidda
- Department of Surgical Sciences, University of Cagliari.
| | - Germano Orrù
- Department of Surgical Sciences, University of Cagliari.
| | | | - Simona Onali
- Department of Medical Science and Public Health, University of Cagliari.
| | - Ferdinando Coghe
- Clinical Chemical and Microbiology Laboratory, University Hospital of Cagliari.
| | - Goce Kalcev
- International Ph.D in Innovation Sciences and Technologies, University of Cagliari.
| | - Giulia Cossu
- Department of Medical Science and Public Health, University of Cagliari.
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19
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Professionals' Digital Training for Child Maltreatment Prevention in the COVID-19 Era: A Pan-European Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020885. [PMID: 35055708 PMCID: PMC8796023 DOI: 10.3390/ijerph19020885] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/27/2021] [Accepted: 01/07/2022] [Indexed: 02/04/2023]
Abstract
The responsiveness of professionals working with children and families is of key importance for child maltreatment early identification. However, this might be undermined when multifaceted circumstances, such as the COVID-19 pandemic, reduce interdisciplinary educational activities. Thanks to technological developments, digital platforms seem promising in dealing with new challenges for professionals’ training. We examined a digital approach to child maltreatment training through the ERICA project experience (Stopping Child Maltreatment through Pan-European Multiprofessional Training Programme). ERICA has been piloted during the pandemic in seven European centers involving interconnected sectors of professionals working with children and families. The training consisted of interactive modules embedded in a digital learning framework. Different aspects (technology, interaction, and organization) were evaluated and trainers’ feedback on digital features was sought. Technical issues were the main barrier, however, these did not significantly disrupt the training. The trainers perceived reduced interaction between participants, although distinct factors were uncovered as potential favorable mediators. Based on participants’ subjective experiences and perspectives, digital learning frameworks for professionals working with children and families (such as the ERICA model nested in its indispensable adaptation to an e-learning mode) can represent a novel interactive approach to empower trainers and trainees to tackle child maltreatment during critical times such as a pandemic, and as an alternative to more traditional learning frameworks.
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20
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De Berardis D, Gianfelice G, Fornaro M, Vellante F, Ventriglio A, Marini G, Pettorruso M, Martinotti G, Fraticelli S, Di Giannantonio M. A Possible Next Covid-19 Pandemic: The Violence Against Women and Its Psychiatric Consequences. Front Psychiatry 2021; 12:650671. [PMID: 34248699 PMCID: PMC8267523 DOI: 10.3389/fpsyt.2021.650671] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 05/28/2021] [Indexed: 12/21/2022] Open
Affiliation(s)
- Domenico De Berardis
- National Health Service, Department of Mental Health, Psychiatric Service for Diagnosis and Treatment, Hospital "G. Mazzini, " Azienda Sanitaria Locale 4, Teramo, Italy.,Department of Neurosciences and Imaging, Chair of Psychiatry, University "G. D'Annunzio" Chieti, Chieti, Italy
| | - Giulia Gianfelice
- National Health Service, Department of Mental Health, Psychiatric Service for Diagnosis and Treatment, Hospital "G. Mazzini, " Azienda Sanitaria Locale 4, Teramo, Italy
| | - Michele Fornaro
- Department of Neurosciences and Imaging, Chair of Psychiatry, University "G. D'Annunzio" Chieti, Chieti, Italy
| | | | | | - Gabriella Marini
- ANAAO Assomed Syndicate, Women Section, Hospice and Palliative Therapy Unit, ASL Teramo, Teramo, Italy
| | - Mauro Pettorruso
- Department of Neurosciences and Imaging, Chair of Psychiatry, University "G. D'Annunzio" Chieti, Chieti, Italy
| | - Giovanni Martinotti
- Department of Neurosciences and Imaging, Chair of Psychiatry, University "G. D'Annunzio" Chieti, Chieti, Italy
| | - Silvia Fraticelli
- Department of Neurosciences and Imaging, Chair of Psychiatry, University "G. D'Annunzio" Chieti, Chieti, Italy
| | - Massimo Di Giannantonio
- Department of Neurosciences and Imaging, Chair of Psychiatry, University "G. D'Annunzio" Chieti, Chieti, Italy
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