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Nosvelli M. Adaptive learning in containment measures: evaluation of policy interventions during the 2020 waves of Covid-19 in Italy. International Review of Applied Economics 2023:1-13. [DOI: 10.1080/02692171.2023.2203473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 03/21/2023] [Indexed: 09/02/2023]
Affiliation(s)
- Mario Nosvelli
- IRCRES (Research Institute on Sustainable Economic Growth) – CNR (National Research Council), Milan, Italy
- Catholic University of the Sacred Heart, Milan, Italy
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Moroni M, Díaz Crescitelli ME, Capuccini J, Pedroni C, Bianco M, Montanari L, Ghirotto L. 'Now I can train myself to be with death': a phenomenological study with young doctors in care homes supported by a palliative care unit during the second wave of the pandemic in Italy. BMJ Open 2023; 13:e065458. [PMID: 37041055 PMCID: PMC10105916 DOI: 10.1136/bmjopen-2022-065458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/13/2023] Open
Abstract
OBJECTIVE During the second wave of the COVID-19 pandemic, one of the organisational strategies established by the Italian National Health System was the special units for continuity of care (SUCCs). In the province of Ravenna, those units enrolled novice doctors to care for elderly patients with COVID-19 in care homes (CHs). The local palliative care (PC) unit decided to offer consultations and support to them. This study aimed to comprehend the experience of young doctors who asked for consultations when facing, during their first early years of practice, complex situations. DESIGN We conducted a qualitative study employing a phenomenological approach and in-depth interviews. PARTICIPANTS We involved 10 young doctors who worked in Italian SUCC during the pandemic and used a PC consultation support service. RESULTS What describes our participants' experience is related to four main themes: (1) reducing distances, (2) perceiving medical futility and improvising, (3) being supported to learn how to be with death and (4) narrowed timing to humanise care. The pandemic was, for our participants, a moment of reflection and critique on the skills acquired during the university course. It was a strong experience of human and professional growth that helped them reshape and deepen their role and skills, incorporating the approach of PC into their professional identity. CONCLUSIONS Integration between specialists and young doctors with an early entry into the workforce during the pandemic in CHs set out a 'shift' to a proactive and creative approach through a new awareness of professional and personal roles in doctor-patient relations. The continuity of care models should be rethought by integrating CHs and PC. Adequate PC training for young doctors (at pregraduate and postgraduate levels) can change doctors' vision and daily practice in assisting patients at the end of life.
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Affiliation(s)
- Matteo Moroni
- S.S.D. Cure Palliative, AUSL della Romagna, Ravenna, Italy
| | | | | | | | - Mattia Bianco
- Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | | | - Luca Ghirotto
- Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
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Cordella B, Signore F, Andreassi S, De Dominicis S, Gennaro A, Iuso S, Mannarini T, Kerusauskaite S, Kosic A, Reho M, Rochira A, Rocchi G, Salvatore S. How socio-institutional contexts and cultural worldviews relate to COVID-19 acceptance rates: A representative study in Italy. Soc Sci Med 2023; 320:115671. [PMID: 36702028 PMCID: PMC9839458 DOI: 10.1016/j.socscimed.2023.115671] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 12/09/2022] [Accepted: 01/09/2023] [Indexed: 01/15/2023]
Abstract
RATIONALE Despite its importance to counter the COVID-19 pandemic, vaccination has raised hesitation in large segments of the population. This hesitation makes it important to understand the mechanisms underlying vaccine acceptance. To this end, the study adopts the Semiotic Cultural Psychology Theory, holding that social behaviors - and therefore, vaccination acceptance - depend on the cultural meanings in terms of which people interpret the social world. OBJECTIVE The study aims at estimating the impact a) of the way people interpret the socio-institutional context of the pandemic and b) of the underlying cultural worldviews on vaccine acceptance. More particularly, the study tested the three following hypotheses. a) The meanings grounding the interpretation of the socio-institutional framework - that is, trust in institutions and political values - are an antecedent of vaccination acceptance. b) The impact of these meanings is moderated by the cultural worldviews (operationalized as symbolic universes). And c), the magnitude of the symbolic universes' moderator effect depends on the uncertainty to which the respondent is exposed. The exposure to uncertainty was estimated in terms of socioeconomic status - the lower the status, the high the exposure to uncertainty. METHODS An Italian representative sample (N = 3020) completed a questionnaire, measuring vaccination acceptance, the meanings attributed to the socio-institutional context - that is, political values and trust in institutions - and symbolic universes. RESULTS The findings were consistent with the hypotheses. a) Structural equation modelling proved that vaccine acceptance was predicted by trust in institutions. b) Multigroup analysis revealed that symbolic universes moderated the correlation between trust in institutions and vaccine acceptance. And c), the moderation effect of symbolic universes proved to occur only in the segment of lower socio-economic status (i.e., the group exposed to higher uncertainty). CONCLUSIONS Vaccination acceptance is not only a medical issue; it is also dependent upon the rationalization of the socio-institutional context. Implications for the promotion of vaccination acceptance are discussed.
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Affiliation(s)
- Barbara Cordella
- Department of Dynamic and Clinical Psychology, And Health Studies, Sapienza University of Rome, Via Degli Apuli, 1, 00183, Rome, Italy
| | - Fulvio Signore
- Department of Human and Social Sciences, University of Salento, Via di Valesio 24, 73100, Lecce, Italy
| | - Silvia Andreassi
- Department of Dynamic and Clinical Psychology, And Health Studies, Sapienza University of Rome, Via Degli Apuli, 1, 00183, Rome, Italy
| | | | - Alessandro Gennaro
- Department of Dynamic and Clinical Psychology, And Health Studies, Sapienza University of Rome, Via Degli Apuli, 1, 00183, Rome, Italy
| | - Salvatore Iuso
- Department of Clinical and Experimental Medicine, University of Foggia, Via A. Gramsci, N. 89/91, 71122, Foggia, Italy
| | - Terri Mannarini
- Department of Human and Social Sciences, University of Salento, Via di Valesio 24, 73100, Lecce, Italy
| | - Skaiste Kerusauskaite
- Department of Dynamic and Clinical Psychology, And Health Studies, Sapienza University of Rome, Via Degli Apuli, 1, 00183, Rome, Italy
| | - Ankica Kosic
- Department of Developmental and Social Psychology, Sapienza University of Rome, Via Dei Marsi, 78, 00185, Rome, Italy
| | - Matteo Reho
- Department of Dynamic and Clinical Psychology, And Health Studies, Sapienza University of Rome, Via Degli Apuli, 1, 00183, Rome, Italy
| | - Alessia Rochira
- Department of Human and Social Sciences, University of Salento, Via di Valesio 24, 73100, Lecce, Italy
| | - Giulia Rocchi
- Department of Dynamic and Clinical Psychology, And Health Studies, Sapienza University of Rome, Via Degli Apuli, 1, 00183, Rome, Italy
| | - Sergio Salvatore
- Department of Human and Social Sciences, University of Salento, Via di Valesio 24, 73100, Lecce, Italy.
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Riboldi I, Capogrosso CA, Piacenti S, Calabrese A, Lucini Paioni S, Bartoli F, Crocamo C, Carrà G, Armes J, Taylor C. Mental Health and COVID-19 in University Students: Findings from a Qualitative, Comparative Study in Italy and the UK. Int J Environ Res Public Health 2023; 20:4071. [PMID: 36901083 PMCID: PMC10001873 DOI: 10.3390/ijerph20054071] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 02/21/2023] [Accepted: 02/22/2023] [Indexed: 05/31/2023]
Abstract
INTRODUCTION COVID-19 restrictions introduced several changes in university academic and social experience. Self-isolation and online teaching have amplified students' mental health vulnerability. Thus, we aimed to explore feelings and perspectives about the impact of the pandemic on mental health, comparing students from Italy and the UK. METHODS Data were collected from the qualitative portion of "the CAMPUS study", longitudinally assessing mental health of students at the University of Milano-Bicocca (Italy) and the University of Surrey (UK). We conducted in-depth interviews and thematically analysed the transcripts. RESULTS The explanatory model was developed from four themes identified across 33 interviews: anxiety exacerbated by COVID-19; putative mechanisms leading to poor mental health; the most vulnerable subgroups; and coping strategies. Generalised and social anxiety resulted from COVID-19 restrictions by being associated with loneliness, excessive time online, unhealthy management of time and space and poor communication with the university. Freshers, international students, and people on the extremes of the introversion/extroversion spectrum, were identified as vulnerable, while effective coping strategies included taking advantage of free time, connection with family and mental health support. The impact of COVID-19 was mostly related to academic issues by students from Italy, whereas to the drastic loss of social connectedness by the UK sample. CONCLUSIONS Mental health support for students has an essential role, and measures that encourage communication and social connectedness are likely to be beneficial.
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Affiliation(s)
- Ilaria Riboldi
- Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
| | | | - Susanna Piacenti
- Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
| | - Angela Calabrese
- Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
| | - Susanna Lucini Paioni
- Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
| | - Francesco Bartoli
- Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
| | - Cristina Crocamo
- Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
| | - Giuseppe Carrà
- Department of Medicine and Surgery, University of Milano-Bicocca, Via Cadore 48, 20900 Monza, Italy
- Division of Psychiatry, University College London, Maple House 149, London W1T 7BN, UK
| | - Jo Armes
- Faculty of Health and Medical Sciences, School of Health and Sciences, University of Surrey, Stag Hill, Guildford GU2 7XH, UK
| | - Cath Taylor
- Faculty of Health and Medical Sciences, School of Health and Sciences, University of Surrey, Stag Hill, Guildford GU2 7XH, UK
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Gioia E, Colocci A, Casareale C, Marchetti N, Marincioni F. The role of the socio-economic context in the spread of the first wave of COVID-19 in the Marche Region (central Italy). Int J Disaster Risk Reduct 2022; 82:103324. [PMID: 36213151 PMCID: PMC9529353 DOI: 10.1016/j.ijdrr.2022.103324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 09/16/2022] [Accepted: 09/22/2022] [Indexed: 06/16/2023]
Abstract
The first wave of COVID-19 arrived in Italy in February 2020 severely hitting the northern regions and delineating sharp differences across the country, from North to South. The Marche Region (central Italy) is a good example of such uneven distribution of contagion and casualties. This paper discusses the spatial diffusion of COVID-19 during the spring of 2020 in the five provinces of Marche and discusses it by means of descriptive and quantitative analysis of local socio-economic variables. Results show that the high impact of COVID-19 in Pesaro and Urbino, the northernmost province of Marche, might be reasonably attributable to higher mobility of local residents, especially northbound. Similarly, the larger contagion among the elderly in the center and norther provinces, is possibly due to a high number of hospices and seniors' residential facilities. Finally, the North-to-South diffusion of the virus can be explained by the Region's transportation infrastructures and urban layout along the coastal area.
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Affiliation(s)
- Eleonora Gioia
- Department of Life and Environmental Sciences, Università Politecnica Delle Marche, Via Brecce Bianche, 60131, Ancona, Italy
| | - Alessandra Colocci
- Department of Life and Environmental Sciences, Università Politecnica Delle Marche, Via Brecce Bianche, 60131, Ancona, Italy
| | - Cristina Casareale
- Department of Life and Environmental Sciences, Università Politecnica Delle Marche, Via Brecce Bianche, 60131, Ancona, Italy
| | - Noemi Marchetti
- Department of Life and Environmental Sciences, Università Politecnica Delle Marche, Via Brecce Bianche, 60131, Ancona, Italy
| | - Fausto Marincioni
- Department of Life and Environmental Sciences, Università Politecnica Delle Marche, Via Brecce Bianche, 60131, Ancona, Italy
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Martin-Delgado J, Mula A, Manzanera R, Mira JJ. Measuring the Impact of Future Outbreaks? A Secondary Analysis of Routinely Available Data in Spain. Int J Environ Res Public Health 2022; 19:13981. [PMID: 36360863 PMCID: PMC9655530 DOI: 10.3390/ijerph192113981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 10/25/2022] [Accepted: 10/26/2022] [Indexed: 06/16/2023]
Abstract
Background: As of 7 January 2022, it is estimated that 5.5 million people worldwide have died from COVID-19. Although the full impact of SARS-CoV-2 (COVID-19) on healthcare systems worldwide is still unknown, we must consider the socio-economic impact. For instance, it has resulted in an 11% decrease in the GDP (Gross Domestic Product) in the European Union. We aim to provide valuable information for policymakers by analysing widely available epidemiological and socioeconomic indicators using Spanish data. Methods: Secondary analysis of routinely available data from various official data sources covering the period from 1 March 2020 to 31 March 2021. To measure the impact of COVID-19 in the population, a set of epidemiological and socioeconomic indicators were used. The interrelationships between these socioeconomic and epidemiological indicators were analysed using Pearson's correlation. Their behaviour was grouped according to their greater capacity to measure the impact of the pandemic and was compared to identify those that are more appropriate to monitor future health crises (primary outcome) using multivariate analysis of canonical correlation for estimating the correlation between indicators using different units of analysis. Results: Data from different time points were analysed. The excess of mortality was negatively correlated with the number of new companies created during the pandemic. The increase in COVID-19 cases was associated with the rise of unemployed workers. Neither GDP nor per capita debt was related to any epidemiological indicators considered in the annual analysis. The canonical models of socioeconomic and epidemiological indicators of each of the time periods analysed were statistically significant (0.80-0.91 p < 0.05). Conclusions: In conclusion, during the COVID-19 pandemic in Spain, excess mortality, incidence, lethality, and unemployment constituted the best group of indicators to measure the impact of the pandemic. These indicators, widely available, could provide valuable information to policymakers and higher management in future outbreaks.
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Affiliation(s)
- Jimmy Martin-Delgado
- Hospital Luis Vernaza, Junta de Beneficencia de Guayaquil, Guayaquil 090306, Ecuador
- Instituto de Investigación e Innovación en Salud Integral, Facultad de Ciencias Médicas, Universidad Católica de Santiago de Guayaquil, Guayaquil 090603, Ecuador
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, Spain
| | - Aurora Mula
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, Spain
| | - Rafael Manzanera
- Health and Economics Benefits Area, MC Mutual, 08037 Barcelona, Spain
| | - Jose Joaquin Mira
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, Spain
- Health Psychology Department, Miguel Hernández University, 03202 Elche, Spain
- Health District Alicante-Sant Joan, 03013 Alicante, Spain
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COSTANTINO CLAUDIO, BONACCORSO NICOLE, SCIORTINO MARTINA, D’AZZO LUCIANO, CARUBIA ALESSANDRO, CHIFARI DANIELA, SEGRETO DANIELA, MARCHESE DONATELLA, RUSSO FABRIZIO, MINORE MARIO, PIERI ALESSIA, GRAZIANO GIORGIO, MAIDA CARMELOMASSIMO, RESTIVO VINCENZO, TRAMUTO FABIO, VITALE FRANCESCO, MAZZUCCO WALTER. Exploring the effectiveness of the Digital Green Certificate Law as Public Health instrument to increase anti-COVID-19 vaccination in a sample of working-age adult population in the Palermo Metropolitan Area. J Prev Med Hyg 2022; 63:E399-E404. [PMID: 36415293 PMCID: PMC9648541 DOI: 10.15167/2421-4248/jpmh2022.63.3.2688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 09/08/2022] [Indexed: 11/30/2022]
Abstract
UNLABELLED Counteracting vaccine hesitancy should be considered an absolute priority for Public Health Authorities. A correct health communication represents one of the best ways to increase adhesion to vaccination among hesitant population. In order to increase vaccination coverage rates against COVID-19, the Italian government has issued a legislative decree with a mandatory "Digital Green Certificate" (DGC) to access workplaces for some categories considered at risk. METHODS We conducted a cross-sectional study with the aim to highlight the factors associated with the anti-COVID-19 vaccine acceptance and to estimate the influence of the introduction by law of the Digital Green Certificate (DGC) on the adhesion to the COVID-19 vaccination campaign in a sample of individual accessing one of the main vaccination centres of the metropolitan area of Palermo, Italy. An anonymous and validated questionnaire was self-administered through the Google Documents® platform, between October 2021 and March 2022. RESULTS Among the 467 subjects enrolled, 43.3% were influenced on their vaccination choice by the introduction of the DGC. The multivariate analysis showed that among the respondents emerged contrasting feelings with a self-reported significantly higher sense of freedom (Adj-OR = 2.45, 95%CIs = 1.51-3.97, p-value: < 0.001) but a lower sense of safety (Adj-OR = 0.19, 95%CIs = 0.12-0.29, p-value: < 0.001) after vaccine administration. CONCLUSIONS Our findings, in line with the available literature, suggest that the introduction of DGC has led to a significant increase in the immunization rate and, together with an appropriate communicative approach, it could represent an effective strategy to counteract vaccine hesitancy.
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Affiliation(s)
- CLAUDIO COSTANTINO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - NICOLE BONACCORSO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
- Correspondence: Nicole Bonaccorso, Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Via del Vespro 133, 90127, Palermo, Italy. Tel.: +390916553637 - E-mail:
| | - MARTINA SCIORTINO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - LUCIANO D’AZZO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - ALESSANDRO CARUBIA
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - DANIELA CHIFARI
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - DANIELA SEGRETO
- Special Office for Health Communication, Sicilian Regional Health Department, Palermo, Italy
| | - DONATELLA MARCHESE
- Otorhinolaryngology Hospital Unit, University Hospital of Palermo, Palermo, Italy
| | - FABRIZIO RUSSO
- Hospital Planning and Development Unit, University Hospital of Palermo, Palermo, Italy
| | - MARIO MINORE
- Sicilian Regional Task Force coordinating anti-COVID-19 vaccination campaign
| | - ALESSIA PIERI
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - GIORGIO GRAZIANO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - CARMELO MASSIMO MAIDA
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - VINCENZO RESTIVO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - FABIO TRAMUTO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - FRANCESCO VITALE
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
| | - WALTER MAZZUCCO
- Department of Health Promotion, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE) “G. D’Alessandro,” University of Palermo, Palermo, Italy
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Casula M, Galimberti F, Iommi M, Olmastroni E, Rosa S, Altini M, Catapano AL, Tragni E, Poluzzi E. Impact of the COVID-19 Pandemic on the Therapeutic Continuity among Outpatients with Chronic Cardiovascular Therapies. Int J Environ Res Public Health 2022; 19:ijerph191912101. [PMID: 36231403 PMCID: PMC9566639 DOI: 10.3390/ijerph191912101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/20/2022] [Accepted: 09/21/2022] [Indexed: 05/13/2023]
Abstract
The COVID-19 pandemic poses major challenges to healthcare systems. We aimed to investigate the impact of the pandemic on prescription and adherence patterns of chronic cardiovascular therapies (lipid-lowering [LL], oral antidiabetic drugs [AD], and antihypertensives [AH]) using administrative pharmaceutical databases. For each treatment, two cohorts of prevalent cases in 2019 and 2020 were compared. We evaluated the percentage change in dispensed packages and treatment adherence as a proportion of days covered (PDC). For all therapies, an increase was observed during March-April 2020 (LL: +4.52%; AD: +2.72%; AH: +1.09%), with a sharp decrease in May-June 2020 (LL: -8.40%; AD: -12.09%; AH: -10.54%) compared to 2019. The impact of the COVID-19 pandemic on chronic cardiovascular treatments appears negligible on adherence: 533,414 patients showed high adherence to LL (PDC ≥ 80%) in January-February 2020, and 2.29% became poorly adherent (PDC < 20%) in the following four-month period (vs. 1.98% in 2019). A similar increase was also observed for AH (1.25% with poor adherence in 2020 vs. 0.93% in 2019). For AD, the increase was restrained (1.55% with poor adherence in 2020 vs. 1.37% in 2019). The rush to supply drugs at the beginning of lockdown preserved the continuity of chronic cardiovascular therapies.
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Affiliation(s)
- Manuela Casula
- Epidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, Via Balzaretti 9, 20133 Milan, Italy
- IRCCS MultiMedica, Via Milanese 300, Sesto S. Giovanni, 20099 Milan, Italy
| | | | - Marica Iommi
- Department of Medical and Surgical Sciences-Pharmacology Unit, University of Bologna, Via Irnerio 48, 40126 Bologna, Italy
| | - Elena Olmastroni
- Epidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, Via Balzaretti 9, 20133 Milan, Italy
- Correspondence:
| | - Simona Rosa
- Department of Biomedical and Neuromotor Sciences-Hygiene and Biostatistics Unit, University of Bologna, Via San Giacomo, 40126 Bologna, Italy
| | - Mattia Altini
- Romagna Local Health Authority, Emilia-Romagna Region, Via A. De Gasperi 8, 48121 Ravenna, Italy
| | - Alberico L. Catapano
- Epidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, Via Balzaretti 9, 20133 Milan, Italy
- IRCCS MultiMedica, Via Milanese 300, Sesto S. Giovanni, 20099 Milan, Italy
| | - Elena Tragni
- Epidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, Via Balzaretti 9, 20133 Milan, Italy
| | - Elisabetta Poluzzi
- Department of Medical and Surgical Sciences-Pharmacology Unit, University of Bologna, Via Irnerio 48, 40126 Bologna, Italy
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Kergall P, Guillon M. Lockdown support, trust and COVID-19 conspiracy beliefs: Insights from the second national lockdown in France. Health Policy 2022:S0168-8510(22)00248-2. [PMID: 36127162 DOI: 10.1016/j.healthpol.2022.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 09/09/2022] [Accepted: 09/11/2022] [Indexed: 11/28/2022]
Abstract
Due to the COVID-19 pandemic, restrictive sanitary measures such as lockdowns have been implemented all around the world. Based on a representative sample of the population collected through an online cross-sectional survey, the goal of the study was to investigate the factors associated with lockdown agreement in France during the second general lockdown of fall 2020. More specifically, we aimed to investigate how trust in the government and COVID-19 conspiracy beliefs influenced lockdown agreement. Trust in the authorities and low adherence to conspiracy beliefs appeared as strong predictors of lockdown acceptance among our sample. Using a mediation analysis, we highlighted a significant indirect effect of trust in the authorities on lockdown agreement through the adherence to conspiracy beliefs: low level of trust translated into higher odds to believe in COVID-19 misinformation which in turn decreased lockdown support. The double effect of trust on lockdown agreement, both directly and indirectly, underlines the importance of careful communication from the government around decisions related to COVID-19 mitigation measures in order not to deteriorate even more the low level of trust in the health action of the government. The fight against false information also appears of the utmost importance to increase the population adherence to public authorities’ recommendations.
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Ghio D, Bignami-van Assche S, Stilianakis NI. Demographics of COVID-19 hospitalisations and related fatality risk patterns. Health Policy 2022. [PMID: 35927091 PMCID: PMC9308136 DOI: 10.1016/j.healthpol.2022.07.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 12/09/2021] [Accepted: 07/17/2022] [Indexed: 12/11/2022]
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