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Reid C, Grant L. A call to action: Re-activating the latent human factor for achieving the UN SDGs-cultivating courageous partnerships and compassionate human systems. Psychol Psychother 2024; 97:408-424. [PMID: 38568011 DOI: 10.1111/papt.12526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Revised: 02/27/2024] [Accepted: 03/14/2024] [Indexed: 08/17/2024]
Abstract
The raison d'être for psychotherapy1 is to address individual suffering and distress. The sustainable development goals address suffering and distress on a global scale in the context of threats to the survival of our communities and planet. OBJECTIVE We propose scaling up therapeutic principles for collective impact and nurturing therapist commitment beyond the therapy room, to activate and sustain compassion-in-action at the community system level. DESIGN The SDGs represent the strength of collective human concern and action coming together. At the half-way point, we are falling dangerously short of our targets, requiring an urgent response. The tenet of this paper is that the weakest link in our journey is not technical capability or finances, or even the impact of multiple intersecting crises, but our ability to collaborate for sustained action-it is the human factor-hence, we need a psychologically informed response. METHOD Notably, least 'visible' is SDG17, the umbrella goal designated means of implementation, through partnership. Partnership has been treated as a transactional element of SDG projects, rather than the vital heartbeat connecting daily actions to the 2030 vision. Partnership is about investing in relationships and a commitment to working together with a common purpose-the bailiwick of psychological therapists. RESULTS We propose an architecture to support the development of courageous partnerships and compassionate systems. CONCLUSION Compassion uniquely potentiates global action on wicked problems.
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Affiliation(s)
- Corinne Reid
- Global Health Academy, The University of Edinburgh, Edinburgh, UK
- Usher Institute, The University of Edinburgh, Edinburgh, UK
| | - Liz Grant
- Global Health Academy, The University of Edinburgh, Edinburgh, UK
- Usher Institute, The University of Edinburgh, Edinburgh, UK
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2
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Bartolomucci A, Tung J, Harris KM. The fortunes and misfortunes of social life across the life course: A new era of research from field, laboratory and comparative studies. Neurosci Biobehav Rev 2024; 162:105655. [PMID: 38583652 DOI: 10.1016/j.neubiorev.2024.105655] [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: 03/29/2024] [Revised: 03/31/2024] [Accepted: 04/03/2024] [Indexed: 04/09/2024]
Abstract
Social gradients in health and aging have been reported in studies across many human populations, and - as the papers included in this special collection highlight - also occur across species. This paper serves as a general introduction to the special collection of Neuroscience and Biobehavioral Reviews entitled "Social dimensions of health and aging: population studies, preclinical research, and comparative research using animal models". Authors of the fourteen reviews are primarily members of a National Institute of Aging-supported High Priority Research Network on "Animal Models for the Social Dimensions of Health and Aging". The collection is introduced by a foreword, commentaries, and opinion pieces by leading experts in related fields. The fourteen reviews are divided into four sections: Section 1: Biodemography and life course studies; Section 2: Social behavior and healthy aging in nonhuman primates; Section 3: Social factors, stress, and hallmarks of aging; Section 4: Neuroscience and social behavior.
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Affiliation(s)
- Alessandro Bartolomucci
- Department of Integrative Biology and Physiology, University of Minnesota, Minneapolis, MN, USA; Department of Medicine and Surgery, University of Parma, Parma, Italy.
| | - Jenny Tung
- Department of Primate Behavior and Evolution, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany; Department of Evolutionary Anthropology, Duke University, Durham, NC, USA; Department of Biology, Duke University, Durham, NC, USA; Canadian Institute for Advanced Research, Toronto, Canada; Duke Population Research Institute, Duke University, Durham, NC, USA.
| | - Kathleen Mullan Harris
- Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
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Furness A, Fair F, Higginbottom G, Oddie S, Soltani H. A review of the current policies and guidance regarding Apgar scoring and the detection of jaundice and cyanosis concerning Black, Asian and ethnic minority neonates. BMC Pediatr 2024; 24:198. [PMID: 38515076 PMCID: PMC10956215 DOI: 10.1186/s12887-024-04692-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 03/04/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND Ethnic inequalities in maternal and neonatal health in the UK are well documented. Concerns exist regarding the use of skin colour in neonatal assessments. Healthcare professionals should be trained to recognise symptoms of diverse skin tones, and comprehensive, and inclusive guidance is necessary for the safe assessment of all infants. Disparities in healthcare provision have been emphasised during the COVID-19 pandemic, and additional research is needed to determine whether such policies adequately address ethnic minority neonates. METHODS A desktop search included searches of guidance produced for the United Kingdom (UK). Further searches of the Cochrane and World Health Organization (WHO) were used to identify any international guidance applicable in the UK context. RESULTS Several policies and one training resource used descriptors 'pink,' 'pale,' 'pallor,' and 'blue' about neonatal skin and mucous membrane colour. No policies provided specific guidance on how these colour descriptors may appear in neonates with different skin pigmentation. Only the NICE guidance and HEE e-learning resource acknowledged the challenges of assessing jaundice in infants with diverse skin tones, while another guideline noted differences in the accuracy of bilirubin measurements for the assessment of jaundice. Three policies and one training resource advised against relying on visual observation of skin colour when diagnosing neonatal conditions. The training resource included images of ethnic minority neonates, although most images included white infants. CONCLUSIONS Inadequate consideration of ethnicity in UK policy and training perpetuates disparities, leading to inaccurate assessments. A review is needed for inclusivity in neonatal care, regardless of skin pigmentation.
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Affiliation(s)
| | | | | | - Sam Oddie
- Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
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Shah JL. Revitalizing the role of social determinants in mental health. World Psychiatry 2024; 23:93-94. [PMID: 38214622 PMCID: PMC10785966 DOI: 10.1002/wps.21163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2024] Open
Affiliation(s)
- Jai L Shah
- Department of Psychiatry, Douglas Research Centre and McGill University, Montréal, QC, Canada
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Gibson-Miller J, Zavlis O, Hartman TK, Bennett KM, Butter S, Levita L, Martinez AP, Mason L, McBride O, McKay R, Murphy J, Shevlin M, Stocks TVA, Bentall RP. A network approach to understanding social distancing behaviour during the first UK lockdown of the COVID-19 pandemic. Psychol Health 2024; 39:109-127. [PMID: 35345961 DOI: 10.1080/08870446.2022.2057497] [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: 11/07/2021] [Accepted: 03/17/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Given the highly infectious nature of COVID-19, social distancing practices are key in stemming the spread of the virus. We aimed to assess the complex interplay among psychological factors, socio-demographic characteristics and social distancing behaviours within the framework of the widely used Capability, Opportunity, Motivation-Behaviour (COM-B) model. DESIGN The present research employed network psychometrics on data collected during the first UK lockdown in April 2020 as part of the COVID-19 Psychological Research Consortium (C19PRC) Study. Using a network approach, we examined the predictions of psychological and demographic variables onto social distancing practices at two levels of analysis: macro and micro. RESULTS Our findings revealed several factors that influenced social distancing behaviour during the first UK lockdown. The COM-B model was successful in predicting particular aspects of social-distancing via the influence of psychological capability and motivation at the macro-and micro-levels, respectively. Notably, demographic variables, such as education, income, and age, were directly and uniquely predictive of certain social distancing behaviours. CONCLUSION Our findings reveal psychological factors that are key predictors of social distancing behaviour and also illustrate how demographic variables directly influence such behaviour. Our research has implications for the design of empirically-driven interventions to promote adherence to social distancing practices in this and future pandemics. Supplemental data for this article is available online at.
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Affiliation(s)
| | - Orestis Zavlis
- Department of Psychology, University of Sheffield, Sheffield, UK
| | | | | | - Sarah Butter
- Department of Psychology, University of Sheffield, Sheffield, UK
| | - Liat Levita
- Department of Psychology, University of Sheffield, Sheffield, UK
| | - Anton P Martinez
- Department of Psychology, University of Sheffield, Sheffield, UK
| | | | | | - Ryan McKay
- Royal Holloway, University of London, Egham, UK
| | | | | | | | - Richard P Bentall
- Department of Psychology, University of Sheffield, Sheffield, UK
- University of Liverpool, Liverpool, UK
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6
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Pichardo MS, Pichardo CM, Talavera GA, Gallo LC, Kuo CC, Castañeda SF, Chambers EC, Daviglus ML, Pirzada A, Perreira KM, Sotres-Alvarez D, Peña Ortiz TY, Plascak JJ. Change in Neighborhood Socioeconomic Status and Adherence to the Cancer Prevention Lifestyle Guidelines in Hispanic/Latino Adults: Results from the HCHS/SOL Study. CANCER RESEARCH COMMUNICATIONS 2023; 3:1981-1991. [PMID: 37783658 PMCID: PMC10542571 DOI: 10.1158/2767-9764.crc-23-0187] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/03/2023] [Accepted: 09/05/2023] [Indexed: 10/04/2023]
Abstract
Neighborhood conditions are dynamic; the association of changing neighborhood socioeconomic factors with cancer preventive behaviors remains unclear. We examined associations of neighborhood socioeconomic deprivation, gentrification, and change in income inequality with adherence to the American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention in The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). The HCHS/SOL enrolled 16,415 adults, ages 18–74 years, at baseline (2008–2011), from communities in the Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA. Geocoded baseline addresses were linked to the 2000 decennial Census and 5-year American Community Survey (2005–2009 and 2012–2016) tracts to operationalize neighborhood deprivation index (NDI), gentrification, and income inequality. Complex survey multinominal logistic regression models estimated the relative risk ratio (RRR) with overall guideline adherence level (low, moderate, high) and by components—diet, physical activity, body mass index (BMI), and alcohol intake. Overall, 14%, 60%, and 26% of the population had low, moderate, and high ACS guideline adherence, respectively. NDI was negatively associated with risk of high (vs. low) guideline adherence [RRR = 0.87, 95% confidence interval (CI) = 0.78–0.98], although attenuated after controlling for individual socioeconomic status (SES; RRR = 0.89, 95% CI = 0.80–1.00), and associated with lower adherence to BMI recommendations (low vs. moderate RRR = 0.90, 95% CI = 0.84–0.97; high RRR = 0.86, 95% CI = 0.77–0.97). Gentrification was associated with higher likelihood of meeting the dietary recommendations (low vs. moderate RRR = 1.04, 95% CI = 1.01–1.07), but not with overall adherence or individual components. Change in income inequality was not associated with outcomes. Neighborhood deprivation may be negatively associated with ACS guideline adherence among Hispanic/Latino adults. SIGNIFICANCE This study provides new evidence on the link between neighborhood gentrification, changing income inequality and adoption and maintenance of cancer preventive behaviors in an understudied population in cancer research. We observed that while neighborhood deprivation may deter from healthy lifestyle behaviors, positive changes in neighborhood SES via the process of gentrification, may not influence lifestyle guideline adherence among Hispanic/Latino adults.
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Affiliation(s)
- Margaret S. Pichardo
- Department of Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Catherine M. Pichardo
- South Bay Latino Research Center, Department of Psychology, San Diego State University, San Diego, California
| | | | - Linda C. Gallo
- Department of Psychology, San Diego State University, San Diego, California
| | - Charlene C. Kuo
- Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, Maryland
| | | | - Earle C. Chambers
- Department of Family and Social Medicine, Albert Einstein College of Medicine, The Bronx, New York
| | - Martha L. Daviglus
- Institute for Minority Health Research, University of Illinois Chicago, Chicago, Illinois
| | - Amber Pirzada
- Institute for Minority Health Research, University of Illinois Chicago, Chicago, Illinois
| | - Krista M. Perreira
- Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | - Daniela Sotres-Alvarez
- Department of Biostatistics, University of North Carolina School of Medicine, Chapel Hill, North Carolina
| | | | - Jesse J. Plascak
- Division of Cancer Prevention and Control, Ohio State University College of Medicine, Columbus, Ohio
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Bekelman TA, Knapp EA, Dong Y, Dabelea D, Bastain TM, Breton CV, Carroll KN, Camargo CA, Davis AM, Dunlop AL, Elliott AJ, Ferrara A, Fry RC, Ganiban JM, Gilbert-Diamond D, Gilliland FD, Hedderson MM, Hipwell AE, Hockett CW, Huddleston KC, Karagas MR, Kelly N, Lai JS, Lester BM, Lucchini M, Melough MM, Mihalopoulos NL, O'Shea TM, Rundle AG, Stanford JB, VanBronkhorst S, Wright RJ, Zhao Q, Sauder KA. Sociodemographic Variation in Children's Health Behaviors During the COVID-19 Pandemic. Child Obes 2023; 19:226-238. [PMID: 35856858 PMCID: PMC10398734 DOI: 10.1089/chi.2022.0085] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Background: Societal changes during the COVID-19 pandemic may affect children's health behaviors and exacerbate disparities. This study aimed to describe children's health behaviors during the COVID-19 pandemic, how they vary by sociodemographic characteristics, and the extent to which parent coping strategies mitigate the impact of pandemic-related financial strain on these behaviors. Methods: This study used pooled data from 50 cohorts in the Environmental influences on Child Health Outcomes Program. Children or parent proxies reported sociodemographic characteristics, health behaviors, and parent coping strategies. Results: Of 3315 children aged 3-17 years, 49% were female and 57% were non-Hispanic white. Children of parents who reported food access as a source of stress were 35% less likely to engage in a higher level of physical activity. Children of parents who changed their work schedule to care for their children had 82 fewer min/day of screen time and 13 more min/day of sleep compared with children of parents who maintained their schedule. Parents changing their work schedule were also associated with a 31% lower odds of the child consuming sugar-sweetened beverages. Conclusions: Parents experiencing pandemic-related financial strain may need additional support to promote healthy behaviors. Understanding how changes in parent work schedules support shorter screen time and longer sleep duration can inform future interventions.
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Affiliation(s)
- Traci A. Bekelman
- Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Emily A. Knapp
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Yanan Dong
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Dana Dabelea
- Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - Tracy M. Bastain
- Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Carrie V. Breton
- Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | - Kecia N. Carroll
- Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Carlos A. Camargo
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Ann M. Davis
- Department of Pediatrics, Center for Children's Healthy Lifestyles & Nutrition, University of Kansas Medical Center, Kansas City, KS, USA
| | - Anne L. Dunlop
- Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA
| | - Amy J. Elliott
- Department of Pediatrics, Avera Research Institute, University of South Dakota School of Medicine, Sioux Falls, SD, USA
| | - Assiamira Ferrara
- Kaiser Permanente Northern California Division of Research, Oakland, CA, USA
| | - Rebecca C. Fry
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA
| | - Jody M. Ganiban
- Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA
| | - Diane Gilbert-Diamond
- Department of Epidemiology, Medicine and Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - Frank D. Gilliland
- Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
| | | | - Alison E. Hipwell
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Christine W. Hockett
- Department of Pediatrics, Avera Research Institute, University of South Dakota School of Medicine, Sioux Falls, SD, USA
| | - Kathi C. Huddleston
- College of Health and Human Services, George Mason University, Fairfax, VA, USA
| | - Margaret R. Karagas
- Department of Epidemiology, Medicine and Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - Nichole Kelly
- Department of Counseling Psychology and Human Services, Prevention Science Institute, University of Oregon, Eugene, OR, USA
| | - Jin-Shei Lai
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Barry M. Lester
- Departments of Pediatrics and Psychiatry, Center for the Study of Children at Risk, Alpert Medical School of Brown University and Women and Infants Hospital, Providence, RI, USA
| | - Maristella Lucchini
- Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA
| | - Melissa M. Melough
- Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA
| | | | - T. Michael O'Shea
- Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC, USA
| | - Andrew G. Rundle
- Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Joseph B. Stanford
- Department of Family and Preventive Medicine, University of Utah, Salt Lake City, UT, USA
| | - Sara VanBronkhorst
- Division of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York, NY, USA
| | - Rosalind J. Wright
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Qi Zhao
- Department of Preventive Medicine, College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Katherine A. Sauder
- Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
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Opancina V, Sebek V, Jankovi SM. Health-care availability for patients with chronic diseases during COVID-19 pandemic. Indian J Public Health 2023; 67:335-336. [PMID: 37459038 DOI: 10.4103/ijph.ijph_1748_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023] Open
Affiliation(s)
- Valentina Opancina
- eaching Assistant, Department of Radiology, University of Kragujevac, Faculty of Medical Sciences; Bachelor of Law, University of Kragujevac, Faculty of Law, Kragujevac, Serbia
| | - Vladimir Sebek
- Assistant Professor, University of Kragujevac, Faculty of Law; Head of the Police Directorate in Kragujevac, Ministry of Internal Affairs, Kragujevac, Serbia
| | - Slobodan M Jankovi
- Professor, Department of Pharmacology and Toxicology, University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
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Tibber MS, Milne G, Fonagy P, Saunders R, Dekker TM. The association between sociodemographic inequalities, COVID-related impacts and mental health. J Affect Disord 2023; 325:596-603. [PMID: 36669568 PMCID: PMC9846896 DOI: 10.1016/j.jad.2023.01.037] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 01/05/2023] [Accepted: 01/08/2023] [Indexed: 01/19/2023]
Abstract
PURPOSE There are concerns that the social, economic and health impacts of COVID-19 are unevenly distributed, exacerbating existing inequalities. Here we tested the hypotheses that: (H1) the magnitude of these impacts would be associated with symptoms of depression and anxiety early in the pandemic, and (H2) that these impacts would be associated with a range of sociodemographic risk factors. METHODS Cross-sectional self-report data were collected from a UK sample (N = 632) between the 16th of May and 21st of July 2020, coinciding with the early stages of the pandemic and first UK lockdown. Data were collected on COVID-19 related impacts including financial and social stressors, symptoms of anxiety and depression, and sociodemographic/economic risk factors operationalised at multiple levels including the individual, familial, household and neighbourhood. RESULTS Using regression analyses both financial and social impacts were independently associated with anxiety (R2 = 0.23) and depression scores (R2 = 0.24), as well as clinically significant generalised anxiety (R2 = 0.14) and depression (R2 = 0.11). In addition, many sociodemographic factors were associated with elevated levels of COVID-19 related impacts, including being younger, female, having lower educational attainment and lower income. LIMITATIONS The main limitations of the study were its modest sample size, cross sectional design (which precluded inferences about directions of causality), and the relatively high socioeconomic status of the sample (which limited generalisability). CONCLUSIONS These findings are consistent with a growing body of evidence that suggests that the pandemic has exacerbated existing inequalities, and further, point to particular groups that should be supported by post-COVID-19 recovery policies and initiatives.
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Affiliation(s)
- Marc S. Tibber
- Research Department of Clinical, Educational and Health Psychology, UCL, London, UK,Corresponding author
| | - Georgia Milne
- Department of Experimental Psychology, UCL, London, UK,Visual Function and Neuroscience, Institute of Ophthalmology, UCL, London, UK
| | - Peter Fonagy
- Research Department of Clinical, Educational and Health Psychology, UCL, London, UK
| | - Rob Saunders
- CORE Data Lab, Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational, and Health Psychology, UCL, London, United Kingdom
| | - Tessa M. Dekker
- Department of Experimental Psychology, UCL, London, UK,Visual Function and Neuroscience, Institute of Ophthalmology, UCL, London, UK
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Hopkinson E, Petty J. Why eating disorders in children and young people are increasing: implications for practice. Nurs Child Young People 2023; 35:24-28. [PMID: 36468171 DOI: 10.7748/ncyp.2022.e1445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2022] [Indexed: 12/07/2022]
Abstract
According to data collected by NHS England in 2022 1,721 children and young people were awaiting treatment for eating disorders compared with 603 patients in 2016. This reveals an increase of 185% in eating disorders among children and young people and suggests that this increase will continue to occur even with the government pledging £79 million ( GOV UK 2021 ) to expand children and adolescent mental health services (CAMHS) and early intervention services ( NHS England 2022a ). This is due to the already extensive CAMHS waiting list managing the sizeable accumulation of referrals combined with the consistent increase of new referrals. This article outlines the most common types of eating disorders, the importance of the school nurse and factors that have affected the prevalence of eating disorders in young people, highlighting that early intervention and prevention is vital. The authors argue that this can be achieved through increased funding for services such as CAMHS and the First Episode and Rapid Early Intervention for Eating Disorders service, stricter legislation surrounding social media and greater mental health education in schools for teachers, young people and their families.
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Affiliation(s)
- Emmie Hopkinson
- Faculty of Health, Social Care and Education, Kingston University, Kingston Upon Thames, Surrey, England
| | - Julia Petty
- Department of Nursing, Health and Wellbeing, University of Hertfordshire, Hatfield, England
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11
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Tapia-Muñoz T, Staudinger UM, Allel K, Steptoe A, Miranda-Castillo C, Medina JT, Calvo E. Income inequality and its relationship with loneliness prevalence: A cross-sectional study among older adults in the US and 16 European countries. PLoS One 2022; 17:e0274518. [PMID: 36472996 PMCID: PMC9725142 DOI: 10.1371/journal.pone.0274518] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 08/27/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUNDS The prevalence of loneliness increases among older adults, varies across countries, and is related to within-country socioeconomic, psychosocial, and health factors. The 2000-2019 pooled prevalence of loneliness among adults 60 years and older went from 5.2% in Northern Europe to 24% in Eastern Europe, while in the US was 56% in 2012. The relationship between country-level factors and loneliness, however, has been underexplored. Because income inequality shapes material conditions and relative social deprivation and has been related to loneliness in 11 European countries, we expected a relationship between income inequality and loneliness in the US and 16 European countries. METHODS We used secondary cross-sectional data for 75,891 adults age 50+ from HRS (US 2014), ELSA (England, 2014), and SHARE (15 European countries, 2013). Loneliness was measured using the R-UCLA three-item scale. We employed hierarchical logistic regressions to analyse whether income inequality (GINI coefficient) was associated with loneliness prevalence. RESULTS The prevalence of loneliness was 25.32% in the US (HRS), 17.55% in England (ELSA) and ranged from 5.12% to 20.15% in European countries (SHARE). Older adults living in countries with higher income inequality were more likely to report loneliness, even after adjusting for the sociodemographic composition of the countries and their Gross Domestic Products per capita (OR: 1.52; 95% CI: 1.17-1.97). DISCUSSION Greater country-level income inequality was associated with higher prevalence of loneliness over and above individual-level sociodemographics. The present study is the first attempt to explore income inequality as a predictor of loneliness prevalence among older adults in the US and 16 European countries. Addressing income distribution and the underlying experience of relative deprivation might be an opportunity to improve older adults' life expectancy and wellbeing by reducing loneliness prevalence.
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Affiliation(s)
- Thamara Tapia-Muñoz
- Department of Behavioural Science and Health, University College London, London, United Kingdom
- Society and Health Research Center, School of Public Health, Universidad Mayor, Santiago, Chile
- Laboratory on Aging and Social Epidemiology, Facultad de Ciencias Sociales y Artes, Universidad Mayor, Santiago, Chile
- Millennium Institute for Caregiving Research, Santiago, Chile
- Millennium Nucleus on Sociomedicine, Santiago, Chile
| | - Ursula M. Staudinger
- Mailman School of Public Health, Columbia University, New York, NY, United States of America
- Technische Universität Dresden, Dresden, Germany
| | - Kasim Allel
- Millennium Nucleus on Sociomedicine, Santiago, Chile
- Institute for Global Health, University College London, London, United Kingdom
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom
| | - Andrew Steptoe
- Department of Behavioural Science and Health, University College London, London, United Kingdom
| | - Claudia Miranda-Castillo
- Millennium Institute for Caregiving Research, Santiago, Chile
- Faculty of Nursing, Universidad Andres Bello, Santiago, Chile
- Millennium Institute for Research in Depression and Personality, Santiago, Chile
| | - José T. Medina
- Society and Health Research Center, School of Public Health, Universidad Mayor, Santiago, Chile
- Laboratory on Aging and Social Epidemiology, Facultad de Ciencias Sociales y Artes, Universidad Mayor, Santiago, Chile
- Millennium Nucleus on Sociomedicine, Santiago, Chile
| | - Esteban Calvo
- Society and Health Research Center, School of Public Health, Universidad Mayor, Santiago, Chile
- Laboratory on Aging and Social Epidemiology, Facultad de Ciencias Sociales y Artes, Universidad Mayor, Santiago, Chile
- Millennium Nucleus on Sociomedicine, Santiago, Chile
- Mailman School of Public Health, Columbia University, New York, NY, United States of America
- * E-mail:
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Estivaleti JM, Guzman-Habinger J, Lobos J, Azeredo CM, Claro R, Ferrari G, Adami F, Rezende LFM. Time trends and projected obesity epidemic in Brazilian adults between 2006 and 2030. Sci Rep 2022; 12:12699. [PMID: 35882969 PMCID: PMC9315079 DOI: 10.1038/s41598-022-16934-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 07/18/2022] [Indexed: 01/22/2023] Open
Abstract
We examined time trends and projected obesity epidemic in Brazilian adults between 2006 and 2030 by sex, race/skin color, educational attainment, and state capitals. Self-reported body weight and height of 730,309 adults (≥ 18 years) from the Vigitel study were collected by telephone interview between 2006 and 2019. A multinomial logistic regression model was used to predict the prevalence of body mass index (BMI) categories as a function of time by 2030. The prevalence of obesity increased from 11.8% in 2006 to 20.3% in 2019. The projected prevalences by 2030 are estimated to be 68.1% for overweight, 29.6% for obesity, and 9.3% for obesity classes II and III. Women, black and other minority ethnicities, middle-aged adults, adults with ≤ 7 years of education, and in Northern and Midwestern capitals are estimated to have higher obesity prevalence by 2030. Our findings indicate a sustained increase in the obesity epidemic in all sociodemographic subgroups and across the country. Obesity may reach three out of 10 adults by 2030.
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Affiliation(s)
- José Matheus Estivaleti
- Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil
| | - Juan Guzman-Habinger
- Facultad de Ciencias, Especialidad Medicina del Deporte Y La Actividad Física, Universidad Mayor, Santiago, Chile
| | | | | | - Rafael Claro
- Departamento de Nutrição, Escola de Enfermagem, Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Belo Horizonte, Brasil
| | - Gerson Ferrari
- Universidad de Santiago de Chile (USACH), Escuela de Ciencias de la Actividad Física, El Deporte y la Salud, Santiago, Chile
| | - Fernando Adami
- Laboratório de Epidemiologia e Análise de Dados, Centro Universitário FMABC, Santo André, São Paulo, Brasil
| | - Leandro F M Rezende
- Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.
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Koyama S, Aida J, Mori Y, Okawa S, Odani S, Miyashiro I. COVID-19 Effects on Income and Dental Visits: A Cross-sectional Study. JDR Clin Trans Res 2022; 7:307-314. [PMID: 35533247 DOI: 10.1177/23800844221094479] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES In April 2020, the Japanese government declared a state of emergency owing to the outbreak of the novel coronavirus disease (COVID-19) pandemic, which resulted in reduced workforce and job losses. Furthermore, income is one of the most consistent predictors of dental visits. Therefore, this study examined the association between income changes and dental clinic visits during the COVID-19 state of emergency in Japan. METHODS An online, self-reported cross-sectional survey about health activities including dental visits during the first COVID-19 state of emergency was conducted in Osaka, Japan (June 23 to July 12, 2020). Among participants with toothaches, the assessment for the association between "refrained from visiting a dentist despite wanting treatment for toothache during the state of emergency (refrained treatment)" and income changes before and after the state of emergency using a multivariate Poisson regression model adjusted for sex, age, self-rated health, frequency of regular dental visits, and employment status. RESULTS Among 27,575 participants, 3,895 (14.1%) had toothaches, and 1,906 (6.9%) reported refrained treatment. Among people with decreased income (n = 8,152, 29.6% of overall participants), the proportions of the refrained treatment group were 8.0% (income decreased by 1%-49%), 9.9% (50%-99% decreased), and 9.1% (100% decreased). Among participants with toothache, after adjusting for all variables, compared with participants with no income change, we observed significantly higher prevalence ratios (PRs) for refrained treatment in those who experienced a decreased income owing to COVID-19 (1%-49% decrease: PR = 1.08; 95% confidence interval [CI], 1.005-1.17; 50%-99% decrease: PR = 1.18; 95% CI, 1.06-1.32; 100% decrease: PR = 1.18; 95% CI, 1.04-1.33). CONCLUSION Decreased income was associated with refrained dental treatment during the COVID-19 state of emergency in Osaka, Japan. The economic damage related to the COVID-19 pandemic could lead to oral health inequalities. KNOWLEDGE TRANSFER STATEMENT Our study found that individuals with decreased income owing to COVID-19 before and after the state of emergency showed significantly higher prevalence ratios for refraining from visiting a dentist despite wanting treatment for toothache. We believe that our study makes a significant contribution because it provides novel, basic data that economic damages related to the COVID-19 pandemic might expand to oral health inequalities.
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Affiliation(s)
- S Koyama
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
| | - J Aida
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Y Mori
- Department of Public Health and Medical Affairs, Osaka Prefectural Government, Chuo-ku, Osaka, Japan
| | - S Okawa
- Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan
| | - S Odani
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
| | - I Miyashiro
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
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14
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Capella M. The ethical-political dimension of social and community praxis: The case of Ecuador's early response to COVID-19. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2022; 32:573-585. [PMID: 34518752 PMCID: PMC8426879 DOI: 10.1002/casp.2557] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 04/03/2021] [Accepted: 05/26/2021] [Indexed: 01/14/2023]
Abstract
Around the globe, millions of people have experienced suffering and death related to COVID-19, an infectious disease caused by the SARS-CoV2 virus. In Ecuador,the painful impact of the pandemic elicited early responses by the government and by local communities. This critical, positioned and exploratory case study analyses such responses, underscoring the fundamental ethical-political dimension of any academic and professional praxis aimed at the construction of healthier societies worldwide. While critical traditions are familiar with this stance, the inequalities and ideological mechanisms made visible by COVID-19 responses may enable the wider community of researchers and practitioners to join ongoing collective ethical-political efforts. Findings from Ecuador underline the potentially harmful role of neoliberalism and issues of democratic legitimacy, significant problems before and during the pandemic shock, and official discourses, which blame communities for their own suffering and death. Neutrality and depoliticized notions of scientific evidence are notoriously insufficient in these scenarios. We need to engage more deeply with diverse forms of global and local community resistance, in times of COVID-19, and beyond. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.
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Affiliation(s)
- Manuel Capella
- Faculty of Psychological SciencesUniversity of GuayaquilGuayaquilEcuador
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15
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Knibbe M, Horstman K. Overcoming the tragedy of urban commons. Collective practices for a healthy city ecology in disadvantaged neighborhoods. Health Place 2022; 75:102777. [PMID: 35306274 DOI: 10.1016/j.healthplace.2022.102777] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 02/28/2022] [Accepted: 02/28/2022] [Indexed: 11/04/2022]
Abstract
This paper provides insight into collective practices for promoting a healthy city ecology in disadvantaged neighborhoods. Using ethnography, we analyze the actions of a citizen collective to improve a park as 'urban commoning' and 'placemaking.' The analysis shows that first, the collective received ambivalent bureaucratic support; second, the open character of space commons enabled collective responsibility and democratic publics, but also made them vulnerable; and third, in providing informal security, the collective restrained itself to avoid stigma and retaliation. We conclude that open commons enable collective responsibility, but in disadvantaged city areas, they suffer from ongoing bureaucratic governance and accumulations of adversity.
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Affiliation(s)
- Mare Knibbe
- Maastricht University, Dep. Health, Ethics and Society, Care and Public Health Research Institute (Caphri), Faculty Health, Medicine, Life Sciences, P.O. Box 616, 6200, MD, Maastricht, the Netherlands.
| | - Klasien Horstman
- Maastricht University, Dep. Health, Ethics and Society, Care and Public Health Research Institute (Caphri), Faculty Health, Medicine, Life Sciences, P.O. Box 616, 6200, MD, Maastricht, the Netherlands
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16
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Herrick C, Kelly AH, Soulard J. Humanitarian inversions: COVID-19 as crisis. TRANSACTIONS (INSTITUTE OF BRITISH GEOGRAPHERS : 1965) 2022; 47:TRAN12544. [PMID: 35601240 PMCID: PMC9115393 DOI: 10.1111/tran.12544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 04/18/2022] [Accepted: 04/22/2022] [Indexed: 06/15/2023]
Abstract
COVID-19 is a multi-spectral crisis that has added an acute layer over a panoply of complex emergencies across the world. In the process, it has not only exposed actually-existing emergencies, but also exacerbated them as the global gaze has turned inward. As a crisis, COVID-19 straddles and challenges the boundaries between humanitarianism, development and global health - the frames and categories through which emergencies are so often understood and intervened upon. Reflection on these fundamental categories is, we argue, an important geographical endeavour. Drawing on Geoffrey Bowker's analytical lens of the 'infrastructural inversion', we explore how humanitarianism has been upended by Covid-19 along two axes that are of core concern to geographers: (1) the spatial; and (2) the temporal. We first contextualise current debates on the humanitarian endeavour and its future within recent geographical research. We then set out the complex structure by which COVID-19 has been both imagined and intervened upon as a humanitarian emergency. In so doing, we then pave the way for a deeper empirical analysis of the spatial and temporal inversions that have been brought forth by COVID-19. The paper concludes by examining the conceptual value of the 'inversion' in developing geographical research agendas better attuned to the increasing porosity of humanitarianism, development and global health.
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Affiliation(s)
- Clare Herrick
- Department of GeographyKing's College LondonLondonUK
| | - Ann H. Kelly
- Department of Global Health and Social MedicineKing's College LondonLondonUK
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17
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Rodrigues QF, Dias VO, Barbosa MC, Ferraz LDA, Silveira DMMLD, Martelli DRB, Martelli Júnior H. Public oral health services: impacts caused by the COVID-19 pandemic. Braz Oral Res 2022; 36:e032. [PMID: 35293498 DOI: 10.1590/1807-3107bor-2022.vol36.0032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 11/04/2021] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to describe the oral health services offered by the Unified Health System in the northern macro-region of Minas Gerais, Brazil, during the COVID-19 pandemic. This was an observational, cross-sectional and descriptive study. Data collection took place between August and September 2020 through the completion of online questionnaires by oral health managers in the northern municipalities of Minas Gerais and by consultation of information available in the Special Epidemiological Bulletin Coronavirus North Macro-region n° 14. After collection, data were transferred to SPSS® (Statistical Package for the Social Sciences for Windows, version 24.0). Analyses were performed using frequency, mean, standard deviation and percentages. It was found that all included municipalities suspended elective treatments and maintained emergency dental care at all levels of care. In 62.5% of municipalities there were oral health professionals contaminated by COVID-19. Oral health teams implemented specific interventions to address the pandemic,with the most frequent being tele-orientation (74.7%), use of sanitary barriers (72%), and telemonitoring (68%). At the beginning of the pandemic, 62.5% of municipalities lacked personal protective equipment. Comsidering these results, it was found that the COVID-19 pandemic impacted the supply of dental services in northern Minas Gerais due to the suspension of elective care, contamination of professionals, lack of personal protective equipment, and development of new interventions. Thus, oral health teams had to adapt to new contexts of health interventionsto face COVID-19 and maintain dental care services.
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Affiliation(s)
- Quíria França Rodrigues
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | - Verônica Oliveira Dias
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | - Mauro Costa Barbosa
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | - Lorena Daiza Aquino Ferraz
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
| | | | - Daniella Reis Barbosa Martelli
- Universidade Estadual de Montes Claros - Unimontes, School of Dentistry, Department of Collective Health, Montes Claros, MG, Brazil
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18
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Wahaj Z, Alam MM, Al-Amin AQ. Climate change and COVID-19: shared challenges, divergent perspectives, and proposed collaborative solutions. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:16739-16748. [PMID: 34989992 PMCID: PMC8733923 DOI: 10.1007/s11356-021-18402-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 12/25/2021] [Indexed: 06/14/2023]
Abstract
Pandemics leave their mark quickly. This is true for all pandemics, including COVID-19. Its multifarious presence has wreaked havoc on people's physical, economic, and social life since late 2019. Despite the need for social science to save lives, it is also critical to ensure future generations are protected. COVID-19 appeared as the world grappled with the epidemic of climate change. This study suggests policymakers and practitioners address climate change and COVID-19 together. This article offers a narrative review of both pandemics' impacts. Scopus and Web of Science were sought databases. The findings are reported analytically using important works of contemporary social theorists. The analysis focuses on three interconnected themes: technology advancements have harmed vulnerable people; pandemics have macro- and micro-dimensions; and structural disparities. To conclude, we believe that collaborative effort is the key to combating COVID-19 and climate change, while understanding the lessons learnt from the industrialised world. Finally, policymakers can decrease the impact of global catastrophes by addressing many socioeconomic concerns concurrently.
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Affiliation(s)
- Zujaja Wahaj
- NUST Business School (NBS), National University of Sciences & Technology (NUST), Islamabad, Pakistan
| | - Md. Mahmudul Alam
- School of Economics, Finance & Banking, Universiti Utara Malaysia, Kedah Sintok, Malaysia
- Centre for Asian Climate and Environmental Policy Studies (CACEPS), Windsor ON, Canada
| | - Abul Quasem Al-Amin
- Department of Geography and Environmental Management, University of Waterloo, ON Waterloo, Canada
- Department of Development Studies, Daffodil International University, Dhaka, Bangladesh
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19
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The impact of the COVID-19 pandemic on oral health inequalities and access to oral healthcare in England. Br Dent J 2022; 232:109-114. [PMID: 35091614 PMCID: PMC8796193 DOI: 10.1038/s41415-021-3718-0] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2021] [Accepted: 06/13/2021] [Indexed: 11/26/2022]
Abstract
While the impact of the coronavirus disease (COVID-19) pandemic on health inequalities is documented, oral health has been absent from this discussion. This commentary highlights the potential impacts of the COVID-19 pandemic on oral health inequalities in England in February 2021. It includes a literature review, Public Health England and Kantar Worldpanel sales data on health behaviours and analysis of NHS dental services data. Purchasing data indicate, except for smoking, increases in health-compromising behaviours. Since the resumption of dental services, NHS general dental service use modestly recovered among adults but not children by October 2020. There are clear inequalities among children and older adults, with more deprived groups having lower uptake of dental service use than more affluent groups. Oral cancer referrals and hospital admissions for tooth extractions in children dramatically declined, with the latter primarily affecting children in more deprived areas. Many oral health programmes in schools and care homes were disrupted or suspended throughout this period. All these indicate that oral health inequalities have widened due to the COVID-19 pandemic. An oral health plan of action requires prioritising long-term investment in public health programmes and transforming commissioning pathways to support those with the greatest needs to access oral healthcare services. People living in more deprived areas have fared worse than people living in less deprived areas, in terms of uptake of NHS primary dental care following the resumption of services in June 2020. The cessation of oral health improvement programmes in the community and the dramatic decline of hospital dental services due to the COVID-19 pandemic have also primarily impacted the more socially disadvantaged groups, further widening inequalities. Addressing the widened oral health inequalities requires long-term investment in oral health, prioritising public health programmes and supporting access to services.
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20
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Jiang CM, Duangthip D, Auychai P, Chiba M, Folayan MO, Hamama HHH, Kamnoedboon P, Lyons K, Matangkasombut O, Mathu-Muju KR, Mathur VP, Mei ML, Morgan M, Poolthong S, Rahul M, Srinivasan M, Takahashi T, Yaklai S, Zhang S, Zou XC, Chu CH, Lo ECM. Changes in Oral Health Policies and Guidelines During the COVID-19 Pandemic. FRONTIERS IN ORAL HEALTH 2022; 2:668444. [PMID: 35048011 PMCID: PMC8757803 DOI: 10.3389/froh.2021.668444] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 04/19/2021] [Indexed: 12/23/2022] Open
Abstract
The aim of this study was to describe the changes in oral health policies and guidelines in response to the Coronavirus disease 2019 (COVID-19) pandemic in different countries and regions around the world. Information on oral health policies and guidelines from 9 countries (Canada, China including Hong Kong, Egypt, India, Japan, New Zealand, Nigeria, Switzerland, and Thailand) were summarized, and sources of the information were mostly the national or regional health authorities and/or dental council/associations. The changes made to the oral health guidelines depended on the severity of the COVID-19 pandemic. This included suspension of non-emergency dental care services at the peak of the COVID-19 outbreak, and easing the restrictions on non-essential and elective dental care when the pandemic became under control. The COVID-19 risk mitigation strategies include strict adherence to infection control practices (use of hand sanitizers, facemask and maintaining social distancing), reducing the amount of aerosol production in the dental setting, and managing the quality of air in the dental treatment rooms by reducing the use of air conditioners and improving air exchange. The COVID-19 pandemic has shown a major impact on dental practice. Dental professionals are trying to adapt to the new norms, while the medium to long-term impact of COVID-19 on dentistry needs further investigation.
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Affiliation(s)
- Chloe Meng Jiang
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | | | - Prim Auychai
- Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Mirei Chiba
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | | | | | | | - Karl Lyons
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | | | | | - Vijay Prakash Mathur
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - May Lei Mei
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Mike Morgan
- Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Suchit Poolthong
- Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Morankar Rahul
- Department of Pediatric and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Murali Srinivasan
- Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Tetsu Takahashi
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | - Sanicha Yaklai
- Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | - Shinan Zhang
- Affiliated Stomatological Hospital, School of Stomatology, Kunming Medical University, Kunming, China
| | - Xin Chun Zou
- Affiliated Stomatological Hospital, School of Stomatology, Kunming Medical University, Kunming, China
| | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
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McGarrigle C, Ward M, De Looze C, O'Halloran A, Kenny R. Caring in the time of COVID-19, longitudinal trends in well-being and mental health in carers in Ireland: Evidence from the Irish Longitudinal Study on Ageing (TILDA). Arch Gerontol Geriatr 2022; 102:104719. [PMID: 35588613 PMCID: PMC9085370 DOI: 10.1016/j.archger.2022.104719] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/20/2022] [Accepted: 05/07/2022] [Indexed: 01/13/2023]
Abstract
BACKGROUND The COVID-19 pandemic in 2020 resulted in the older population being asked to remain at home and avoid other people outside their household. This could have implications for both receipt and provision of informal caring. OBJECTIVE To determine if informal care provision by older carers changed during the first wave of the COVID-19 pandemic from pre-pandemic care and if this was associated with a change in mental health and well-being of carers. DESIGN AND SETTING Longitudinal nationally representative study of community dwelling adults from The Irish Longitudinal Study on Ageing (TILDA) (Waves 3-COVID-Wave 6). METHODS We studied a cohort of 3670 adults aged ≥60 in Ireland during the COVID-19 pandemic (July-November 2020) and compared with previous data collections from the same cohort between 2014-2018. Independent variables were caregiving status and caregiving intensity, outcome measures included depressive symptoms (CES-D8), Perceived Stress (PSS4) and Quality of life (CASP12). Mixed models adjusting for socio-demographics and physical health were estimated. RESULTS Caregiving increased from 8.2% (2014) to 15.4% (2020). Depression, and stress scores increased while quality of life decreased for all participants. Carers reported poorer mental health, and higher caring hours were associated with increased depression and stress and decreased quality of life scores on average, and increased depression was higher for women. CONCLUSIONS Informal caregiving increased during the pandemic and family caregivers reported increased adverse mental health and well-being and this continued throughout the early months of the pandemic. The disproportionate burden of depression was highest in women providing higher caring hours.
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Affiliation(s)
- C.A. McGarrigle
- The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland,Corresponding author
| | - M. Ward
- The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland
| | - C. De Looze
- The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland
| | - A. O'Halloran
- The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland
| | - R.A. Kenny
- The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland,Mercer's Institute for Successful Ageing, St James’ Hospital, Dublin, Ireland
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22
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Thomson LJ, Gordon-Nesbitt R, Elsden E, Chatterjee HJ. The role of cultural, community and natural assets in addressing societal and structural health inequalities in the UK: future research priorities. Int J Equity Health 2021; 20:249. [PMID: 34819080 PMCID: PMC8611639 DOI: 10.1186/s12939-021-01590-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Accepted: 11/05/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Reducing health inequalities in the UK has been a policy priority for over 20 years, yet, despite efforts to create a more equal society, progress has been limited. Furthermore, some inequalities have widened and become more apparent, particularly during the Covid-19 pandemic. With growing recognition of the uneven distribution of life expectancy and of mental and physical health, the current research was commissioned to identify future research priorities to address UK societal and structural health inequalities. METHODS An expert opinion consultancy process comprising an anonymous online survey and a consultation workshop were conducted to investigate priority areas for future research into UK inequalities. The seven-question survey asked respondents (n = 170) to indicate their current role, identify and prioritise areas of inequality, approaches and evaluation methods, and comment on future research priorities. The workshop was held to determine areas of research priority and attended by a closed list of delegates (n = 30) representing a range of academic disciplines and end-users of research from policy and practice. Delegates self-selected one of four breakout groups to determine research priority areas in four categories of inequality (health, social, economic, and other) and to allocate hypothetical sums of funding (half, one, five, and ten million pounds) to chosen priorities. Responses were analysed using mixed methods. RESULTS Survey respondents were mainly 'academics' (33%), 'voluntary/third sector professionals' (17%), and 'creative/cultural professionals'(16%). Survey questions identified the main areas of inequality as 'health' (58%), 'social care' (54%), and 'living standards' (47%). The first research priority was 'access to creative and cultural opportunities' (37%), second, 'sense of place' (23%), and third, 'community' (17%). Approaches seen to benefit from more research in relation to addressing inequalities were 'health/social care' (55%), 'advice services' (34%), and 'adult education/training' (26%). Preferred evaluation methods were 'community/participatory' (76%), 'action research' (62%), and 'questionnaires/focus groups' (53%). Survey respondents (25%) commented on interactions between inequalities and issues such as political and economic decisions, and climate. The key workshop finding from determining research priorities in areas of inequality was that health equity could only be achieved by tackling societal and structural inequalities, environmental conditions and housing, and having an active prevention programme. CONCLUSIONS Research demonstrates a clear need to assess the impact of cultural and natural assets in reducing inequality. Collaborations between community groups, service providers, local authorities, health commissioners, GPs, and researchers using longitudinal methods are needed within a multi-disciplinary approach to address societal and structural health inequalities.
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Affiliation(s)
- L J Thomson
- Genetics, Evolution and Environment, UCL Division of Biosciences, University College London, London, UK
| | | | - E Elsden
- UCL Epidemiology and Public Health, University College London, London, UK
| | - H J Chatterjee
- Genetics, Evolution and Environment, UCL Division of Biosciences, University College London, London, UK.
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The changes of suicidal ideation status among young people in Hong Kong during COVID-19: A longitudinal survey. J Affect Disord 2021; 294:151-158. [PMID: 34298219 PMCID: PMC9757145 DOI: 10.1016/j.jad.2021.07.042] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 07/09/2021] [Accepted: 07/13/2021] [Indexed: 01/07/2023]
Abstract
BACKGROUND Pandemics affect the physical and mental well-being of all potentially at-risk young people globally. This longitudinal study examines changes of suicidal ideation status among adolescents during COVID-19. METHOD A follow-up after nine-months of a school-based survey among 1,491 secondary school students was conducted during COVID-19. Psychological well-being, psychological factors, family support, and COVID-19-related experiences were examined. RESULTS The prevalence of suicidal ideation were 24% and 21% among the participants before and during COVID-19, respectively. In particular, 897 (65.0%) remained non-suicidal, 193 (14.0%) recovered from being suicidal, 148 (10.7%) newly reported being suicidal, and 143 (10.4%) remained suicidal. Respondents who remained suicidal were found to have significantly higher depression, anxiety, stress, loneliness, and social anxiety, fixed mind-set, lower meaning of life and self-control; and lower parental support and supervision than the other three groups. Participants with suicidal ideation reported more negative perceptions about COVID-19 than non-suicidal participants. Multinomial logistic regression showed that anxiety, trait anxiety and life satisfactory in baseline were associated with suicidal ideation at follow-up. LIMITATION This study was limited by the small number of protective variables being included in the baseline survey to examine the potential reasons for the recovery of suicidal ideation at follow-up. CONCLUSION Poor psychological well-being, lower level of family support, and negative impacts of the pandemic were consistently associated with students' presence of suicidal ideation during the pandemic. Further intervention studies are needed to examine effects of mental health consequences of COVID-19 on youth mental health and to promote positive youth well-being.
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Horta BL, Silveira MF, Barros AJD, Barros FC, Hartwig FP, Dias MS, Menezes AMB, Hallal PC, Victora CG. [Prevalence of antibodies against SARS-CoV-2 according to socioeconomic and ethnic status in a nationwide Brazilian surveyPrevalência de anticorpos contra o SARS-CoV-2 de acordo com o status socioeconômico e étnico em uma pesquisa nacional no Brasil]. Rev Panam Salud Publica 2021; 45:e105. [PMID: 34703458 PMCID: PMC8530005 DOI: 10.26633/rpsp.2021.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES To investigate socioeconomic and ethnic group inequalities in prevalence of antibodies against SARS-CoV-2 in the 27 federative units of Brazil. METHODS In this cross-sectional study, three household surveys were carried out on May 14-21, June 4-7, and June 21-24, 2020 in 133 Brazilian urban areas. Multi-stage sampling was used to select 250 individuals in each city to undergo a rapid antibody test. Subjects answered a questionnaire on household assets, schooling and self-reported skin color/ethnicity using the standard Brazilian classification in five categories: white, black, brown, Asian or indigenous. Principal component analyses of assets was used to classify socioeconomic position into five wealth quintiles. Poisson regression was used for the analyses. RESULTS 25 025 subjects were tested in the first, 31 165 in the second, and 33 207 in the third wave of the survey, with prevalence of positive results equal to 1.4%, 2.4%, and 2.9% respectively. Individuals in the poorest quintile were 2.16 times (95% confidence interval 1.86; 2.51) more likely to test positive than those in the wealthiest quintile, and those with 12 or more years of schooling had lower prevalence than subjects with less education. Indigenous individuals had 4.71 (3.65; 6.08) times higher prevalence than whites, as did those with black or brown skin color. Adjustment for region of the country reduced the prevalence ratios according to wealth, education and ethnicity, but results remained statistically significant. CONCLUSIONS The prevalence of antibodies against SARS-CoV-2 in Brazil shows steep class and ethnic gradients, with lowest risks among white, educated and wealthy individuals.
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Affiliation(s)
- Bernardo L Horta
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Mariângela F Silveira
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Aluísio J D Barros
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Fernando C Barros
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Fernando P Hartwig
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Mariane S Dias
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Ana M B Menezes
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Pedro C Hallal
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
| | - Cesar G Victora
- Universidad Federal de PelotasPelotasBrasilUniversidad Federal de Pelotas, Pelotas, Brasil.
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Bos VLLC, Jansen T, Klazinga NS, Kringos DS. Development and Actionability of the Dutch COVID-19 Dashboard: Descriptive Assessment and Expert Appraisal Study. JMIR Public Health Surveill 2021; 7:e31161. [PMID: 34543229 PMCID: PMC8513744 DOI: 10.2196/31161] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 09/06/2021] [Accepted: 09/07/2021] [Indexed: 01/20/2023] Open
Abstract
Background Web-based public reporting by means of dashboards has become an essential tool for governments worldwide to monitor COVID-19 information and communicate it to the public. The actionability of such dashboards is determined by their fitness for purpose—meeting a specific information need—and fitness for use—placing the right information into the right hands at the right time and in a manner that can be understood. Objective The aim of this study was to identify specific areas where the actionability of the Dutch government’s COVID-19 dashboard could be improved, with the ultimate goal of enhancing public understanding of the pandemic. Methods The study was conducted from February 2020 to April 2021. A mixed methods approach was carried out, using (1) a descriptive checklist over time to monitor changes made to the dashboard, (2) an actionability scoring of the dashboard to pinpoint areas for improvement, and (3) a reflection meeting with the dashboard development team to contextualize findings and discuss areas for improvement. Results The dashboard predominantly showed epidemiological information on COVID-19. It had been developed and adapted by adding more in-depth indicators, more geographic disaggregation options, and new indicator themes. It also changed in target audience from policy makers to the general public; thus, a homepage was added with the most important information, using news-like items to explain the provided indicators and conducting research to enhance public understanding of the dashboard. However, disaggregation options such as sex, socioeconomic status, and ethnicity and indicators on dual-track health system management and social and economic impact that have proven to give important insights in other countries are missing from the Dutch COVID-19 dashboard, limiting its actionability. Conclusions The Dutch COVID-19 dashboard developed over time its fitness for purpose and use in terms of providing epidemiological information to the general public as a target audience. However, to strengthen the Dutch health system’s ability to cope with upcoming phases of the COVID-19 pandemic or future public health emergencies, we advise (1) establishing timely indicators relating to health system capacity, (2) including relevant data disaggregation options (eg, sex, socioeconomic status), and (3) enabling interoperability between social, health, and economic data sources.
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Affiliation(s)
- Véronique L L C Bos
- Department of Public and Occupational Health, Amsterdam UMC, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Tessa Jansen
- Netherlands Institute for Health Services Research (Nivel), Utrecht, Netherlands
| | - Niek S Klazinga
- Department of Public and Occupational Health, Amsterdam UMC, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Dionne S Kringos
- Department of Public and Occupational Health, Amsterdam UMC, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
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Rosa WE, Catton H, Davidson PM, Hannaway CJ, Iro E, Klopper HC, Madigan EA, McConville FE, Stilwell B, Kurth AE. Nurses and Midwives as Global Partners to Achieve the Sustainable Development Goals in the Anthropocene. J Nurs Scholarsh 2021; 53:552-560. [PMID: 34060220 PMCID: PMC8717679 DOI: 10.1111/jnu.12672] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE To highlight ongoing and emergent roles of nurses and midwives in advancing the United Nations 17 Sustainable Development Goals by 2030 at the intersection of social and economic inequity, the climate crisis, interprofessional partnership building, and the rising status and visibility of the professions worldwide. DESIGN Discussion paper. METHODS Literature review. FINDINGS Realizing the Sustainable Development Goals will require all nurses and midwives to leverage their roles and responsibility as advocates, leaders, clinicians, scholars, and full partners with multidisciplinary actors and sectors across health systems. CONCLUSIONS Making measurable progress toward the Sustainable Development Goals is critical to human survival, as well as the survival of the planet. Nurses and midwives play an integral part of this agenda at local and global levels. CLINICAL RELEVANCE Nurses and midwives can integrate the targets of the Sustainable Development Goals into their everyday clinical work in various contexts and settings. With increased attention to social justice, environmental health, and partnership building, they can achieve exemplary clinical outcomes directly while contributing to the United Nations 2030 Agenda on a global scale and raising the profile of their professions.
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Affiliation(s)
- William E. Rosa
- Postdoctoral Research Fellow in Psycho-oncology, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Howard Catton
- Chief Executive Officer, International Council of Nurses, Geneva, Switzerland
| | - Patricia M. Davidson
- Dean & Professor, Johns Hopkins University School of Nursing, Baltimore, MD, USA
| | - Catherine J. Hannaway
- Global Health Consultant, Catherine Hannaway Associates Ltd., Ripon, North Yorkshire, England, United Kingdom
| | - Elizabeth Iro
- Chief Nursing Officer, World Health Organization, Geneva, Switzerland
| | - Hester C. Klopper
- Deputy Vice Chancellor: Strategy and Internationalisation, Professor, Global Health, FMHS, Stellenbosch University, Stellenbosch, South Africa
| | - Elizabeth A. Madigan
- Chief Executive Officer, Honor Society of Nursing, Sigma Theta Tau International, Indianapolis, IN, USA
| | | | - Barbara Stilwell
- Global Campaign Executive Director, Nursing Now, London, England, United Kingdom
| | - Ann E. Kurth
- Dean and Linda Koch Lorimer Professor of Nursing, Yale University School of Nursing, Orange, CT, USA
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Civitelli G, Tarsitani G, Censi V, Rinaldi A, Marceca M. Global health education for medical students in Italy. BMC MEDICAL EDUCATION 2021; 21:355. [PMID: 34167532 PMCID: PMC8222702 DOI: 10.1186/s12909-021-02792-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 06/10/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Global health education (GHE) in Italy has spread since the first decade of 21st century. The presence of global health (GH) courses in Italy was monitored from 2007 to 2013. In 2019, a new survey was proposed to assess the availability of educational opportunities in Italian medical schools. METHODS An online survey was carried out using a questionnaire administered to a network of interested individuals with different roles in the academic world: students, professors, and members of the Italian Network for Global Health Education. The features of courses were analysed through a score. RESULTS A total of 61 responses were received from affiliates of 33 out of the 44 medical schools in Italy. The national mean of GH courses for each faculty was 1.2, reflecting an increase from 2007. The courses increased nationwide, resulting in a dispersed GHE presence in northern, central and southern Italy. One of the most critical points was related to the nature of "elective" courses, which were not mandatory in the curricula. Enrollees tended to be students genuinely interested in GH issues. Some community and service-learning experiences, referred to as GH gyms, were also detected at national and international levels. CONCLUSIONS GHE has spreading in Italy in line with the vision of the Italian Network for Global Health Education. Although progress has been made to disperse GH courses around the country, more academic commitment is needed to include GH in the mandatory curricula of medical schools and other health faculties.
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Affiliation(s)
- Giulia Civitelli
- Public Health and Infectious Diseases Department, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
- Italian Network for Global Health Education (INGHE), Rome, Italy.
- Italian Society of Migration Medicine (SIMM - Società Italiana di Medicina delle Migrazioni), Rome, Italy.
- Caritas Medical Area, Rome, Italy.
| | - Gianfranco Tarsitani
- Public Health and Infectious Diseases Department, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy
- Italian Network for Global Health Education (INGHE), Rome, Italy
| | - Veronica Censi
- Public Health and Infectious Diseases Department, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy
- Italian Society of Migration Medicine (SIMM - Società Italiana di Medicina delle Migrazioni), Rome, Italy
| | - Alessandro Rinaldi
- Public Health and Infectious Diseases Department, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy
- Italian Network for Global Health Education (INGHE), Rome, Italy
- Italian Society of Migration Medicine (SIMM - Società Italiana di Medicina delle Migrazioni), Rome, Italy
| | - Maurizio Marceca
- Public Health and Infectious Diseases Department, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy
- Italian Network for Global Health Education (INGHE), Rome, Italy
- Italian Society of Migration Medicine (SIMM - Società Italiana di Medicina delle Migrazioni), Rome, Italy
- Italian Society of Medical Education (SIPEM - Società Italiana di Pedagogia Medica), Rome, Italy
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Bartolomucci A, Sapolsky RM. Psychosocial Risk Factors, Noncommunicable Diseases, and Animal Models for COVID-19. Biol Psychiatry 2021; 89:e67-e71. [PMID: 33487440 PMCID: PMC7748972 DOI: 10.1016/j.biopsych.2020.12.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 12/11/2020] [Indexed: 01/08/2023]
Affiliation(s)
- Alessandro Bartolomucci
- Department of Integrative Biology and Physiology, University of Minnesota, Minneapolis, Minnesota.
| | - Robert M. Sapolsky
- Department of Biology, Stanford University, Palo Alto, California,Department of Neurology, Stanford University, Palo Alto, California,Department of Neurosurgery, Stanford University, Palo Alto, California
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Adapting the environmental risk transition theory for urban health inequities: An observational study examining complex environmental riskscapes in seven neighborhoods in Global North cities. Soc Sci Med 2021; 277:113907. [PMID: 33882438 DOI: 10.1016/j.socscimed.2021.113907] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 12/18/2020] [Accepted: 04/01/2021] [Indexed: 11/21/2022]
Abstract
Theories of epidemiologic transition analyze the shift in causes of mortality due to changes in risk factors over time, and through processes of urbanization and development by comparing risk factors between countries or over time. These theories do not account for health inequities such as those resulting from environmental injustice, in which minority and lower income residents are more likely to be exposed to environmental hazards or have less access to environmental goods. Neighborhoods with histories of environmental injustice are also at risk for gentrification as they undergo environmental improvements and new greening projects. We aimed to understand how environmental injustice, urban renewal and green gentrification could inform the understanding of epidemiologic risk transitions. We examined 7 case neighborhoods in cities in the United States and Western Europe which were representative in terms of city region and type, which 1) had experienced a history of environmental injustice and 2) exhibited evidence of recent processes of urban renewal and/or gentrification. In each city, we conducted semi-structured qualitative interviews (n = 172) with city representatives, activists, non-profits, developers and residents. Respondents reported health implications of traditional (heavy pollutants, poor social conditions), transitional (decontamination, new amenities), new (gentrification, access to amenities), and emerging (displacement, climate-related risks, re-emergence of traditional exposures) exposures. Respondents reported renewed, complexified and overlapping exposures leading to poor mental and physical health and to new patterns of health inequity. Our findings point to the need for theories of environmental and epidemiologic risk transitions to incorporate analysis of trends 1) on a city-scale, acknowledging that segregation and patterns of environmental injustice have created unequal conditions within cities and 2) over a shorter and more recent time period, taking into account worsening patterns of social inequity in cities.
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Rosa WE, Dahlin C, Battista V, Finlayson CS, Wisniewski RE, Greer K, Ferrell BR. Primary Palliative Care Clinical Implications: Oncology Nursing During the COVID-19 Pandemic. Clin J Oncol Nurs 2021; 25:119-125. [PMID: 33739351 PMCID: PMC8219217 DOI: 10.1188/21.cjon.119-125] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The COVID-19 pandemic continues to affect the health and well-being of individuals and communities worldwide. Patients with cancer are particularly vulnerable to experiencing serious health-related suffering from COVID-19. This requires oncology nurses in inpatient and clinic settings to ensure the delivery of primary palliative care while considering the far-reaching implications of this public health crisis. With palliative care skills fully integrated into oncology nursing practice, health organizations and cancer centers will be better equipped to meet the holistic needs of patients with cancer and their families receiving care for serious illness, including improved attention to physical, psychosocial, cultural, spiritual, and ethical considerations.
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Breaking Down and Building Up: Gentrification, Its drivers, and Urban Health Inequality. Curr Environ Health Rep 2021; 8:157-166. [PMID: 33713334 PMCID: PMC7955692 DOI: 10.1007/s40572-021-00309-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2021] [Indexed: 12/27/2022]
Abstract
Purpose of Review Many neighborhoods which have been unjustly impacted by histories of uneven urban development, resulting in socioeconomic and racial segregation, are now at risk for gentrification. As urban renewal projects lead to improvements in the long-neglected built environments of such neighborhoods, accompanying gentrification processes may lead to the displacement of or exclusion of underprivileged residents from benefiting from new amenities and improvements. In addition, gentrification processes may be instigated by various drivers. We aimed to discuss the implications of specific types of gentrification, by driver, for health equity. Recent Findings Several recent articles find differential effects of gentrification on the health of underprivileged residents of gentrifying neighborhoods compared to those with greater privilege (where sociodemographic dimensions such as race or socioeconomic status are used as a proxy for privilege). Generally, studies show that gentrification may be beneficial for the health of more privileged residents while harming or not benefiting the health of underprivileged residents. Very recent articles have begun to test hypothesized pathways by which urban renewal indicators, gentrification, and health equity are linked. Few public health articles to date are designed to detect distinct impacts of specific drivers of gentrification. Summary Using a case example, we hypothesize how distinct drivers of gentrification—specifically, retail gentrification, environmental gentrification, climate gentrification, studentification, tourism gentrification, and health care gentrification—may imply specific pathways toward reduced health equity. Finally, we discuss the challenges faced by researchers in assessing the health impacts of gentrification.
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Towards safe drinking water and clean cooking for all. LANCET GLOBAL HEALTH 2021; 9:e361-e365. [DOI: 10.1016/s2214-109x(20)30476-9] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 10/09/2020] [Accepted: 10/23/2020] [Indexed: 12/17/2022]
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Cazzolla Gatti R, Menéndez LP, Laciny A, Bobadilla Rodríguez H, Bravo Morante G, Carmen E, Dorninger C, Fabris F, Grunstra NDS, Schnorr SL, Stuhlträger J, Villanueva Hernandez LA, Jakab M, Sarto-Jackson I, Caniglia G. Diversity lost: COVID-19 as a phenomenon of the total environment. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 756:144014. [PMID: 33279199 DOI: 10.1016/j.scitotenv.2020.144014] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Revised: 11/12/2020] [Accepted: 11/15/2020] [Indexed: 05/18/2023]
Abstract
If we want to learn how to deal with the COVID-19 pandemic, we have to embrace the complexity of this global phenomenon and capture interdependencies across scales and contexts. Yet, we still lack systematic approaches that we can use to deal holistically with the pandemic and its effects. In this Discussion, we first introduce a framework that highlights the systemic nature of the COVID-19 pandemic from the perspective of the total environment as a self-regulating and evolving system comprising of three spheres, the Geosphere, the Biosphere, and the Anthroposphere. Then, we use this framework to explore and organize information from the rapidly growing number of scientific papers, preprints, preliminary scientific reports, and journalistic pieces that give insights into the pandemic crisis. With this work, we point out that the pandemic should be understood as the result of preconditions that led to depletion of human, biological, and geochemical diversity as well as of feedback that differentially impacted the three spheres. We contend that protecting and promoting diversity, is necessary to contribute to more effective decision-making processes and policy interventions to face the current and future pandemics.
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Affiliation(s)
- Roberto Cazzolla Gatti
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Biological Institute, Tomsk State University, Tomsk, Russia.
| | - Lumila Paula Menéndez
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Department of Anthropology of the Americas, University of Bonn, Bonn, Germany
| | - Alice Laciny
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Entomology Collection, Natural History Museum Vienna, Vienna, Austria
| | - Hernán Bobadilla Rodríguez
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Department of Philosophy, University of Vienna, Vienna, Austria
| | - Guillermo Bravo Morante
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Department of Legal Medicine, Toxicology and Physical Anthropology, University of Granada, Granada, Spain
| | - Esther Carmen
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Department of Environment and Geography, University of York, UK
| | - Christian Dorninger
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria
| | - Flavia Fabris
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria
| | - Nicole D S Grunstra
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Department of Evolutionary Biology, University of Vienna, Vienna, Austria; Mammal Collection, Natural History Museum Vienna, Vienna, Austria
| | - Stephanie L Schnorr
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Department of Anthropology, University of Nevada, Las Vegas, Las Vegas, NV, USA
| | - Julia Stuhlträger
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria; Department of Human Evolution, Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany
| | | | - Manuel Jakab
- Department for Academic Communication, Sigmund Freud University, Vienna, Austria
| | | | - Guido Caniglia
- Konrad Lorenz Institute for Evolution and Cognition Research, Klosterneuburg, Austria
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Kozlowska K, Chudleigh C, McClure G, Maguire AM, Ambler GR. Attachment Patterns in Children and Adolescents With Gender Dysphoria. Front Psychol 2021; 11:582688. [PMID: 33510668 PMCID: PMC7835132 DOI: 10.3389/fpsyg.2020.582688] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 11/25/2020] [Indexed: 01/18/2023] Open
Abstract
The current study examines patterns of attachment/self-protective strategies and rates of unresolved loss/trauma in children and adolescents presenting to a multidisciplinary gender service. Fifty-seven children and adolescents (8.42–15.92 years; 24 birth-assigned males and 33 birth-assigned females) presenting with gender dysphoria participated in structured attachment interviews coded using dynamic-maturational model (DMM) discourse analysis. The children with gender dysphoria were compared to age- and sex-matched children from the community (non-clinical group) and a group of school-age children with mixed psychiatric disorders (mixed psychiatric group). Information about adverse childhood experiences (ACEs), mental health diagnoses, and global level of functioning was also collected. In contrast to children in the non-clinical group, who were classified primarily into the normative attachment patterns (A1-2, B1-5, and C1-2) and who had low rates of unresolved loss/trauma, children with gender dysphoria were mostly classified into the high-risk attachment patterns (A3-4, A5-6, C3-4, C5-6, and A/C) (χ2 = 52.66; p < 0.001) and had a high rate of unresolved loss/trauma (χ2 = 18.64; p < 0.001). Comorbid psychiatric diagnoses (n = 50; 87.7%) and a history of self-harm, suicidal ideation, or symptoms of distress were also common. Global level of functioning was impaired (range 25–95/100; mean = 54.88; SD = 15.40; median = 55.00). There were no differences between children with gender dysphoria and children with mixed psychiatric disorders on attachment patterns (χ2 = 2.43; p = 0.30) and rates of unresolved loss and trauma (χ2 = 0.70; p = 0.40). Post hoc analyses showed that lower SES, family constellation (a non-traditional family unit), ACEs—including maltreatment (physical abuse, sexual abuse, emotional abuse, neglect, and exposure to domestic violence)—increased the likelihood of the child being classified into a high risk attachment pattern. Akin to children with other forms of psychological distress, children with gender dysphoria present in the context of multiple interacting risk factors that include at-risk attachment, unresolved loss/trauma, family conflict and loss of family cohesion, and exposure to multiple ACEs.
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Affiliation(s)
- Kasia Kozlowska
- Department of Psychological Medicine, The Children's Hospital at Westmead, Westmead, NSW, Australia.,Discipline of Child and Adolescent Health, University of Sydney Medical School, Darlington, NSW, Australia
| | - Catherine Chudleigh
- Department of Psychological Medicine, The Children's Hospital at Westmead, Westmead, NSW, Australia
| | - Georgia McClure
- Department of Psychological Medicine, The Children's Hospital at Westmead, Westmead, NSW, Australia
| | - Ann M Maguire
- Discipline of Child and Adolescent Health, University of Sydney Medical School, Darlington, NSW, Australia.,Department of Endocrinology, The Children's Hospital at Westmead, Westmead, NSW, Australia
| | - Geoffrey R Ambler
- Discipline of Child and Adolescent Health, University of Sydney Medical School, Darlington, NSW, Australia.,Department of Endocrinology, The Children's Hospital at Westmead, Westmead, NSW, Australia
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Kowal P, Tun MN, Leik SK, Rocco I. Contributions of Social Networks to Health and Care Services in Myanmar’s Older Adult Population: 2012 Myanmar Aging Study. Health (London) 2021. [DOI: 10.4236/health.2021.1312109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Ager W, El Chammay R, Lechner J, Ventevogel P, Vijayakumar L. Displaced, Dispossessed and Silenced: The Need for Suicide Prevention and Response for Conflict-affected Populations. INTERVENTION 2021. [DOI: 10.4103/intv.intv_24_21] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Wong PWC. Potential changes to the hikikimori phenomenon in the wake of the Covid-19 pandemic. Asian J Psychiatr 2020; 54:102288. [PMID: 32682300 PMCID: PMC7352106 DOI: 10.1016/j.ajp.2020.102288] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 07/02/2020] [Accepted: 07/03/2020] [Indexed: 11/16/2022]
Affiliation(s)
- Paul W C Wong
- Department of Social Work and Social Administration, The University of Hong Kong, Room 511, JC Teaching Tower, Pokfulam, Hong Kong, China
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Excess mortality in the first COVID pandemic peak: cross-sectional analyses of the impact of age, sex, ethnicity, household size, and long-term conditions in people of known SARS-CoV-2 status in England. Br J Gen Pract 2020; 70:e890-e898. [PMID: 33077508 PMCID: PMC7575407 DOI: 10.3399/bjgp20x713393] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 09/20/2020] [Indexed: 12/23/2022] Open
Abstract
Background The SARS-CoV-2 pandemic has passed its first peak in Europe. Aim To describe the mortality in England and its association with SARS-CoV-2 status and other demographic and risk factors. Design and setting Cross-sectional analyses of people with known SARS-CoV-2 status in the Oxford RCGP Research and Surveillance Centre (RSC) sentinel network. Method Pseudonymised, coded clinical data were uploaded from volunteer general practice members of this nationally representative network (n = 4 413 734). All-cause mortality was compared with national rates for 2019, using a relative survival model, reporting relative hazard ratios (RHR), and 95% confidence intervals (CI). A multivariable adjusted odds ratios (OR) analysis was conducted for those with known SARS-CoV-2 status (n = 56 628, 1.3%) including multiple imputation and inverse probability analysis, and a complete cases sensitivity analysis. Results Mortality peaked in week 16. People living in households of ≥9 had a fivefold increase in relative mortality (RHR = 5.1, 95% CI = 4.87 to 5.31, P<0.0001). The ORs of mortality were 8.9 (95% CI = 6.7 to 11.8, P<0.0001) and 9.7 (95% CI = 7.1 to 13.2, P<0.0001) for virologically and clinically diagnosed cases respectively, using people with negative tests as reference. The adjusted mortality for the virologically confirmed group was 18.1% (95% CI = 17.6 to 18.7). Male sex, population density, black ethnicity (compared to white), and people with long-term conditions, including learning disability (OR = 1.96, 95% CI = 1.22 to 3.18, P = 0.0056) had higher odds of mortality. Conclusion The first SARS-CoV-2 peak in England has been associated with excess mortality. Planning for subsequent peaks needs to better manage risk in males, those of black ethnicity, older people, people with learning disabilities, and people who live in multi-occupancy dwellings.
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Fusar-Poli P, Lai S, Di Forti M, Iacoponi E, Thornicroft G, McGuire P, Jauhar S. Early Intervention Services for First Episode of Psychosis in South London and the Maudsley (SLaM): 20 Years of Care and Research for Young People. Front Psychiatry 2020; 11:577110. [PMID: 33329115 PMCID: PMC7732476 DOI: 10.3389/fpsyt.2020.577110] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Accepted: 09/24/2020] [Indexed: 01/01/2023] Open
Abstract
Introduction: Early Intervention for a first episode of Psychosis (EI) is essential to improve outcomes. There is limited research describing real-world implementation of EI services. Method: Analysis of service characteristics, outcomes (described through a retrospective 2007-2017 Electronic Health Record (EHR) cohort study) and clinical research relating to the first 20 years of implementation of EI services in South London and Maudsley (SLaM) Trust. Results: SLaM EI are standalone services serving 443,050 young individuals in South-London, where (2017) incidence of psychosis (58.3-71.9 cases per 100,000 person-years) is greater than the national average. From 2007-2017 (when the EHR was established), 1,200 individuals (62.67% male, mean age 24.38 years, 88.17% single; two-thirds of non-white ethnicity) received NICE-compliant EI care. Pathways to EI services came mainly (75.26%) through inpatient (39.83%) or community (19.33%) mental health services or Accident and Emergency departments (A&E) (16%). At 6 year follow-up 34.92% of patients were still being prescribed antipsychotics. The 3 month and 6 year cumulative proportions of those receiving clozapine were 0.75 and 7.33%; those compulsorily admitted to psychiatric hospitals 26.92 and 57.25%; those admitted to physical health hospitals 6.83 and 31.17%, respectively. Average 3 months and 6 year days spent in hospital were 0.82 and 1.85, respectively; mean 6 year attendance at A&E was 3.01. SLaM EI clinical research attracted £58 million grant income and numerous high-impact scientific publications. Conclusions: SLaM EI services represent one of the largest, most established services of its kind, and are a leading model for development of similar services in the UK and worldwide.
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Affiliation(s)
- Paolo Fusar-Poli
- Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
- OASIS Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Serena Lai
- COAST Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Marta Di Forti
- LEO Early Intervention in Psychosis Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom
- Department of Social Genetics and Developmental Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Eduardo Iacoponi
- LEO Early Intervention in Psychosis Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom
| | - Graham Thornicroft
- LEO Early Intervention in Psychosis Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom
- Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
- Centre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Philip McGuire
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Sameer Jauhar
- COAST Service, South London and Maudsley NHS Foundation Trust, London, United Kingdom
- Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
- Centre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
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Abstract
COVID-19 is a disease with no proven pharmaceutical intervention and no proven vaccine. In such circumstances, prevention is all we have. The role of handwashing in the prevention of communicable diseases has been known for over a century, yet it remains severely neglected as a public health investment, to be periodically re-discovered during pandemic-scale infections. Over 26% of the global population has no access to a handwashing station in the home; for many low-income countries this proportion rises to over 50%. In other instances, the water is unaffordable or the supply has been shut off on account of unpaid bills. But when there is no water in the home or yard, or no mechanism for delivering enough water, good hand-washing is extremely difficult. Well before COVID-19, global cost-benefit analyses of water and sanitation investments, with benefits measured in time-savings as well as health, showed significant net benefits in all sub-regions of the developing world. This Viewpoint paper argues that, in the current crisis and its aftermath, it is imperative for governments and donors to prioritize and generously fund affordable, reliable, and accessible water services in underserved regions of the world. More than ever before, this is a foundational investment for health, dignity and development.
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Affiliation(s)
- Isha Ray
- Energy & Resources Group, 310 Barrows Hall #3050, UC Berkeley, Berkeley, CA 94720, USA
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Horta BL, Silveira MF, Barros AJD, Barros FC, Hartwig FP, Dias MS, Menezes AMB, Hallal PC, Victora CG. Prevalence of antibodies against SARS-CoV-2 according to socioeconomic and ethnic status in a nationwide Brazilian survey. Rev Panam Salud Publica 2020; 44:e135. [PMID: 33165337 PMCID: PMC7595003 DOI: 10.26633/rpsp.2020.135] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVES To investigate socioeconomic and ethnic group inequalities in prevalence of antibodies against SARS-CoV-2 in the 27 federative units of Brazil. METHODS In this cross-sectional study, three household surveys were carried out on May 14-21, June 4-7, and June 21-24, 2020 in 133 Brazilian urban areas. Multi-stage sampling was used to select 250 individuals in each city to undergo a rapid antibody test. Subjects answered a questionnaire on household assets, schooling and self-reported skin color/ethnicity using the standard Brazilian classification in five categories: white, black, brown, Asian or indigenous. Principal component analyses of assets was used to classify socioeconomic position into five wealth quintiles. Poisson regression was used for the analyses. RESULTS 25 025 subjects were tested in the first, 31 165 in the second, and 33 207 in the third wave of the survey, with prevalence of positive results equal to 1.4%, 2.4%, and 2.9% respectively. Individuals in the poorest quintile were 2.16 times (95% confidence interval 1.86; 2.51) more likely to test positive than those in the wealthiest quintile, and those with 12 or more years of schooling had lower prevalence than subjects with less education. Indigenous individuals had 4.71 (3.65; 6.08) times higher prevalence than whites, as did those with black or brown skin color. Adjustment for region of the country reduced the prevalence ratios according to wealth, education and ethnicity, but results remained statistically significant. CONCLUSIONS The prevalence of antibodies against SARS-CoV-2 in Brazil shows steep class and ethnic gradients, with lowest risks among white, educated and wealthy individuals.
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Affiliation(s)
- Bernardo L Horta
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Mariângela F Silveira
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Aluísio J D Barros
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Fernando C Barros
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Fernando P Hartwig
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Mariane S Dias
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Ana M B Menezes
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Pedro C Hallal
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
| | - Cesar G Victora
- Universidade Federal de PelotasPelotasBrazilUniversidade Federal de Pelotas, Pelotas, Brazil
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Dai R, Spector A, Wong G. e-Mental health care for people living with dementia: A lesson on digital equality from COVID-19. ALZHEIMER'S & DEMENTIA (AMSTERDAM, NETHERLANDS) 2020; 12:e12100. [PMID: 33072845 PMCID: PMC7546341 DOI: 10.1002/dad2.12100] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 08/04/2020] [Indexed: 01/10/2023]
Affiliation(s)
- Ruizhi Dai
- Faculty of Social Sciences University of Hong Kong Hong Kong Hong Kong
| | - Aimee Spector
- Department of Clinical Educational and Health Psychology University College London London UK
| | - Gloria Wong
- Department of Social Work and Social Administration University of Hong Kong Hong Kong Hong Kong.,Sau Po Centre on Ageing University of Hong Kong Hong Kong Hong Kong.,Hong Kong Alzheimer's Disease Association Hong Kong Hong Kong
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Nicodemo C, Barzin S, Cavalli N, Lasserson D, Moscone F, Redding S, Shaikh M. Measuring geographical disparities in England at the time of COVID-19: results using a composite indicator of population vulnerability. BMJ Open 2020; 10:e039749. [PMID: 32994257 PMCID: PMC7526277 DOI: 10.1136/bmjopen-2020-039749] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVES The growth of COVID-19 infections in England raises questions about system vulnerability. Several factors that vary across geographies, such as age, existing disease prevalence, medical resource availability and deprivation, can trigger adverse effects on the National Health System during a pandemic. In this paper, we present data on these factors and combine them to create an index to show which areas are more exposed. This technique can help policy makers to moderate the impact of similar pandemics. DESIGN We combine several sources of data, which describe specific risk factors linked with the outbreak of a respiratory pathogen, that could leave local areas vulnerable to the harmful consequences of large-scale outbreaks of contagious diseases. We combine these measures to generate an index of community-level vulnerability. SETTING 91 Clinical Commissioning Groups (CCGs) in England. MAIN OUTCOME MEASURES We merge 15 measures spatially to generate an index of community-level vulnerability. These measures cover prevalence rates of high-risk diseases; proxies for the at-risk population density; availability of staff and quality of healthcare facilities. RESULTS We find that 80% of CCGs that score in the highest quartile of vulnerability are located in the North of England (24 out of 30). Here, vulnerability stems from a faster rate of population ageing and from the widespread presence of underlying at-risk diseases. These same areas, especially the North-East Coast areas of Lancashire, also appear vulnerable to adverse shocks to healthcare supply due to tighter labour markets for healthcare personnel. Importantly, our index correlates with a measure of social deprivation, indicating that these communities suffer from long-standing lack of economic opportunities and are characterised by low public and private resource endowments. CONCLUSIONS Evidence-based policy is crucial to mitigate the health impact of pandemics such as COVID-19. While current attention focuses on curbing rates of contagion, we introduce a vulnerability index combining data that can help policy makers identify the most vulnerable communities. We find that this index is positively correlated with COVID-19 deaths and it can thus be used to guide targeted capacity building. These results suggest that a stronger focus on deprived and vulnerable communities is needed to tackle future threats from emerging and re-emerging infectious disease.
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Affiliation(s)
- Catia Nicodemo
- Nuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK
- CHSEO, University of Oxford, Oxford, UK
| | - Samira Barzin
- Mathematical Institute, Oxford University, Oxford, UK
- Oxford Martin School, Unviersity of Oxford, Oxford, UK
| | - Nicolo' Cavalli
- Nuffield College, University of Oxford, Oxford, UK
- Bocconi Unviersity, Milan, Italy
| | - Daniel Lasserson
- Institute of Applied Health Research, University of Birmingham, Birmingham, UK
| | - Francesco Moscone
- Brunel University of London, London, UK
- Department of Economics, Università Ca' Foscari Venezia, Venice, Italy
| | - Stuart Redding
- Nuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UK
- CHSEO, University of Oxford, Oxford, UK
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Affiliation(s)
- Richard G Watt
- Department of Epidemiology and Public Health, University College London, London WC1E 6BT, UK.
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45
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Rippon S, Bagnall AM, Gamsu M, South J, Trigwell J, Southby K, Warwick-Booth L, Coan S, Woodward J. Towards transformative resilience: community, neighbourhood and system responses during the COVID-19 pandemic. ACTA ACUST UNITED AC 2020. [DOI: 10.1080/23748834.2020.1788321] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Simon Rippon
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Anne-Marie Bagnall
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Mark Gamsu
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Jane South
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Joanne Trigwell
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Kris Southby
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Louise Warwick-Booth
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Susan Coan
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
| | - Jenny Woodward
- Centre for Health Promotion Research, School of Health and Community Studies, Leeds Beckett University, Leeds, UK
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Scambler G. Covid-19 as a 'breaching experiment': exposing the fractured society. HEALTH SOCIOLOGY REVIEW : THE JOURNAL OF THE HEALTH SECTION OF THE AUSTRALIAN SOCIOLOGICAL ASSOCIATION 2020; 29:140-148. [PMID: 33411650 DOI: 10.1080/14461242.2020.1784019] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
In this brief paper, I argue that the coronavirus pandemic is functioning like an ethnomethodological 'breaching experiment'. In short, it is putting a gigantic spanner in the works of neoliberal governance, in the process exposing the widening cracks and fissures of what I have called the 'fractured society'. I begin by recalling Garfinkel's notion of the breaching experiment and by listing the principal attributes of the fractured society. I then explore the response to the coronavirus in the UK, from the government's initial commitment to 'herd immunity' to its present policy of 'muddling through'. The bulk of the remainder of this contribution addresses precisely how this global health crisis shines a harsh and unforgiving searchlight on the strategies and policies pursued by governments in the UK since 2010, and most especially after the passing of the Health and Social Care Act of 2012. In the closing paragraphs, I examine possible scenarios for a post-fractured society, making particular use of Fraser's concepts on 'reactionary' versus 'progressive populism', and conclude with a comment on sociology and engagement.
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Affiliation(s)
- Graham Scambler
- Sociology, University College London, London, UK
- Sociology, Surrey University, Guildford, UK
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Wong PW, Lam Y, Lau JS, Fok H. The Resilience of Social Service Providers and Families of Children With Autism or Development Delays During the COVID-19 Pandemic-A Community Case Study in Hong Kong. Front Psychiatry 2020; 11:561657. [PMID: 33551857 PMCID: PMC7862762 DOI: 10.3389/fpsyt.2020.561657] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 12/15/2020] [Indexed: 12/15/2022] Open
Abstract
Background: Hong Kong is one of the earliest cities to have hampered by the COVID-19. When preventive public health measures are enforced, specific groups, who have already been facing inequality before the outbreak, are likely to become more overlooked and vulnerable. Aim: This community case study aims to describe the additional needs of families of children with autism spectrum disorder and other developmental issues, as well as unexpected difficulties and challenges social service professionals encountered when delivering service and their solutions toward these challenges. Methods: A focus group with 10 professionals providing the Caregiver Skills Training Program was conducted. Results: Poor families of vulnerable children were found to be challenged, more than average, in finding daily necessities during the initial stage of the outbreak. Most vulnerable children displayed additional problematic behaviors and emotional problems during the quarantine. The social service professionals addressed the family needs by providing tangible resources and offering online training, workshops, and programs to meet their needs. Several important lessons were learned. First, technology know-how on conducting online training, workshop, and program could be a challenge to some social service professionals and the parents. Second, the professionals reported that they made huge efforts to produce guidelines in protecting services users' privacy, to equip themselves with necessary skills in executing privacy-protection measures, and to keep exploring for safer alternatives. Third, providing tele-services in online mode represented a different interaction pattern between social service professionals and service users, especially in the recruitment processes and group dynamics. Conclusion: In comparison with other cities, Hong Kong has responded to the COVID-19 efficiently and effectively based on the citizen's strict adherence to behavioral advice and the innovative altruistic efforts from the multi-sectors in the community.
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Affiliation(s)
- Paul Waiching Wong
- The Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.,The Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China
| | - Yanyin Lam
- The Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China
| | - Janet Siuping Lau
- The Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China
| | - Hungkit Fok
- The Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China
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