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Zahry NR, Ling J, Robbins LB. Mental health and lifestyle behavior changes during COVID-19 among families living in poverty: A descriptive phenomenological study. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2024; 37:e12447. [PMID: 38404002 DOI: 10.1111/jcap.12447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 10/25/2023] [Accepted: 12/20/2023] [Indexed: 02/27/2024]
Abstract
PROBLEM Families living in poverty may be particularly vulnerable to the deleterious effects of the coronavirus disease (COVID-19). The current study focuses on caregivers of preschoolers aged 3-5 years old who lived in poverty to explore how COVID-19 affected mental health and lifestyle behaviors and what coping strategies were helpful for dealing with challenges induced by COVID-19. METHODS A qualitative study was conducted using individual semi-structured interviews with 17 caregivers. FINDINGS Both caregivers and preschoolers experienced high levels of stress, anxiety, and depression and reported unhealthy eating habits and excessive screen time. Physical activity increased in preschoolers, but declined among caregivers during COVID-19. Caregivers' coping strategies included taking short walks, seeking professional and social support, and praying; avoidant caregiver coping strategies including eating when stressed and increased screen time. CONCLUSIONS Future interventions are warranted to empower caregivers who live in poverty with the skills needed to maintain optimal physical and mental health, as well as assisting them to cope with challenges that may continue post-COVID-19.
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Affiliation(s)
- Nagwan R Zahry
- Department of Communication, University of Tennessee at Chattanooga, Chattanooga, Tennessee, USA
| | - Jiying Ling
- Michigan State University College of Nursing, East Lansing, Michigan, USA
| | - Lorraine B Robbins
- Michigan State University College of Nursing, East Lansing, Michigan, USA
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Peng S, Yang T, Zhang W, Cottrell RR. Temporal changes in mental response and prevention patterns, and their impact from uncertainty stress during the transition in China from the COVID-19 epidemic to sporadic infection. Heliyon 2023; 9:e19090. [PMID: 37636345 PMCID: PMC10450966 DOI: 10.1016/j.heliyon.2023.e19090] [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] [Received: 03/20/2023] [Revised: 08/07/2023] [Accepted: 08/10/2023] [Indexed: 08/29/2023] Open
Abstract
An epidemic of a highly lethal disease can overwhelm people emotionally and physically. Little is known about how public mental and preventive patterns changed during the transition from the COVID-19 epidemic to sporadic infection. This study examined changing trends of metal response and behavioral variables, and their impact from uncertainty stress in this process in China. A prospective longitudinal observation design was utilized. There were 7 waves of surveys from COVID-19 epidemic status to the sporadic infection period. Sixty-two participants completed all observation points and were included in the study. The Mann-Kendall Test was used to assess changing trends across the seven observation points. The nonparametric linear mixed effects model was used to examine the association between uncertainty stress and mental and behavioral responses. The mean uncertainty stress did not change significantly over the observation period (Z: -0.911, p > 0.05). This trend was also true for perceived risk, perceived severity, self-efficacy for prevention, and prevention behavior. There was a statistically significant downward trend in irrational beliefs about prevention (Z: -4.993, p < 0.01), sleep (Z: -2.499, p < 0.05), emotions (Z: -5.650, p < 0.01), and lifestyle (Z: -5.978, p < 0.01). The results showed that uncertainty stress was positively associated with irrational beliefs (β: 0.16298, p < 0.01), their sleep (β: 0.02070, p < 0.05), emotions (β: 0.03462, p < 0.01), and lifestyle (β: 0.02056, p < 0.05). High levels of uncertainty stress were negatively associated with self-efficacy for prevention and prevention behavior, β was -1.33210 (p < 0.01) and -0.82742 (p < 0.01). These results may have important policy and disease prevention in post-epidemic times.
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Affiliation(s)
- Sihui Peng
- School of Medicine, Jinan University, Guangzhou, China, No. 601 Huangpudadaoxi, Guangzhou, 510632, China
| | - Tingzhong Yang
- Women's Hospital/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou, No. 1 Xueshi Road, Hangzhou, 310006, China
- Injury Control Research Center, West Virginia University, Morgantown, 886 Chestnut Ridge Road, Morgantown, WV, 26506, United States
| | - Weifang Zhang
- The Affiliated Hospital of Stomatology, Zhejiang University School of Medicine, Hangzhou, No. 166 Qiutao North Road, Hangzhou, 310016, China
| | - Randall R. Cottrell
- Public Health Program, University of North Carolina Wilmington, Wilmington, NC, United States, 601 S. College Road, Wilmington, NC, 28403, United States
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Pu L, Chen X, Jiang L, Zhang H. Spatiotemporal Characteristics of Coupling and Coordination of Cultural Tourism and Objective Well-Being in Western China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:650. [PMID: 36612972 PMCID: PMC9819302 DOI: 10.3390/ijerph20010650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Revised: 12/23/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
A supply of high-quality cultural tourism products effectively promotes people's happiness. This study takes the coupling and coordination relationship between cultural tourism (CT) and objective well-being (OWB) in western China as the research object and constructs an index evaluation system for the development levels of cultural tourism and objective welfare, which are divided into three development stages of dysfunctional, transitional, and coordinated development and 10 coordination levels, including high-quality coordination. The entropy weight method, coupled coordination model, Thiel index, standard deviation, and coefficient of variation were used to calculate the comprehensive development index and coupling coordination degree of the CT and OWB systems in western China from 2007 to 2020, and then their evolution characteristics were analyzed from the perspectives of time and space. The results show the following: (1) The comprehensive development capacity of the CT and OWB systems in the western region shows a relatively consistent growth trend except for 2020, the overall development capacity of objective welfare was relatively high, and the development capacity of cultural tourism was relatively low. (2) The CT and OWB systems were in a state of transition from high coupling and low coordination to high coupling and high coordination, which were divided into three development stages: imbalanced stage (2007-2008), transitional stage (2009-2011), and coordinated development (2012-2020). The coordination degree has developed steadily from moderate misalignment to good coordination over time, and the diversified characteristics of coupling coordination levels are obvious. (3) The spatial equilibrium of the CT and OWB systems is obvious, and the spatial difference in the western region is getting smaller, but the relative gap is widening significantly. (4) The comprehensive development capacity of the cultural tourism system should be enhanced, the spiritual needs of residents based on objective well-being should be met, and the sustainable development of the CT and OWB systems.
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Affiliation(s)
- Lili Pu
- College of Earth and Environmental Sciences, Lanzhou University, Lanzhou 730000, China
| | - Xingpeng Chen
- College of Earth and Environmental Sciences, Lanzhou University, Lanzhou 730000, China
- Institute of County Economic Development & Rural Revitalization Strategy, Lanzhou University, Lanzhou 730000, China
| | - Li Jiang
- College of Earth and Environmental Sciences, Lanzhou University, Lanzhou 730000, China
- Tourism College, Qinghai Normal University, Xining 810000, China
| | - Hang Zhang
- College of Earth and Environmental Sciences, Lanzhou University, Lanzhou 730000, China
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