Looking Through the COVID-19 Window of Opportunity: Future Scenarios Arising From the COVID-19 Pandemic Across Five Case Study Sites

Substance use disorders and COVID-19: reflections on international research and practice changes during the "poly-crisis"

Since March 2020, the COVID-19 pandemic has had a disproportionately high toll on vulnerable populations, coinciding with increased prevalence of alcohol-and drug-related deaths and pre-existing societal issues such as rising income inequality and homelessness. This poly-crisis has posed unique challenges to service delivery for people with substance use disorders, and innovative approaches have emerged. In this Perspectives paper we reflect on the poly-crisis and the changes to research and practice for those experiencing substance use disorders, following work undertaken as part of the InterGLAM project (part of the 2022. Lisbon Addictions conference). The authors, who were part of an InterGLAM working group, identified a range of creative and novel responses by gathering information from conference attendees about COVID-19-related changes to substance use disorder treatment in their countries. In this paper we describe these responses across a range of countries, focusing on changes to telehealth, provision of medications for opioid use disorder and alcohol harm reduction, as well as changes to how research was conducted. Implications include better equity in access to technology and secure data systems; increased prescribed safer supply in countries where this currently does not exist; flexible provision of medication for opioid use disorder; scale up of alcohol harm reduction for people with alcohol use disorders; greater involvement of people with lived/living experience in research; and additional support for research in low- and middle-income countries. The COVID-19 pandemic has changed the addictions field and there are lessons for ongoing and emerging crises.

Influence of mental health on the well-being status among Malaysian adults before and during COVID-19 pandemic

The coronavirus disease (COVID-19) pandemic has affected the well-being of individuals worldwide. Due to the scarcity of information in the Malaysian context, this study aimed at investigating the changes in well-being before and during the Movement Control Order (MCO) in Malaysia and its association with mental health status. This cross-sectional study was part of a Malaysian non-probabilistic online survey on psychosocial well-being in Malaysia, under the Personal and Family Coping with COVID-19 Global South Research Consortium. A total of 543 respondents (≥18 years old) were recruited using snowball sampling. A validated self-administered questionnaire for assessing sociodemographic characteristics, well-being, anxiety, boredom, and loneliness was circulated on social media platforms (such as Facebook, Twitter, and WhatsApp) and emails. Paired samples t-test, chi-square test, and multinomial logistic regression analyses were applied during data analysis. Results revealed significant changes in the mean scores of well-being, anxiety, boredom, and loneliness before and during MCO (p < 0.05). When comparing with no change in the well-being group, changes in boredom were less likely to be observed in the decreased well-being group (Adj OR = 0.874; p = 0.003) but were more likely to be observed in the group with increased well-being (Adj OR = 1.110; p = 0.002). The findings indicated that the pandemic did not necessarily create adverse effects. Instead, a different perspective is offered, which can be used as a public health strategy to help individuals cope with their mental health needs more positively.

Modeling Key Strategies for Reducing Socio-Economic and Health Crisis: Perspective from COVID-19 Pandemic

The pandemic outbreak has dramatically changed every sector and walk of life. Specifically, the developing countries with scarce resources are facing unprecedented crises that further jeopardize efforts to achieve sustainable life. Considering the case of a developing country, Pakistan, this study empirically identifies the most important strategies to reduce the socio-economic and health challenges during COVID-19. Initially, the study identified 14 key strategies from the prior literature. Later, these strategies were determined with the help of the interpretive structural modeling (ISM) approach through expert suggestions. The ISM model represents seven levels of pandemic containment strategies based on their significance level. The strategies existing at the top level of ISM model are the least important, while the strategies at the bottom of hierarchy levels are highly significant. Therefore, the study results demonstrated that "strong leadership and control" and "awareness on social media" play significant roles in reducing pandemic challenges, while "promoting online purchase behavior" and "online education" are the least important strategies in tackling pandemic crisis. This study will benefit government authorities and policymakers, enabling them to focus more on significant measures in battling this ongoing crisis.

Home Use and Experience during COVID-19 in London: Problems of Housing Quality and Design

COVID-19 lockdowns led to a reassessment of housing conditions and created greater awareness of their impact on wellbeing and inequalities. Changes in home use and lived experience during the pandemic were studied through a survey of London residents (n = 1250) in 2021, focusing on issues of housing design, perceptions of housing quality, and future housing expectations. The survey found that a quarter of all dwellings and at least one room in a third of homes were deemed too small and failing to meet the needs of occupants. Renters with a shortage of space and poorly maintained or designed homes suffered most. A total of 37.9% of respondents reported that their wellbeing was affected by housing conditions. While for well-designed homes aspects of dwelling size were considered the highest priority, dwelling layout, usability, adaptability, and flexibility were equally key concerns. However, how problems of housing design, quality, and size are understood often depends on highly individual experiences and expectations. By highlighting the importance of lived experience, the pandemic shows the limitations of current, normative design standards. Future space standards need greater flexibility in the distribution of floor areas and should consider a wider range of home uses to ensure more equitable and long-term housing provision.

The Effectiveness of Centralized Payment Network Advertisements on Digital Branding during the COVID-19 Crisis

Crises are always challenging for banking systems. In the case of COVID-19, centralized payment networks and FinTech companies’ websites have been affected by user behavior globally. As a result, there is ample opportunity for marketing managers and professionals to focus on big data from FinTech websites. This can contribute to a better understanding of the variables impacting their brand name and how to manage risk during crisis periods. This research is divided into three stages. The first stage presents the web analytics and the data retrieved from the FinTech platforms. The second stage illustrates the statistical analysis and the fuzzy cognitive mapping (FCM) performed. In the final stage, an agent-based model is outlined in order to simulate and forecast a company’s brand name visibility and user behavior. The results of this study suggest that, during crises, centralized payment networks (CPNs) and FinTech companies with high organic traffic tend to convert new visitors to actual “customers”.

Socio-political efficacy explains increase in New Zealanders' pro-environmental attitudes due to COVID-19

The ongoing COVID-19 pandemic claimed millions of lives and caused unprecedented disruptions. Despite these negative impacts, there is optimism the pandemic may shift public opinion on other global crises by fostering a sense of collective efficacy. Using propensity score matching to compare New Zealanders assessed before (n =12,304) and after (n = 12,370) nationwide lockdowns in 2020, we tested a preregistered mediation model with COVID-19 lockdown experience predicting increases in pro-environmental attitudes via enhanced socio-political efficacy. As hypothesized, socio-political efficacy increased after the successful nationwide lockdowns. In turn, socio-political efficacy amplified respondents' pro-environmental attitudes including climate beliefs and concern, as well as support for a government subsidy for public transport and opposition to government spending on new motorways. The pandemic also enhanced respondents' satisfaction with the quality of the natural environment, which was unmediated by socio-political efficacy. The crisis might offer an opportunity to foster collective pro-environmental actions.