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Liang Y, Zhu Q, Yang Y, Gu X, Yan Y, Gu J, Huang J. The Underlying Structure of Preventive Behaviors and Related Factors During the COVID-19 Pandemic: A Comprehensive Network Analysis. Ann Behav Med 2024; 58:205-215. [PMID: 38284623 DOI: 10.1093/abm/kaad073] [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] [Indexed: 01/30/2024] Open
Abstract
BACKGROUND Various strategies against COVID-19 have been adopted in different countries, with vaccination and mask-wearing being widely used as self-preventive interventions. However, the underlying structure of these behaviors and related factors remain unclear. PURPOSE In this study, we aimed to explore the network structure of preventive behaviors during the COVID-19 pandemic and their underlying factors, incorporating age and sex in the network. METHODS We used a multi-center sample of 20,863 adults who were vaccinated against COVID-19 in China between April 1, 2021, and June 1, 2021. Networks were estimated using unregularized partial correlation models. We also estimated the accuracy and stability of the network. RESULTS The preventive behaviors related to network factors revealed that self-initiated vaccination was more connected with cognition factors, and mask-wearing was more connected with personal profiles. The two clusters were linked through information-seeking and political beliefs. Moreover, self-initiated vaccination was negatively connected with vaccine hesitancy and concerns about COVID-19 vaccines and positively connected with trust in the vaccines, pandemic-related altruism, political beliefs, and being married. Mask-wearing was negatively connected with being a professional/white collar worker and higher education level and positively connected with regular physical examination, self-rated health, migration, being married, and better family relationships. Incorporation of age and sex into the network revealed relevant associations between age and mask-wearing and age and self-initiated vaccination. The network was highly accurately estimated. The subset bootstrap showed that the order of node strength centrality, betweenness, and closeness were all stable. The correlation stability coefficient (CS-coefficient) also showed the stability of this estimate, with 0.75 for node strength, 0.75 for betweenness, and 0.67 for closeness. CONCLUSIONS The internal structures of vaccination and mask-wearing behaviors were quite different, the latter of which were mainly affected by socioeconomic status and health-related behaviors and the former by knowledge about vaccines and political beliefs. Information-seeking and family relationships were the bridge factors connecting these two self-preventive behavior clusters, suggesting the direction of future efforts.
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Affiliation(s)
- Yan Liang
- Department of Fundamental Nursing, School of Nursing, Fudan University, Shanghai, China
| | - Qianqian Zhu
- Department of Social Medicine and Health Management, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yuqi Yang
- Shanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, Shanghai, China
| | - Xiaoqing Gu
- Department of Community Health, Xidu Community Health Service Center of Fengxian District, Shanghai, China
| | - Yuge Yan
- Department of Social Medicine and Health Management, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jie Gu
- Department of General Practition, Zhongshan Hospital Fudan University, Shanghai, China
- Department of General Practition, Zhongshan Hospital International Medical Center, Shanghai, China
| | - Jiaoling Huang
- Department of Social Medicine and Health Management, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Chaisuwannarak K, Rujitharanawong C, Chaiyabutr C, Wongpraprarut C, Silpa-archa N. Dermatologists Should Encourage and Resume Photoprotection in Patients with Photodermatoses and Melasma Following the COVID-19 Pandemic. Clin Cosmet Investig Dermatol 2023; 16:2937-2946. [PMID: 37873511 PMCID: PMC10590580 DOI: 10.2147/ccid.s432108] [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: 08/18/2023] [Accepted: 10/07/2023] [Indexed: 10/25/2023]
Abstract
Background The COVID-19 pandemic may alter individuals' perspectives and behaviors regarding sun exposure and photoprotection. Presently, there is a paucity of information about how the pandemic influences photoprotection in photodermatoses and melasma. Objective To compare the photoprotection attitudes and behaviors of individuals with photodermatoses and melasma with those of a control group (other dermatologic patients) before and during the COVID-19 pandemic. Methods A questionnaire-based, cross-sectional study was conducted among Thai patients with photodermatoses, melasma, and other dermatological conditions between August 2021 and November 2022. Each of the three groups consisted of 35 patients. Results Among the 105 patients, 81.9% were female, and the mean age was 45.83 years. Over 80% of individuals who used surgical masks daily for 4 to 8 hours believed that these masks provided skin protection from the sun. The duration of sun exposure and the frequency of photoprotection practices decreased significantly in all groups during the COVID-19 pandemic compared to the pre-pandemic period. Sunscreen was the most prevalent form of photoprotection, but its usage declined considerably during the pandemic. Upon physical examination, the photodermatoses and control groups exhibited unchanged skin conditions, while the patients with melasma demonstrated improved skin conditions during the pandemic. Conclusion Owing to increased indoor activities and the perception that face masks could block sunlight, the COVID-19 pandemic led to notable reductions in sun exposure and photoprotective practices. Despite the absence of photodermatoses exacerbation and the observed improvements in patients with melasma, consistent and effective photoprotection must continue to be promoted.
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Affiliation(s)
- Kornkanok Chaisuwannarak
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Chuda Rujitharanawong
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Chayada Chaiyabutr
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Chanisada Wongpraprarut
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Narumol Silpa-archa
- Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
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Lertsakulbunlue S, Kittisarapong P, Pikulkaew S, Pusayapaibul P, Tangtongsoonthorn A, Wichaiboon C, Amornchatchawankul F, Marsook S, Mahaisawariya S, Subwongcharoen N, Petcharat P, Luksanasup B, Lortharaprasert T, Tieantanyatip B, Kantiwong A, Jongcherdchootrakul K. What Sustains Mask-Wearing Behavior among Elders in a Rural Community in the Post-COVID-19 Era: An Exploratory Mixed-Methods Study. Behav Sci (Basel) 2023; 13:678. [PMID: 37622818 PMCID: PMC10451204 DOI: 10.3390/bs13080678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 08/04/2023] [Accepted: 08/10/2023] [Indexed: 08/26/2023] Open
Abstract
The current study investigates the factors influencing face-mask-wearing practices among elderly individuals in rural Thailand. A mixed-methods approach was employed, involving qualitative interviews with 15 elderly participants and a subsequent survey of 201 elders. Seven subthemes were identified, including the perceived benefits of mask-wearing, the perceived threat of COVID-19, mask-wearing enhancing attractiveness and self-confidence, social norms, misconceptions about COVID-19 prevention tools, perceived barriers to mask-wearing, and resources to afford face masks. The developed themes, codes, and quotes were utilized for creating a questionnaire. The survey revealed the adherence of 81.1% of the participants to mask-wearing. Structural equation modeling (SEM) analysis demonstrated that motivation, comprising (1) the perceived threat of COVID-19, (2) alternative threats aside from COVID-19, and (3) the perceived benefits of a face mask strongly affected mask-wearing practices (β = 0.68, p < 0.001) and the willingness to wear a face mask (β = 0.61, p < 0.001). Social norms had a negative direct effect on the perceived barrier (β = -0.48, p < 0.001) and a positive direct effect on mask-wearing practices (β = 0.25, p = 0.001). This study highlights that motivation and social norms play pivotal roles in sustaining mask-wearing behavior among rural elderly populations. Encouraging local cooperative actions through community rules could initiate behavioral changes within the community. These findings contribute to the understanding of factors influencing mask-wearing and provide insights into designing effective interventions to promote mask-wearing among elderly individuals in rural areas.
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Affiliation(s)
- Sethapong Lertsakulbunlue
- Department of Pharmacology, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (S.L.); (A.K.)
| | - Pinyada Kittisarapong
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Sirikorn Pikulkaew
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Pree Pusayapaibul
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Apisit Tangtongsoonthorn
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Chanunpisut Wichaiboon
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Fasai Amornchatchawankul
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Suranuch Marsook
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Supakrit Mahaisawariya
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Nattasit Subwongcharoen
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Phitchayut Petcharat
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Bannawit Luksanasup
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Thakornphong Lortharaprasert
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Bavorn Tieantanyatip
- Medical Cadet, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (P.K.); (S.P.); (P.P.); (A.T.); (C.W.); (F.A.); (S.M.); (S.M.); (N.S.); (P.P.); (B.L.); (T.L.); (B.T.)
| | - Anupong Kantiwong
- Department of Pharmacology, Phramongkutklao College of Medicine, Bangkok 10400, Thailand; (S.L.); (A.K.)
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Burgio G, Gómez S, Arenas A. Spreading dynamics in networks under context-dependent behavior. Phys Rev E 2023; 107:064304. [PMID: 37464705 DOI: 10.1103/physreve.107.064304] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 05/18/2023] [Indexed: 07/20/2023]
Abstract
In some systems, the behavior of the constituent units can create a "context" that modifies the direct interactions among them. This mechanism of indirect modification inspired us to develop a minimal model of context-dependent spreading. In our model, agents actively impede (favor) or not diffusion during an interaction, depending on the behavior they observe among all the peers in the group within which that interaction occurs. We divide the population into two behavioral types and provide a mean-field theory to parametrize mixing patterns of arbitrary type-assortativity within groups of any size. As an application, we examine an epidemic-spreading model with context-dependent adoption of prophylactic tools such as face masks. By analyzing the distributions of groups' size and type-composition, we uncover a rich phenomenology for the basic reproduction number and the endemic state. We analytically show how changing the group organization of contacts can either facilitate or hinder epidemic spreading, eventually moving the system from the subcritical to the supercritical phase and vice versa, depending mainly on sociological factors, such as whether the prophylactic behavior is hardly or easily induced. More generally, our work provides a theoretical foundation to model higher-order contexts and analyze their dynamical implications, envisioning a broad theory of context-dependent interactions that would allow for a new systematic investigation of a variety of complex systems.
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Affiliation(s)
- Giulio Burgio
- Departament d'Enginyeria Informàtica i Matemàtiques, Universitat Rovira i Virgili, 43007 Tarragona, Spain
| | - Sergio Gómez
- Departament d'Enginyeria Informàtica i Matemàtiques, Universitat Rovira i Virgili, 43007 Tarragona, Spain
| | - Alex Arenas
- Departament d'Enginyeria Informàtica i Matemàtiques, Universitat Rovira i Virgili, 43007 Tarragona, Spain
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Chaiut W, Sapbamrer R, Dacha S, Sudjaritruk T, Parwati I, Sumarpo A, Malasao R. Characteristics of Respiratory Syncytial Virus Infection in Hospitalized Children Before and During the COVID-19 Pandemic in Thailand. J Prev Med Public Health 2023; 56:212-220. [PMID: 37287198 DOI: 10.3961/jpmph.23.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 03/13/2023] [Indexed: 06/09/2023] Open
Abstract
OBJECTIVES This study compared the epidemiological and clinical manifestations of patients hospitalized with respiratory syncytial virus (RSV) infection before and during the coronavirus disease 2019 (COVID-19) pandemic at a tertiary care hospital in Chiang Mai Province, Thailand. METHODS This retrospective observational study utilized data from all cases of laboratory-confirmed RSV infection at Maharaj Nakorn Chiang Mai Hospital from January 2016 to December 2021. Differences in the clinical presentation of RSV infection before (2016 to 2019) and during (2020 to 2021) the COVID-19 pandemic were analyzed and compared. RESULTS In total, 358 patients hospitalized with RSV infections were reported from January 2016 to December 2021. During the COVID-19 pandemic, only 74 cases of hospitalized RSV infection were reported. Compared to pre-pandemic levels, the clinical presentations of RSV infection showed statistically significant decreases in fever on admission (p=0.004), productive cough (p=0.004), sputum (p=0.003), nausea (p=0.03), cyanosis (p=0.004), pallor (p<0.001), diarrhea (p<0.001), and chest pain (p<0.001). Furthermore, vigilant measures to prevent the spread of COVID-19, including lockdowns, also interrupted the RSV season in Thailand from 2020 to 2021. CONCLUSIONS The incidence of RSV infection was affected by the COVID-19 pandemic in Chiang Mai Province, Thailand, which also changed the clinical presentation and seasonal pattern of RSV infection in children.
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Affiliation(s)
- Wilawan Chaiut
- Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Ratana Sapbamrer
- Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Sauwaluk Dacha
- Department of Physical Therapy, Faculty of Associated Medical Science, Chiang Mai University, Chiang Mai, Thailand
| | - Tavitiya Sudjaritruk
- Division of Infectious Diseases, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Ida Parwati
- Department of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, Indonesia
| | - Anton Sumarpo
- Department of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin General Hospital, Bandung, Indonesia
- Department of Clinical Pathology, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia
| | - Rungnapa Malasao
- Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
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