1
|
Berg-Beckhoff G, Bask M, Jervelund SS, Guldager JD, Quickfall A, Rabiee Khan F, Oddsson G, van der Wel KA, Sarasjärvi KK, Olafsdottir S, Buffel V, Skalická V, Van de Velde S. Political stringency, infection rates, and higher education students' adherence to government measures in the Nordic countries and the UK during the first wave of the COVID-19 outbreak. Prev Med 2022; 164:107245. [PMID: 36075491 PMCID: PMC9444587 DOI: 10.1016/j.ypmed.2022.107245] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 08/18/2022] [Accepted: 09/02/2022] [Indexed: 10/31/2022]
Abstract
Understanding predictors of adherence to governmental measures to prevent the spread of the COVID-19 is fundamental to guide health communication. This study examined whether political stringency and infection rates during the first wave of the pandemic were associated with higher education students' adherence to COVID-19 government measures in the Nordic countries (Denmark, Finland, Norway, Iceland, and Sweden) and the United Kingdom. Both individual- and country-level data were used in present study. An international cross-sectional subsample (n = 10,345) of higher-education students was conducted in May-June 2020 to collect individual-level information on socio-demographics, study information, living arrangements, health behaviors, stress, and COVID-19-related concerns, including adherence to government measures. Country-level data on political stringency from the Oxford COVID-19 Government Response Tracker and national infection rates were added to individual-level data. Multiple linear regression analyses stratified by country were conducted. Around 66% of students reported adhering to government measures, with the highest adherence in the UK (73%) followed by Iceland (72%), Denmark (69%), Norway (67%), Finland (64%) and Sweden (49%). Main predictors for higher adherence were older age, being female and being worried about getting infected with COVID-19 (individual-level), an increase in number of days since lockdown, political stringency, and information about COVID-19 mortality rates (country-level). However, incidence rate was an inconsistent predictor, which may be explained by imperfect data quality during the onset of the pandemic. We conclude that shorter lockdown periods and political stringency are associated with adherence to government measures among higher education students at the outset of the COVID-19 pandemic.
Collapse
Affiliation(s)
- G Berg-Beckhoff
- Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark; University hospital of the University of Southern Denmark, Hospital South West Jutland, Denmark.
| | - M Bask
- Uppsala University, Department of Sociology, Box 624, 751 26 Uppsala, Sweden
| | - S S Jervelund
- University of Copenhagen, Department of Public Health, Section for Health Services Research, Øster Farimagsgade 5A, 1353 Copenhagen K, Denmark
| | - J D Guldager
- Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark; Department of Physiotherapy, University College South Denmark, Esbjerg, Denmark
| | - A Quickfall
- Primary and Early Years Initial Teacher Education, Bishop Grosseteste University, Lincoln, UK
| | - F Rabiee Khan
- School of Health Sciences, Faculty of Health, Education & life sciences, Birmingham City University, Birmingham, UK
| | - G Oddsson
- Department of Social Sciences, University of Akureyri, Borgir v/Norðurslóð, Akureyri 600, Iceland
| | - K A van der Wel
- Department of Social Work, Child Welfare and Social Policy, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - K K Sarasjärvi
- University of Helsinki, Doctoral Programme in Population Health, P.O. Box 4, Yliopistonkatu 3, 00014, University of Helsinki, Finland
| | - S Olafsdottir
- Department of Sociology, University of Iceland, Oddi v/Sturlugötu, 101 Reykjavík, Iceland
| | - V Buffel
- Centre for Population, Family, and Health, Department of Sociology, University of Antwerp, Antwerp, Belgium
| | - V Skalická
- Department of Psychology, Norwegian University of Science and Technology, 7491 Trondheim, Norway
| | - S Van de Velde
- Centre for Population, Family, and Health, Department of Sociology, University of Antwerp, Antwerp, Belgium
| |
Collapse
|
2
|
Berg-Beckhoff G, Bask M, Jervelund SS, Quickfall A, Rabiee Khan F, Oddsson G, van der Wel KA, Sarasjärvi KK, Skalická V, Van de Velde S. Does political stringency change students’ adherence to governmental recommendations? Eur J Public Health 2022. [PMCID: PMC9594629 DOI: 10.1093/eurpub/ckac131.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction Knowing predictors for adherence to governmental recommendations is fundamental to guiding health communication in pandemic situations. This study investigated whether political stringency was associated with students’ adherence to the COVID-19 governmental measures in the Nordic countries (Denmark, Finland, Norway, Iceland, and Sweden) and the United Kingdom (UK). Methods We used data from a cross-sectional online survey, from university students in all Nordic countries and the UK (N = 10.345), in May 2020. Data on socio-demography, study information, living arrangements, health behaviors, stress, knowledge, and concern about COVID-19 infection supplemented with measures on political stringency from the Oxford Covid-19 Government Response Tracker were utilised. Multiple linear regression analysis methods were applied. Results Around 66% reported that they followed governmental measures. Our model explained only 10% of the variation of adherence. The main predictors for adherence were older age, female sex, and being worried about the COVID-19 infection. More days since lockdown and political stringency were also associated with adherence to governmental recommendations in all countries. Sweden had the lowest willingness to adhere to governmental recommendations even though the strength of the association between political stringency and adherence was similar to other countries. Conclusions Political stringency and congruent communication are important in ensuring adherence to governmental recommendations during the first wave of the COVID-19 pandemic. Key messages • Political stringency is important to ensure adherence to governmental recommendations. • Congruent communication is important to ensure adherence to governmental recommendations.
Collapse
Affiliation(s)
- G Berg-Beckhoff
- University of Southern Denmark Unit for Health Promotion, , Esbjerg, Denmark
| | - M Bask
- Department of Sociology, Uppsala University , Uppsala, Sweden
| | - SS Jervelund
- Department of Public Health, University of Copenhagen , Copenhagen, Denmark
| | - A Quickfall
- Primary and Early Years Initial Teacher Education, Bishop Grosseteste University , Lincoln, UK
| | - F Rabiee Khan
- School of Health Sciences, Birmingham City University , Birmingham, UK
| | - G Oddsson
- Department of Social Sciences, University of Akureyri , Akureyri, Iceland
| | - KA van der Wel
- Department of Social Work, Child Welfare and Social Policy, OsloMet - Oslo Metropolitan University , Oslo, Norway
| | - KK Sarasjärvi
- Doctoral Programme in Population Health, University of Helsinki , Helsinki, Finland
| | - V Skalická
- Department of Psychology, Norwegian University of Science and Technology , Trondheim, Norway
| | - S Van de Velde
- Department of Sociology, University of Antwerp , Antwerp, Belgium
| |
Collapse
|
3
|
Bortoluzzi CF, Pontello E, Pintani E, de Winter-de Groot KM, D'Orazio C, Assael BM, Hunink MM, Tiddens HA, Caudri D, Belessis Y, Bremont F, Bui S, Casciaro R, Cavicchi M, Cox D, Da Dalt L, De Gregorio F, Dubus J, Gartner S, Geerdink M, Hansen C, Honková L, Jenkins L, Jung A, Karpati F, Mainguy C, Möller A, Neri A, Pressler T, Proesmans M, Raia V, Reid A, Rietschel E, Robinson P, Robinson P, Rossi P, Rovira S, Schultz A, Sepe O, Skalická V, Stick S, Švabe V, Tai A, Tosco A, Vazquez C. The impact of chest computed tomography and chest radiography on clinical management of cystic fibrosis lung disease. J Cyst Fibros 2020; 19:641-646. [DOI: 10.1016/j.jcf.2019.08.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 08/08/2019] [Accepted: 08/10/2019] [Indexed: 01/19/2023]
|
4
|
Holubová A, Gaillyová R, Skalická V, Vinohradská H, Hedelová M, Libik M, Valášková I, Bartošová J, Doušová T, Holčíková A, Homola L, Votava F, Macek M. P046 Cystic fibrosis newborn screening (CF NBS) in the Czech Republic: analysis of the false negative results. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30341-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
5
|
Koucký V, Uhlík J, Doušová T, Skalická V, Pohunek P. P114 How does the basement membrane change in patients with cystic fibrosis? J Cyst Fibros 2018. [DOI: 10.1016/s1569-1993(18)30410-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
6
|
Holubová A, Gaillyová R, Skalická V, Vinohradská H, Dejmek P, Libik M, Valášková I, Bartošová J, Doušová T, Holčíková A, Homola L, Kinclová E, Votava F, Macek M. WS10.6 Seven years of nationwide cystic fibrosis newborn screening in the Czech Republic: analysis of the IRT/DNA/IRT scheme outcomes. J Cyst Fibros 2018. [DOI: 10.1016/s1569-1993(18)30177-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
7
|
Holubová A, Libile M, Dvořáková L, Skalická V, Bartošová J, Holčíková A, Vávrová V, Němečková J, Peldová P, Ptáková N, Macek M. 9 Milder pancreatic and pulmonary phenotype associated with nonsense mutations located within the legacy exon 24 of the CFTR gene. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30249-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
8
|
Krulišová V, Holubová A, Piskáčková T, Balaščaková M, Skalická V, Gaillyová R, Valášková I, Vinohradská H, Votava F, Macek M. 25 Cystic fibrosis (CF) prevalence derived from CF newborn screening (CFNBS) in the Czech Republic: comparison of previous epidemiological and current CFNBS-based disease prevalence data. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60162-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
9
|
Holubová A, Krulišová V, Piskáčková T, Balaščaková M, Skalická V, Votava F, Macek M. 32 Uptake of genetic counseling and analysis of DNA testing outcomes following newborn screening for cystic fibrosis: Experience of the Prague centre. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60175-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
10
|
Melter O, Tkadlec J, Šulcová R, Skalická V, Kučerová T, Dřevínek P. 153 Direct detection and identification of controversial pathogens in CF – Pandoraea apista and Inquilinus limosus. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60295-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
11
|
Kruliová V, Holubová A, Skalická V, BalaCaková M, Piskácková T, Bartoová J, Vávrová V, Fila L, Dejmek P, Votava F, Macek M. 21 Diagnostic and counselling dilemmas in newborn screening for cystic fibrosis related to the detection of atypical mutations. J Cyst Fibros 2012. [DOI: 10.1016/s1569-1993(12)60190-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
12
|
Sídlová K, Skalická V, Kotaska K, Pechová M, Chada M, Bartosová J, Hríbal Z, Nevoral J, Vávrová V, Průsa R. Serum alpha-glutathione S-transferase as a sensitive marker of hepatocellular damage in patients with cystic fibrosis. Physiol Res 2004; 52:361-5. [PMID: 12790769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023] Open
Abstract
The aim of the study was to evaluate serum a-glutathione S-transferase (s-GSTA) levels in patients with cystic fibrosis (CF) and to compare s-GSTA with other liver function tests and with a hepatic ultrasound scan (US). The cytosolic enzyme, alpha-glutathione S-transferase is predominantly found in the liver and is distributed uniformly in the liver tissue. In our study s-GSTA levels were measured in 37 CF patients aged 1 to 28 years (mean age 10.4 years, 24 males). The control group consisted of 27 patients aged 2 to 17 years (mean age 8.5 years, 18 males). The presence of hepatobiliary abnormalities was assessed by clinical examination, ultrasound scan, s-GSTA, and conventional liver enzymes: alanine aminotransferase (ALT), alkaline phosphatase (ALP), aspartate aminotransferase (AST) and gama-glutamyl transferase (GMT). The calculated 5-95 % range of s-GSTA for the control group was 0.098-2.54 microg/l, for the CF group 0.43-9.76 microg/l. Mean s-GSTA level in the control group was 1.55 microg/l (S.D.=1.57), and 2.05 micro/l (S.D.=2.60) in the CF group. In the group of CF patients, the serum levels were significantly higher than in the control group (P<0.01). No significant correlation existed in the CF group between s-GSTA and conventional liver tests (ALT, AST, ALP and GMT). Four patients in the CF group had hepatobiliary abnormalities detectable by conventional liver tests, s-GSTA and US. Four patients had abnormal s-GSTA, while conventional liver tests and US were normal. One other patient had abnormal hepatic US, but normal standard liver tests and s-GSTA. The study has suggested that a raised s-GSTA level might be a marker of possible pathological changes of the hepatobiliar system in CF patients. Serum GSTA seems to be a more sensitive marker than transaminases for the monitoring of hepatocellular integrity and as an early predictor of hepatic damage.
Collapse
Affiliation(s)
- K Sídlová
- First Department of Pediatrics, Faculty Hospital Motol, Prague, Czech Republic.
| | | | | | | | | | | | | | | | | | | |
Collapse
|