Aftermath of the COVID-19 Pandemic: Resilience and Mental Health of Emerging Adult University Students

This study explored the relationship between COVID-19 impacts and resilience in emerging adulthood during the final two months of the pandemic. It aimed to examine whether mental health symptoms moderated this relationship. In total, 205 university students completed an online questionnaire survey. Regression analysis was used to examine the prediction of resilience by pandemic-related impacts, and moderation analysis was used to explore the potential moderating effect of mental health on the relationship between impacts and resilience. The findings failed to confirm the hypothesis that total COVID-19 impacts would predict resilience. Rather, resource-type impacts predicted resilience [B = 0.17, p < 0.5]. Significant partial correlations found among resource, financial, and psychological impacts may go some way toward clarifying connections between impacts and resilience [for resource-type impact with financial-type impact, r = 0.48, p < 0.01; for resource-type impact with psychological impact, r = 0.22, p < 0.01]. The results confirmed the hypothesis that mental health symptoms would moderate the relationship between pandemic impacts and resilience [for the overall model, R = 0.41, ΔR2 = 0.16, MSE = 0.76, F (4, 200) = 10.19, p < 0.001; for the interaction between total COVID impacts and resilience, ΔR2 = 0.017, F (1, 200) = 3.98, p < 0.05]. Thus, emerging adult students with low or moderate levels of symptomatology were more resilient, independently of the level of pandemic-related stressors they faced. Those experiencing higher levels of mental health symptoms, in tandem with high levels of pandemic-related impacts, exhibited increasingly higher resilience levels [b = 0.17, 95% CI [0.02, 0.32], t = 2.26, p = 0.025]. These youths may be better equipped to handle severe stress and adversity thanks to skills and resources they possess and are experienced in using. The implications of these findings for each group of young people are discussed for their usefulness in directing future research and interventions to foster resilience during current and future crises and health pandemics.

Racial disparities in patients hospitalized for COVID-19

BACKGROUND

The COVID-19 pandemic has demonstrated the significance of health disparities across populations with older adults and minoritized groups being disproportionately affected. Data during the COVID-19 pandemic demonstrated higher infection rates, hospitalization rates, morbidity, and potentially greater mortality in Black, Hispanic, and Native Americans compared to Whites.

METHODS

This is a retrospective cohort study of de-identified patient data from 178 hospitals across the United States. Outcome variables were the length of stay, in-hospital mortality, disease severity, and discharge disposition. Outcomes were stratified by sex and racial groups.

RESULTS

Of 45,360 patients, 22% were Black, 35% were Hispanic, 37% were White, and 6% were Other. The overall mortality rate was 15% across all groups but was 17% for White patients, 10% for Black patients, 14% for Hispanic patients, and 15% for patients categorized as Other. However, White patients have higher median age on admission (71 years) compared to Blacks (60 years), Hispanics (57 years), and Other (61 years). Race remained statistically significant in a multivariable model that included age, sex, and race. 6484 patients required ICU admission, intubation, and hemodynamic support. This burden was disproportionate across racial groups, with 15.6% of Blacks and 13.9% of non-Blacks having such critical disease (p < 0.0001, z-test for proportions).

CONCLUSIONS

In this national study of admitted patients with COVID-19, White patients admitted were older on average compared to other racial/ethnic groups and had a higher mortality rate compared to non-Whites hospitalized for COVID-19. Black patients were significantly more likely to require admission to the ICU, mechanical ventilation, and hemodynamic support. These COVID-19 health disparities highlight the importance of addressing social and structural determinants of health.

"I Carry the Trauma and Can Vividly Remember": Mental Health Impacts of the COVID-19 Pandemic on Frontline Health Care Workers in South Africa

We know from research that pandemics and disease outbreaks expose HCWs to an increased risk of short and long-term psychosocial and occupational impacts. We conducted qualitative research among 44 frontline health care workers (FHCWs) practicing in seven South African hospitals and clinics. FHCWs were interviewed on their experiences of working during the first-wave of the COVID-19 pandemic and its perceived impact on their wellness. In this study, FHCWs included the non-medical and medical professionals in direct contact with COVID-19 patients, providing health care and treatment services during the COVID-19 pandemic. Most of the FHCWs reported stressful and traumatic experiences relating to being exposed to a deadly virus and working in an emotionally taxing environment. They reported depression, anxiety, traumatic stress symptoms, demoralization, sleep difficulties, poor functioning, increased irritability and fear of being infected or dying from COVID-19. The mental health impacts of COVID-19 on HCWs were also associated with increased poor physical wellbeing, including fatigue, burnout, headache, and chest-pains. FHCWs reported professional commitment and their faith as critical intrinsic motivators that fostered adaptive coping while working on the frontline during the first-wave of the COVID-19 pandemic. Many alluded to gaps in workplace psychosocial support which they perceived as crucial for coping mentally. The findings point to a need to prioritize interventions to promote mental wellness among FHCWs to ensure the delivery of quality healthcare to patients during pandemics or deadly disease outbreaks.

COVID-19 impacts, opportunities and challenges for wildlife farms in Binh Duong and Ba Ria Vung Tau, Vietnam

The wildlife trade is a major cause of species loss and can trigger disease transmission. While the COVID-19 pandemic sparked public interest in eliminating the wildlife trade, a better understanding is needed of the economic repercussions of COVID-19 on those who rely on wildlife farming for their livelihoods. Using the case studies of Ba Ria Vung Tau and Binh Duong provinces in Vietnam - a country seen as Asia's wildlife trade hotspot - this paper explores COVID-19's impacts on wildlife farms and their owners. Understanding these impacts is important, both in order to design appropriate interventions to support local people in mitigating COVID-19's impacts as well as to inform effective policymaking around wildlife conservation in Vietnam. In this study, we adopted mixed research methods (including a literature and policy review, stakeholder consultation with government agencies and NGOs engaged in designing and monitoring wildlife conservation policies, a wildlife farming household survey, and research validation workshop) to understand the status of Vietnamese wildlife farms, as well as the impacts of COVID-19, and any opportunities and challenges for wildlife conservation and management in Vietnam. Our paper shows that, across the two studied provinces, numbers of wildlife farms and farmed wildlife animals have both declined since the pandemic, with declining market demand and wildlife farm owners experiencing difficulties accessing markets due to travel restrictions. Although this affected wildlife-related income, this represented less than 30 % of families' overall income on average, and thus households were able to maintain their livelihoods through other sources. Most wildlife is raised as an additional food source for farming families and plays an important role in the diets of surveyed households. Findings also highlighted that most surveyed households' post-pandemic recovery strategies involved expanding their wildlife farms in scope and scale; these households perceived a stable domestic market and high prices for wildlife products in future. Our study found several opportunities for sustainable wildlife farming practices, including greater political commitment, an increasing number of wildlife conservation policies, and stronger law enforcement mechanisms. Challenges remain, however; including an unclear and inconsistent policy framework, the presence of an illegal market, and wildlife farm owners' limited knowledge and understanding of wildlife policies. Our paper also shows a lack of comprehensive data and understanding around actual wildlife transactions during the pandemic, leading to challenges in confirming whether COVID-19 had any real impact on wildlife trade. Further research is required to address this knowledge gap.

Impacts of COVID-19 on trans and non-binary people in Canada: a qualitative analysis of responses to a national survey

Background

Emerging international evidence indicates the COVID-19 pandemic has exacerbated socioeconomic and health challenges faced by transgender (trans) and non-binary populations globally. This qualitative study is among the first to characterize impacts of the pandemic on these groups in Canada.

Methods

Drawing on data from the Trans PULSE Canada survey (N = 820), we used thematic analysis to examine the free-form responses of 697 participants to one open-ended question on impacts of the pandemic. We first organized responses into descriptive themes, and then used this preliminary analytical process to construct more refined, higher order themes that provided a rich account of the pandemic’s impacts.

Results

Our results are organized into five themes that highlight the pandemic’s impacts on trans and non-binary populations in Canada. These include: (1) reduced access to both gender-affirming and other healthcare, (2) heightened financial, employment, and housing precarity, (3) strained social networks in an era of physical distancing and virtual communication, (4) an intensification of safety concerns, and (5) changes in experiences of gender affirmation.

Conclusion

Our findings highlight the pandemic’s systemic impacts on the lives of trans and non-binary people in domains such as healthcare, employment, and housing, and on the social networks of these groups, many of which reflect an exacerbation of pre-existing inequities. Based on our analysis, we recommend that public health researchers, policymakers, and practitioners attend to the structural impacts of the pandemic on these groups as primary sites of inquiry and intervention.

COVID-19 Experiences and Health-Related Implications: Results From a Mixed-Method Longitudinal Study of Urban Poor Adolescents in Shanghai

PURPOSE

This analysis aimed to investigate gender differences in adolescents' concerns and the health implications of COVID-19.

METHODS

We used two rounds of the Global Early Adolescent Study (GEAS) collected in Shanghai in 2018 and 2020. We analyzed data from 621 adolescents, comparing boys' and girls' concerns about COVID-19 and examining trends in general health and mental health by sex between the pre-COVID-19 and COVID-19 periods. Changes in health indicators over time were assessed using generalized estimating equation (GEE) models.

RESULTS

Adolescent girls reported more health concerns (52.0% vs. 42.7%) and educational concerns (61.0% vs. 46.3%) than boys, whereas boys expressed more worries about the economic consequences of COVID-19 (32.9% vs. 25.4%). Changes in health-related outcomes during the pandemic compared to the prepandemic era differed by sex and varied by COVID-related experiences. Boys reported improved overall health (OR: 1.54, 95% CI: 1.00, 2.35) in the COVID-19 period relative to the pre-COVID-19 period. Such improvements were only observed among boys who reported no family economic hardships (OR: 2.10, 95% CI: 1.24, 3.58). We found no significant change for girls (OR: 1.14, 95% CI: 0.83, 1.55), regardless of COVID-19 economic impacts. In contrast, girls reported increased anxiety (OR: 1.63, 95% CI: 1.09, 2.45), especially among those who were concerned about their academic performance (OR: 1.85, 95% CI: 1.16, 2.97). Boys experienced no such increase (OR: 0.92, 95% CI: 0.55, 1.54), regardless of their education concerns.

DISCUSSION

Adolescents' COVID-19 experiences are highly gendered and result in increased health inequalities, with greater mental health implications for girls.

The potential of psychological connectedness: Mitigating the impacts of COVID-19 through sense of community and community resilience

The purpose of this study was to identify patterns of relationships connecting sense of community (SOC) and community resilience with psychological wellbeing, via the mediation of coronavirus disease 2019 (COVID-19) impacts on life domains. Survey data were collected from an international sample of adults (n = 824) during the COVID-19 outbreak (June-September 2020). Using a structural equation model, we tested a mediation model to identify the associations between SOC and community resilience with the perceived impacts of the emergency situation and with psychological wellbeing. Results revealed that SOC mitigated the impacts of COVID-19 on multiple life domains, and it was also positively associated with wellbeing. Community resilience was correlated with SOC and wellbeing but showed no significant relationship with COVID-19 impacts. The findings support that SOC has a protective function and can contribute to mitigating the impacts of difficult life situations. SOC can also be leveraged as an intervention aimed at protecting the wellbeing of people and communities, particularly in times of crisiss.

The mitigating role of climate smart villages to the impacts of COVID-19 pandemic in the Myanmar rural communities

Climate smart village approach is identified as an important strategy laid out in the Myanmar Climate Smart Agriculture Strategy (MCSAS, 2016) Four climate smart villages were established in 2017 to facilitate participatory action research to develop the CSV approach as well as to generate evidence of outcomes. The CSV approach is based on the principle of community-directed research process where community-members collaborate with an external researcher to investigate community challenges and their solutions. Like other countries in 2020, the height of the COVID-19 pandemic, Myanmar implemented wide-scale national and local restrictions on mobility that impacted trade and business resulting to an economic slowdown. Rural communities dominated by smallholder agriculture in Myanmar are not spared from the negative impacts of these restrictions. This paper seeks to assess the impacts of the COVID-19 pandemic to the 4 climate smart villages in Myanmar by analyzing household survey data (N = 527) collected in 2020 during the height of economic disruptions and comparing these data to the household survey conducted during the pre-pandemic period of 2018. Our analysis indicated that overall, the effect of the pandemic to agriculture production in 2020 production season in the 4 CSVs has been minimal as evidenced by the continued agriculture production at the same levels as the pre-pandemic conditions in 2018. The effects to household food security and diet diversity has been varied. Sakta village in Chin state in the highlands have demonstrated that diversified production systems enable them to achieve food security in the pandemic year of 2020.

Impacts of COVID-19 on the electric vehicle industry: Evidence from China

Electric vehicle development is critical to achieve the sustainable goals, while the hit of COVID-19 strikes the market and brings challenges to the whole industry. China, among one of the earliest regions affected by COVID-19 and takes a great part in the global electric vehicle market, is attracting growing attention on its post-pandemic trends in the electric vehicle industry. This paper provides a comprehensive analysis of COVID-19 impacts on China's electric vehicle industry from both the demand side and the supply side. Both challenges and opportunities for China's electric vehicle development are revealed with emerging trend analysis. It is found that the COVID-19 outbreak has reduced electric vehicle sales in the short-term, but may also stimulate future electric vehicle demand especially for large electric cars with better performance. Meanwhile, travel restrictions caused by COVID-19 have interrupted electric vehicle material supplies that relying on imports, accelerating domestic substitute exploitation and inventory improvement for critical parts. Additionally, massive lockdowns for controlling COVID-19 have disrupted productions and operations, which tends to expel small brands out of the competitive market, concentrating China's electric vehicle industry to the leading brands. Finally, the social distancing trend after pandemic is bringing challenges to traditional EV distribution channels with dealers, pushing automakers to develop innovative online selling channels. These impacts are likely to lead to a reformation of China's electric vehicle industry towards a more advanced and reliable future.

Assessment of COVID-19 impacts on U.S. counties using the immediate impact model of local agricultural production (IMLAP)

CONTEXT

The COVID-19 pandemic has resulted in immediate and wide impacts on human and agricultural systems. While some of the positive and negative impacts of COVID-19 on the environment and economies are emerging, there is not a comprehensive understanding of the potential impacts of COVID-19 on the most vulnerable farmers.

OBJECTIVE

The purpose of this study is to evaluate the immediate impacts of COVID-19 on agricultural and food systems in the United States. Our aim is to quantify the impacts on labor productivity in crops and livestock production considering the heterogenous vulnerability of different farmworkers. We are interested in measuring the production that is not realized due to COVID-19.

METHODS

In this paper, we introduce IMLAP, Immediate impact Model of Local Agricultural Production. This model is an economic framework considering short-term agricultural production responses to economic, environmental, and policy changes. We investigate the potential impacts of COVID-19 on the farmers in the U.S. for each county with a special focus on female, Hispanic, black and African American, and small-scale producers.

RESULTS AND CONCLUSIONS

Considering the impacts of COVID-19 on labor, the findings of this study suggest a decline in agricultural output in all the U.S. counties ranging from 1.18% to 7.14% of total production. Our simulation results show that counties with a higher number of small-scale farms, non-white farmers, and female-operated farms are the most vulnerable to COVID-19. Also, we argue that the stimulus policies and support packages must target these communities of producers to ensure that their livelihood is protected. The findings suggest that productivity growth (technological improvements) and international trade can eliminate the negative impacts of pandemics.

SIGNIFICANCE

The proposed quantitative framework of this study is a simple yet novel model that empowers diverse research communities to provide a quick analysis of the impacts of unprecedented events. It offers a holistic framework to evaluate the response of agricultural production to changes in availability and productivity of labor, machinery & equipment, land, fertilizer, seeds, and other inputs. This study presents new foundations for agricultural research communities to provide solutions to agricultural resilience challenges and highlights the significance of demand drivers, technological growth, and international trade in strengthening the food system.

Impacts of COVID-19 on agriculture and food systems in Pacific Island countries (PICs): Evidence from communities in Fiji and Solomon Islands

CONTEXT

COVID-19 mitigation measures including border lockdowns, social distancing, de-urbanization and restricted movements have been enforced to reduce the risks of COVID-19 arriving and spreading across PICs. To reduce the negative impacts of COVID-19 mitigation measures, governments have put in place a number of interventions to sustain food and income security. Both mitigation measures and interventions have had a number of impacts on agricultural production, food systems and dietary diversity at the national and household levels.

OBJECTIVE

Our paper conducted an exploratory analysis of immediate impacts of both COVID-19 mitigation measures and interventions on households and communities in PICs. Our aim is to better understand the implications of COVID-19 for PICs and identify knowledge gaps requiring further research and policy attention.

METHODS

To understand the impacts of COVID-19 mitigation measures and interventions on food systems and diets in PICs, 13 communities were studied in Fiji and Solomon Islands in July-August 2020. In these communities, 46 focus group discussions were carried out and 425 households were interviewed. Insights were also derived from a series of online discussion sessions with local experts of Pacific Island food and agricultural systems in August and September 2020. To complement these discussions, an online search was conducted for available literature.

RESULTS AND CONCLUSIONS

Identified impacts include: 1) Reduced agricultural production, food availability and incomes due to a decline in local markets and loss of access to international markets; 2) Increased social conflict such as land disputes, theft of high-value crops and livestock, and environmental degradation resulting from urban-rural migration; 3) Reduced availability of seedlings, planting materials, equipment and labour in urban areas; 4) Reinvigoration of traditional food systems and local food production; and 5) Re-emergence of cultural safety networks and values, such as barter systems. Households in rural and urban communities appear to have responded positively to COVID-19 by increasing food production from home gardens, particularly root crops, vegetables and fruits. However, the limited diversity of agricultural production and decreased household incomes are reducing the already low dietary diversity score that existed pre-COVID-19 for households.

SIGNIFICANCE

These findings have a number of implications for future policy and practice. Future interventions would benefit from being more inclusive of diverse partners, focusing on strengthening cultural and communal values, and taking a systemic and long-term perspective. COVID-19 has provided an opportunity to strengthen traditional food systems and re-evaluate, re-imagine and re-localize agricultural production strategies and approaches in PICs.

More Is Not Enough: A Deeper Understanding of the COVID-19 Impacts on Healthcare, Energy and Environment Is Crucial

The coronavirus disease 2019 (COVID-19) pandemic has magnified the insufficient readiness of humans in dealing with such an unexpected occurrence. During the pandemic, sustainable development goals have been hindered severely. Various observations and lessons have been highlighted to emphasise local impacts on a single region or single sector, whilst the holistic and coupling impacts are rarely investigated. This study overviews the structural changes and spatial heterogeneities of changes in healthcare, energy and environment, and offers perspectives for the in-depth understanding of the COVID-19 impacts on the three sectors, in particular the cross-sections of them. Practical observations are summarised through the broad overview. A novel concept of the healthcare-energy-environment nexus under climate change constraints is proposed and discussed, to illustrate the relationships amongst the three sectors and further analyse the dynamics of the attention to healthcare, energy and environment in view of decision-makers. The society is still on the way to understanding the impacts of the whole episode of COVID-19 on healthcare, energy, environment and beyond. The raised nexus thinking could contribute to understanding the complicated COVID-19 impacts and guiding sustainable future planning.

Impacts of COVID-19: A research agenda to support people in their fight

•

COVID-19 has caused far-reaching changes to people’s work and home lives.

•

There is a moral imperative for science to help people battle this difficult time and eventually recover.

•

Unique research opportunities tied to work and home life impacts are outlined.

•

Important general issues and special considerations for researchers, editors, and reviewers are identified.

Grounded in the vast changes to work life (jobs) and home life that people are facing due to the COVID-19 pandemic (hereinafter COVID), this article presents five research directions related to COVID’s impacts on jobs—i.e., job loss, job changes, job outcomes, coping, and support—and five research directions related to COVID’s impact on home life—i.e., home life changes, children, life-related outcomes, social life, and support. In addition to this, I discuss overarching possible research directions and considerations for researchers, editors, and reviewers, as we continue our scientific journey to support people through this pandemic and beyond. I organize these directions and considerations into two sets of five each: focal groups that should be studied—i.e., underprivileged populations, different countries and cultural contexts, women (vs. men), workers in healthcare (frontline workers), elderly and at-risk—and five general issues and special considerations—i.e., role of technology as the oxygen, pre- vs. mid- vs. post-COVID studies, constraints on data collection/research due to COVID, evolution of COVID, and focus on contextualization (generalizability is irrelevant).