Non-compliance with COVID-19-related public health measures among young adults in Switzerland: Insights from a longitudinal cohort study

Background: Do young adults have low compliance rates with public health measures aimed at curbing the spread of Coronavirus disease 2019 (COVID-19)? This paper leverages a prospective-longitudinal cohort study with data before and during the pandemic to examine this question.Methods: Data came from an ongoing cohort study (n=737). Non-compliance with public health measures and concurrent correlates were measured at age 22. Antecedent sociodemographic, social, and psychological factors were measured at ages 15-20.Findings: Young adults generally complied with COVID-19 public health measures, although compliance with some measures (e.g., cleaning/disinfecting mobile phones, standing 1.5-2 meters apart) was relatively lower. Non-compliance, especially with hygiene-related measures, was more prevalent in males, and in individuals with higher education, higher SES, and a non- migrant background. Non-compliance was associated with “antisocial potential,” including pre-pandemic low acceptance of moral rules, legal cynicism, low shame/guilt, low self-control, engagement in delinquent behaviors, and association with delinquent peers. Young adults with low trust, including in the government’s measures for fighting the virus, also complied less.Interpretation: In order to increase voluntary compliance with COVID-19 measures, public health campaigns should implement strategies that foster moral obligation and trust in authorities, or leverage trustworthy individuals in the community to disseminate information. For young adults with low self-control, self-monitoring, environmental restructuring, or nudging may increase compliance. Long-term investments into integrating antisocial youth into society may decrease rule-breaking behaviors, including during pandemics when compliance saves lives.

Download Full-text

Longitudinal cohort study of the impact of specialist cancer services for teenagers and young adults on quality of life: outcomes from the BRIGHTLIGHT study

BMJ Open ◽

10.1136/bmjopen-2020-038471 ◽

2020 ◽

Vol 10 (11) ◽

pp. e038471

Author(s):

Rachel M Taylor ◽

Lorna A Fern ◽

Julie Barber ◽

Javier Alvarez-Galvez ◽

Richard Feltbower ◽

...

Keyword(s):

Quality Of Life ◽

Young Adults ◽

Cohort Study ◽

Young People ◽

Longitudinal Cohort Study ◽

Longitudinal Cohort ◽

Cancer Services ◽

Teenagers And Young Adults ◽

Over Time

ObjectivesIn England, healthcare policy advocates specialised age-appropriate services for teenagers and young adults (TYA), those aged 13 to 24 years at diagnosis. Specialist Principal Treatment Centres (PTC) provide enhanced TYA age-specific care, although many still receive care in adult or children’s cancer services. We present the first prospective structured analysis of quality of life (QOL) associated with the amount of care received in a TYA-PTCDesignLongitudinal cohort study.SettingHospitals delivering inpatient cancer care in England.Participants1114 young people aged 13 to 24 years newly diagnosed with cancer.InterventionExposure to the TYA-PTC defined as patients receiving NO-TYA-PTC care with those receiving ALL-TYA-PTC and SOME-TYA-PTC care.Primary outcomeQuality of life measured at five time points: 6, 12, 18, 24 and 36 months after diagnosis.ResultsGroup mean total QOL improved over time for all patients, but for those receiving NO-TYA-PTC was an average of 5.63 points higher (95% CI 2.77 to 8.49) than in young people receiving SOME-TYA-PTC care, and 4·17 points higher (95% CI 1.07 to 7.28) compared with ALL-TYA-PTC care. Differences were greatest 6 months after diagnosis, reduced over time and did not meet the 8-point level that is proposed to be clinically significant. Young people receiving NO-TYA-PTC care were more likely to have been offered a choice of place of care, be older, from more deprived areas, in work and have less severe disease. However, analyses adjusting for confounding factors did not explain the differences between TYA groups.ConclusionsReceipt of some or all care in a TYA-PTC was associated with lower QOL shortly after cancer diagnosis. The NO-TYA-PTC group had higher QOL 3 years after diagnosis, however those receiving all or some care in a TYA-PTC experienced more rapid QOL improvements. Receipt of some care in a TYA-PTC requires further study.

Download Full-text

The influence of personality disorder on the future mental health and social adjustment of young adults: a population-based, longitudinal cohort study

The Lancet Psychiatry ◽

10.1016/s2215-0366(16)30029-3 ◽

2016 ◽

Vol 3 (7) ◽

pp. 636-645 ◽

Cited By ~ 38

Author(s):

Paul Moran ◽

Helena Romaniuk ◽

Carolyn Coffey ◽

Andrew Chanen ◽

Louisa Degenhardt ◽

...

Keyword(s):

Mental Health ◽

Young Adults ◽

Cohort Study ◽

Personality Disorder ◽

Social Adjustment ◽

Population Based ◽

Longitudinal Cohort Study ◽

Longitudinal Cohort ◽

The Future

Download Full-text

Healthy migrant effect in the Swedish context: a register-based, longitudinal cohort study.

BMJ Open ◽

10.1136/bmjopen-2018-026972 ◽

2019 ◽

Vol 9 (3) ◽

pp. e026972 ◽

Cited By ~ 12

Author(s):

Magnus Helgesson ◽

Bo Johansson ◽

Tobias Nordquist ◽

Eva Vingård ◽

Magnus Svartengren

Keyword(s):

Cohort Study ◽

Health Outcomes ◽

Psychiatric Disorders ◽

Reference Population ◽

Longitudinal Cohort Study ◽

Healthy Migrant Effect ◽

Swedish Population ◽

Longitudinal Cohort ◽

Health Measures ◽

Time Periods

ObjectivesStudies have found a ‘healthy-migrant effect’ (HME) among arriving migrants, that is, a better health status compared with others in the home country, but also in comparison with the population in the host country. The aims were to investigate whether the HME hypothesis is applicable to the Swedish context, that is, if health outcomes differed between a group of mainly labour migrants (Western migrants) and a group of mainly refugee/family reunion migrants (non-Western migrants) compared with the native Swedish population, and if there were any correlations between labour market attachment (LMA) and these health outcomes.DesignRegister-based, longitudinal cohort study.ParticipantsThe cohort was defined on 31 December 1990 and consisted of all migrants aged 18–47 years who arrived in Sweden in 1985–1990 (n=74 954) and a reference population of native Swedes (n=1 405 047) in the same age span. They were followed for three consecutive 6-year periods (1991–1996, 1997–2002 and 2003–2008) and were assessed for five measures of health: hospitalisation for cardiovascular and psychiatric disorders, mortality, disability pension, and sick leave.ResultsWestern migrants had, compared with native Swedes, lower or equal HRs for all health measures during all time periods, while non-Western migrants displayed higher or equal HRs for all health measures, except for mortality, during all time periods. Age, educational level, occupation and LMA explained part of the difference between migrants and native Swedes. High LMA was associated with higher HRs for cardiovascular disorders among Western migrants, higher HRs of psychiatric disorders among non-Western migrants and higher HRs of mortality among both migrant groups compared with native Swedes.ConclusionsThere were indications of a HME among Western migrants, while less proof of a HME among non-Western migrants. Stratification for LMA and different migrant categories showed some interesting differences, and measurements of the HME may be inconclusive if not stratified by migrant category or other relevant variables.

Download Full-text