scholarly journals Disgust as an emotional driver of vaccine attitudes and uptake? A mediation analysis

2019 ◽  
Vol 147 ◽  
Author(s):  
P. M. Luz ◽  
H. E. Brown ◽  
C. J. Struchiner
Keyword(s):  
Mediation Analysis ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Disgust Sensitivity ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Psychological Determinants ◽  
Negative Effect ◽  
The Usa ◽  
Positive Effect

AbstractResearch on the drivers of vaccine acceptance has expanded but most interventions fall short of coverage targets. We explored whether vaccine uptake is driven directly or indirectly by disgust with attitudes towards vaccines acting as a possible mediator. An online cross-sectional study of 1007 adults of the USA via Amazon's Mechanical Turk was conducted in January 2017. The questionnaire consisted of four sections: (1) items assessing attitudes towards vaccines and vaccine uptake, (2) revised Disgust Scale (DS-R) to measure Disgust Sensitivity, (3) Perceived Vulnerability to Disease scale (PVD) to measure Germ Aversion and Perceived Susceptibility, and (4) socio-demographic information. Using mediation analysis, we assess the direct, the indirect (through Vaccine Attitudes) and the total effect of Disgust Sensitivity, Germ Aversion and Perceived Susceptibility on 2016 self-reported flu vaccine uptake. Mediation analysis showed the effect of Disgust Sensitivity and Germ Aversion on vaccine uptake to be twofold: a direct positive effect on vaccine uptake and an indirect negative effect through Vaccine Attitudes. In contrast, Perceived Susceptibility was found to have only a direct positive effect on vaccine uptake. Nonetheless, these effects were attenuated and small compared to economic, logistic and psychological determinants of vaccine uptake.

scholarly journals The Influence of Gender Roles and Coping Strategies to The Fishermen’s Family Happiness Index

2020 ◽  
Vol 5 (1) ◽  
pp. 1-19
Author(s):  
Rona Aulia Karimah ◽  
Herien Puspitawati
Keyword(s):  
Gender Roles ◽  
Gender Role ◽  
Coping Strategies ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Negative Effect ◽  
And Coping ◽  
Positive Effect

Seasonal changes will have an impact on the lives of fishermen’s families, especially the economic sector. Changes in the sea and non-sea seasons have an impact on family cooperation in survival. These effects will be seen in the gender role of husband and wife in solving problems in fishermen’s families. This study aims to analyze the effect of gender roles and coping strategies on fishermen’s family happiness index. The study design used a cross-sectional study with interviews and questionnaire assistance. The research sample was selected by purposive sampling with respondents of 40 fishermen’s families in the Toboali District, Bangka Belitung Islands Province. The gender role variables, coping strategies, and fishermen’s family happiness index are in the medium category. There is a correlation between coping strategies with the happiness index of fishermen’s families. The number of family members shows a significant negative effect on the happiness index in the sea and non-sea seasons. Meanwhile, coping strategies present a significant positive effect on the happiness index of fishermen’s families in the sea and non-sea seasons.

scholarly journals Clinician offering is a key factor associated with HPV vaccine uptake among Mexican mothers in the USA and Mexico: a cross-sectional study

2018 ◽  
Vol 64 (3) ◽  
pp. 323-332 ◽  
Author(s):  
Yvonne N. Flores ◽  
Jorge Salmerón ◽  
Beth A. Glenn ◽  
Cathy M. Lang ◽  
L. Cindy Chang ◽  
...  
Keyword(s):  
Hpv Vaccine ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Sectional Study ◽  
Cross Sectional ◽  
Key Factor ◽  
The Usa ◽  
Hpv Vaccine Uptake

scholarly journals SARS-CoV-2: Vaccine Hesitancy among Underrepresented Racial and Ethnic Groups with HIV in Miami, Florida

2021 ◽  
Author(s):  
Deborah L Jones ◽  
Ana S Salazar ◽  
Violeta J Rodriguez ◽  
Raymond R Balise ◽  
Claudia Uribe Starita ◽  
...  
Keyword(s):  
Race And Ethnicity ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Baseline Survey ◽  
Advisory Group ◽  
Medical Mistrust ◽  
Cross Sectional ◽  
Exact Test ◽  
Novel Coronavirus

Abstract Background SARS-CoV-2 and HIV disproportionally affect underrepresented ethnoracial groups in the US. Medical mistrust and vaccine hesitancy will likely impact acceptability of SARS-CoV-2 vaccines. This study examined SARS-CoV-2 vaccine hesitancy among underrepresented ethnoracial groups with HIV and identified factors that may reduce vaccine uptake. Methods We conducted a cross-sectional study of adults ≥18 years with HIV residing in Miami, FL. Participants were invited to participate in the ACTION (A Comprehensive Translational Initiative on Novel Coronavirus) cohort study. A baseline survey was administered from April-August 2020 and followed by a COVID-19 vaccine hesitancy survey from August-November 2020. The COVID-19 vaccine hesitancy survey was adapted from the Strategic Advisory Group Experts survey. Comparisons by race and ethnicity were performed using the Freedman-Haltmann extension of Fisher’s exact test Results A total of 94 participants were enrolled, mean age 54.4 years, 52% female, 60% Black non-Latinx, and 40% non-Black Latinx. Black non-Latinx participants were less likely to agree that vaccinations are important for health when compared to non-Black Latinx (67.8% vs 92.1%, p=0.009), less likely to agree that vaccines are effective in preventing disease (67.8% vs 84.2%, p=0.029), less likely to believe that vaccine information is reliable and trustworthy (35.7% vs 71.1%, p=0.002), and less likely to believe vaccines were unnecessary because COVID-19 would disappear soon (11% vs 21%, p=0.049). Conclusion Medical mistrust, vaccine hesitancy and negative sentiments about SARS-CoV-2 vaccines are prevalent among underrepresented ethnoracial groups with HIV, particularly Black non-Latinx. Targeted strategies to increase vaccine uptake in this population are warranted.

scholarly journals Mask-wearing and control of SARS-CoV-2 transmission in the USA: a cross-sectional study

2021 ◽  
Vol 3 (3) ◽  
pp. e148-e157 ◽  
Author(s):  
Benjamin Rader ◽  
Laura F White ◽  
Michael R Burns ◽  
Jack Chen ◽  
Joseph Brilliant ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Usa ◽  
And Control

scholarly journals Effect of the COVID-19 pandemic on the ability of level 1 trauma centers to meet American College of Surgeons research requirements

2021 ◽  
Vol 6 (1) ◽  
pp. e000692
Author(s):  
Robert M Madayag ◽  
Erica Sercy ◽  
Gina M Berg ◽  
Kaysie L Banton ◽  
Matthew Carrick ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Trauma Centers ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
American College Of Surgeons ◽  
The Usa ◽  
Virus Exposure ◽  
Level 1 ◽  
Verification Process ◽  
Question Survey

IntroductionThe COVID-19 pandemic has had major effects on hospitals’ ability to perform scientific research while providing patient care and minimizing virus exposure and spread. Many non-COVID-19 research has been halted, and funding has been diverted to COVID-19 research and away from other areas.MethodsA 28-question survey was administered to all level 1 trauma centers in the USA that included questions about how the pandemic affected the trauma centers’ ability to fulfill the volume and research requirements of level 1 verification by the American College of Surgeons (ACS).ResultsThe survey had a 29% response rate (40/137 successful invitations). Over half of respondents (52%) reported reduced trauma admissions during the pandemic, and 7% reported that their admissions dropped below the volume required for level 1 verification. Many centers diverted resources from research during the pandemic (44%), halted ongoing consenting studies (33%), and had difficulty fulfilling research requirements because of competing clinical priorities (40%).DiscussionResults of this study show a need for flexibility in the ACS verification process during the COVID-19 pandemic, potentially including reduction of the required admissions and/or research publication volumes.Level of evidenceLevel IV, cross-sectional study.

scholarly journals Urinary and anal incontinence among female gymnasts and cheerleaders—bother and associated factors. A cross-sectional study

2021 ◽  
Author(s):  
Kristina Lindquist Skaug ◽  
Marie Ellström Engh ◽  
Helena Frawley ◽  
Kari Bø
Keyword(s):  
Pelvic Floor ◽  
Anal Incontinence ◽  
Female Athletes ◽  
Cross Sectional Study ◽  
Sport Performance ◽  
Sports Performance ◽  
International Consensus ◽  
Cross Sectional ◽  
Negative Effect ◽  
Female Gymnasts

Abstract Introduction and hypothesis Artistic gymnastics, team gymnastics and cheerleading are sports including high-impact activities. It is presumed that the athletes’ pelvic floor must be functioning well to prevent urinary (UI) and anal incontinence (AI) during sports. The aim of this study was to investigate the prevalence and risk factors for UI and AI in female artistic gymnasts, team gymnasts and cheerleaders; the influence of UI and AI on daily living and sport performance; and the athletes’ knowledge about the pelvic floor muscles (PFM). Methods All female athletes ≥ 12 years of age competing in ≥ 1 National Championship in artistic gymnastics, team gymnastics or cheerleading in 2018/2019 were invited. International Consensus on Incontinence Questionnaires were used to assess the prevalence/bother of UI and AI. Results Among the 319 gymnasts and cheerleaders who participated, the prevalence of UI and AI was 67% and 84%, respectively. Age, training ≥ 4 days/week and straining to void were significantly associated with stress urinary incontinence (SUI) and years of training with AI. Eighty-three percent of athletes with SUI reported a negative effect on sports performance, 22% would occasionally avoid training or specific exercises because of leakage, and 28% used pads for protection. Forty-one percent of the athletes had never heard about the PFM, and 74% reported an interest in PFM training to prevent/treat UI or AI. Conclusions UI and AI were prevalent in female gymnasts and cheerleaders, and SUI negatively influenced sport performance. The athletes’ knowledge about the PFM was limited.

Abstract P707: Trends, Predictors and Outcomes of Cerebrovascular Disease Amongst Patients With Thrombotic Microangiopathy

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Priyadarshee Patel ◽  
Urvish K Patel ◽  
Graca Vanessa ◽  
Abhinav Patel ◽  
Davis Chacko ◽  
...  
Keyword(s):  
Thrombotic Microangiopathy ◽  
Thrombus Formation ◽  
Cerebral Arteries ◽  
Temporal Trends ◽  
Cross Sectional Study ◽  
Coagulation System ◽  
Trend Test ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Usa

Background: Thrombotic Microangiopathy (TMA) is a rare disorder affecting the coagulation system causing microangiopathic thrombus formation within various blood vessels including the cerebral arteries. It may be seen in association with thrombocytopenia, anemia, purpura and kidney failure as well as complications of various systemic viral illnesses. We sought to estimate the trends, predictors, and outcomes of CeVD in patients having ™ from a nationally representative database of the USA. Methods: In this cross-sectional study, we identified hospitalization with TM using ICD-9/10-CM from the National Inpatient Sample (NIS) for the years 2008-2017. Prevalence of CeVD was identified by validated ICD-9/10-CM codes. We utilized Cochran Armitage trend test and multivariable survey logistic regression models to analyze temporal trends, outcomes and predictors of any CeVD in TM patients. Results: Out of a total 58,850 hospitalizations among TMA patients, 4,668 (7.9%) developed CeVD. Prevalence of CeVD increased from 6.2% in 2008 to 8.2% in 2017 (pTrend<0.001). Patients who developed CeVD were older and more likely to be female. In multivariable regression analysis, increasing age (OR 1.2; 95%CI 1.1-1.2; p<0.0001); females (OR 1.3; 95%CI 1.1-1.6;p<0.0004); African American (OR 1.4; 95%CI 1.2-1.7;p<0.001) and hypertension (OR 1.3; 95%CI 1.1-1.6; p<0.0001). CeVD was also associated with higher length of stay (18 vs 12 days; p<0.001). Additionally, CeVD was associated with higher in-hospital mortality (aOR 2.1; 95%CI 1.7-2.5; p<0.001) and discharge to facility (aOR 3.0; 95%CI 2.4-3.5; p<0.001) after adjusting with confounders. Conclusion: We observed the mildly incremental prevalence of CeVD among TMA patients. We were able to identify the TMA patient population susceptible to CeVD, most commonly occurring in older, females and African Americans. CeVD was also associated with significantly poor outcomes in TM. These findings may pose similarities to other systemic viral illness-induced thrombotic microangiopathy such as COVID-19. Further studies are required to improve the outcomes of these susceptible patient populations.

scholarly journals Vision Payment Claims Analyses with Health Insurance

CommonHealth ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 85-93
Author(s):  
Aaron Houston MPH ◽  
Joseph Ruskiwewicz ◽  
John Gaal MHA ◽  
Chaitali Baviskar MHSA ◽  
Atiya Latimer
Keyword(s):  
Insurance Coverage ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Institutional Review Boards ◽  
Cross Sectional ◽  
Data Analyses ◽  
Insurance Type ◽  
Institutional Review ◽  
Negative Effect ◽  
Out Of Pocket Expenses

 The purpose of  this study was to identify associations between insurance type and costs and to investigate specified variables’ influence on individuals’ access to adequate coverage. This was a cross sectional study, using secondary data analyses. The study was completed at The Eye Institute (TEI) East Oak Lane Campus in Philadelphia, PA. The study population was all patients seen at TEI East Oak Lane Campus, specifically patients seen at TEI clinic from January 1st, 2019, - to December 31st, 2019, whose encounter generated an insurance claim (n=68,484). The exposure was insurance type and outcomes were patient total amount, billed amount, and pay amount by patient. Data analyses were performed using SAS, version 9.4. In all statistical analyses, p-values were one-sided and considered statistically significant if 0.05 or lower. The study protocol was approved by the Institutional Review Boards of Salus University. The sample represented an older population with an average age of about 55. There was a significant association found between financial class with patient total amount (p<0.0001), billed amount(p<0.0001), and pay amount (p<0.0001). People with managed PPO pay the least, while those on Medicaid and workers compensation pay the most out of pocket. The two Philadelphia zip codes which pay the most out of pocket have two of the lowest average household incomes in the Greater Philadelphia area. Insurance type and out of pocket expenses potentially have a negative effect on patient vision health and affordability of care as well as access to care. These findings contribute to the identification of variables that influence individual’s healthcare accessibility and evidence for opportunities to improve insurance coverage.            

scholarly journals Perceived threats towards COVID-19 pandemic among Nepali migrant workers returned from India

2021 ◽  
Vol 9 (01) ◽  
pp. 87-99
Author(s):  
Shanti Prasad Khanal ◽  
Edwin Van Teijlingen ◽  
Mohan Kumar Sharma ◽  
Jib Acharya ◽  
Sharma Sharma
Keyword(s):  
Migrant Workers ◽  
Health Workers ◽  
Health Belief ◽  
Personal Characteristics ◽  
Cross Sectional Study ◽  
Protective Behavior ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Belief Model ◽  
The Health Belief Model

Evidence shows that the seasonal migrants returned from India have been a source of COVID-19, which helped spread it across Nepal. This cross-sectional study, guided by the Health Belief Model (HBM) model, that people's underlying believes in this case around COVID-19, is determined by a large extend their subsequent behaviors. This study aimed to examine the association between personal characteristics and perceived threats regarding COVID-19 among 384 seasonal migrants who had returned from India and were staying in a quarantine center in Surkhet, Nepal. A questionnaire was used with the help of three health workers working in the Quarantine Center. A five-point sequential grade Likert scale was constructed based on two HBM constructs, like 'perceived susceptibility' and ‘severity.' A score ≥ of 50% was designated as high, and ≤ 50% as a perceived low level of threat. Univariate and bivariate analyses were performed to interpret the data using SPSS 20 version. Generally, participants regarded the threat of COVID-19 as low. The severity of COVID-19 was thought to be greater than the vulnerability of the subjects. Gender, age, caste, education, health status, and perceived susceptibility did not correlate with perceived susceptibility. However, the participants’ demographic characteristics were associated with their perceived level of severity. Therefore, this study calls for proper risk communication to people who returned from abroad, as this is essential in promoting protective behavior during a pandemic outbreak. 

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