scholarly journals Beyond COVID-19: a cross-sectional study in Italy exploring the Covid Collateral Impacts

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M R Gualano ◽  
A Corradi ◽  
G Voglino ◽  
F Bert ◽  
R Siliquini
Keyword(s):  
Chronic Conditions ◽  
Stress Test ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Sectional Study ◽  
Access To Health Services ◽  
Online Questionnaire ◽  
Self Medication ◽  
Cross Sectional

Abstract Background The COVID-19 pandemic is a calamity affecting many aspects. In particular healthcare services (HCS) are facing a great stress-test worldwide. The present work aims to explore what were health needs, beyond COVID, not covered among Italian citizens, due to fear, lockdown measures and overload of HCS, also in order to understand if there are specific subgroups of populations that will need urgent access to health services in the next future. Methods COCOS (COvid COllateral impactS) is a cross-sectional study performed during the Italian lockdown between April and May 2020. A forty-nine items online questionnaire was filled by the respondents. Participation was voluntary and without compensation. Informed consents were obtained. Descriptive, univariable and multivariable (logistic regression models) analyses were performed: results are expressed in ORs. Results Totally, 1,515 questionnaires were collected. Median age was 42 years, 65.6% were females. Around 22% declared to suffer from chronic diseases. Interestingly, 32.4% of the sample faced a delay of a scheduled Medical Service (MS) by provider decision, while 25.6% reported that this issue hit a family member. More than 13% refused to access scheduled MS for the fear of contagion, and the 6.5% avoided HCS even if having an acute onset issue: this behavior was associated with scarce trust in physicians (AdjOR 0.75); alarmingly, 1.5% avoided Emergency Department when in need and 5% of the sample took medications without consulting any physician: patients suffering from chronic conditions resulted to be more prone to self-medication (AdjOR: 2.16; 95% C.I.: 1.16-4.02). Conclusions COVID-19 immediate effects are just the tip of the iceberg. Large groups of population suffered delays and interruptions of medical services, and the most vulnerable were the most affected. To estimate the effects of the pandemic on non-COVID-19 patients is required, leading to aimed efforts, to reduce the backlog that HCS incurred in. Key messages COVID-19 biggest toll on public health is still to come if not prevented, due to temporary but widespread suspensions of scheduled medical services and the avoidance of these for fear of contagion. The most in need are the most vulnerable: older patients and those with chronic conditions are the most affected by suspension of medical services and will potentially pay the greatest cost.

scholarly journals Impact on health and provision of healthcare services during the COVID-19 lockdown in India: a multicentre cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043590
Author(s):  
Rajiv Raman ◽  
Ramachandran Rajalakshmi ◽  
Janani Surya ◽  
Radha Ramakrishnan ◽  
Sobha Sivaprasad ◽  
...  
Keyword(s):  
Well Being ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Indian Languages ◽  
Sectional Study ◽  
Healthcare Provision ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Five Dimensions ◽  
The Impact

IntroductionThe COVID-19 pandemic resulted in a national lockdown in India from midnight on 25 March 2020, with conditional relaxation by phases and zones from 20 April. We evaluated the impact of the lockdown in terms of healthcare provisions, physical health, mental health and social well-being within a multicentre cross-sectional study in India.MethodsThe SMART India study is an ongoing house-to-house survey conducted across 20 regions including 11 states and 1 union territory in India to study diabetes and its complications in the community. During the lockdown, we developed an online questionnaire and delivered it in English and seven popular Indian languages (Hindi, Tamil, Marathi, Telegu, Kannada, Bengali, Malayalam) to random samples of SMART-India participants in two rounds from 5 May 2020 to 24 May 2020. We used multivariable logistic regression to evaluate the overall impact on health and healthcare provision in phases 3 and 4 of lockdown in red and non-red zones and their interactions.ResultsA total of 2003 participants completed this multicentre survey. The bivariate relationships between the outcomes and lockdown showed significant negative associations. In the multivariable analyses, the interactions between the red zones and lockdown showed that all five dimensions of healthcare provision were negatively affected (non-affordability: OR 1.917 (95% CI 1.126 to 3.264), non-accessibility: OR 2.458 (95% CI 1.549 to 3.902), inadequacy: OR 3.015 (95% CI 1.616 to 5.625), inappropriateness: OR 2.225 (95% CI 1.200 to 4.126) and discontinuity of care: OR 6.756 (95% CI 3.79 to 12.042)) and associated depression and social loneliness.ConclusionThe impact of COVID-19 pandemic and lockdown on health and healthcare was negative. The exaggeration of income inequality during lockdown can be expected to extend the negative impacts beyond the lockdown.

scholarly journals Knowledge, Attitude and Practices of Medical Students Regarding Self-Medication in Sore Throat: A Cross-sectional Study

2021 ◽  
Author(s):  
Nilank Saroha ◽  
Nitin Tomar ◽  
Varun Singh
Keyword(s):  
Medical Students ◽  
Sore Throat ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Online Questionnaire ◽  
Self Medication ◽  
Cross Sectional ◽  
Medical College ◽  
Common Ailment ◽  
Will Self

Introduction: Self-medication is a prevalent problem worldwide. Especially, knowing the pattern among medical students is pertinent as they would be future physicians. It would be interesting to find out their self-medication practices in common ailment such as sore throat. Aim: To study the patterns of self-medication in sore throat among medical students. Materials and Methods: This was a cross-sectional, online questionnaire based survey (via google forms) conducted in Muzaffarnagar Medical College in October 2020-November 2020. Total 450 students form 2nd, 3rd and final year (150 per batch) were enrolled. Out of these, only 213 consented and participated in the study (82 from 2nd year, 93 from 3rd year and 38 from final year). Results were expressed as counts (n) and percentages (%) statistical analysis was done wherever appropriate. Results: Out of 213 (113 females and 100 males), who participated in the survey, 190 (89.2%) suffered from sore throat in last 1 year and 111 (58.42%) of these self-medicated for it. Self-medication practices increased with professional year, highest being in final year (27 of 38, 71.05%). Most common class of drug used was antibiotic (consumed by n=95, 85.59%). It was followed by analgesic/antipyretic (n=82, 73.87%) and antihistaminic (n=75, 67.57%). Overall, azithromycin was the most favoured independent drug for sore throat (n=68, 71.58%). More than half of the students who preferred antibiotic other than azithromycin (n=14/27, 51.85%), discontinued it within 3 days. Majority of students (n=126, 59.15%) did not support self-medication whereas 87 students (40.85%) believed self-medication to be good. Almost 1/5th of the students (n=46, 21.60%) confirmed that they will self-medicate in future, 107(50.23%) were not sure and only 60 (28.17%) refused to practice self-medication. One fifth students (n=42, 19.72%) felt that self-medication is a part of self-care and 30 (14.08%) would recommend it to others also. Prevalence of self-medication in sore throat was in 111 students (58.42%). Conclusion: A rising trend with progression of professional year was observed. An alarming fact in the present study was the high use of antibiotic in sore throat by our undergraduates. The students need to understand the indications of the medicines they prescribe to themselves or others.

scholarly journals Attitudes and stressors related to the SARS-CoV-2 pandemic among emergency medical services workers in Germany: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annegret Dreher ◽  
Frank Flake ◽  
Reinhard Pietrowsky ◽  
Adrian Loerbroks
Keyword(s):  
Emergency Medical Services ◽  
Cross Sectional Study ◽  
Work Outcomes ◽  
Medical Services ◽  
Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Older Employees ◽  
Personal Risk ◽  
Emergency Medical

Abstract Background The aim was to investigate attitudes and stressors related to the SARS-CoV-2 outbreak among emergency medical services (EMS) workers in Germany. We further aimed to detect possible changes within a 5-week period and potential determinants of attitudes and stressors. Methods We conducted two cross-sectional studies using an online questionnaire in early April 2020 (i.e., the first peak of the SARS-CoV-2 outbreak in Germany) and five weeks later. The study instrument comprised sociodemographic items, self-devised items on pandemic-related attitudes, stressors and work outcomes, and established instruments assessing depressive symptoms and symptoms of anxiety. Logistic regression was performed to identify possible determinants. Results Data of 1537 participants was included in the analysis (April: n = 1124, May: n = 413, 83.1% male, median age 32). Most participants agreed that their personal risk of infection was higher compared to the general population (April: 87.0% agreement, May: 78.9%). The greatest stressor was uncertainty about the pandemic’s temporal scope (82.0 and 80.9%, respectively). Most participants (69.9, 79.7%) felt sufficiently prepared for the pandemic and only few felt burdened by their financial situation (18.8, 13.3%). Agreement to all stressors decreased from April to May except related to the childcare situation. Regression analysis identified subgroups to be burdened more frequently such as older employees, those with SARS-CoV-2 cases among their colleagues, and those with lower paramedic training levels. Conclusions We identified key SARS-CoV-2-related stressors whose levels generally decreased within a 5-week period. Our results indicate that EMS workers are less affected by existential fears and rather worry about their personal infection risk.

“SELF-MEDICATION FOR PREVENTION OF COVID-19: A CROSSSECTIONAL ONLINE SURVEY AMONG THE GENERAL PUBLIC IN SOUTH INDIA”

2021 ◽  
pp. 12-15
Author(s):  
Arunima Chellappan ◽  
Harsha Susan Jacob ◽  
Chithra R ◽  
Chirag Sunil Lalwani ◽  
Anjana S Nair
Keyword(s):  
Developing Countries ◽  
Adverse Effects ◽  
Online Survey ◽  
South India ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Online Questionnaire ◽  
Self Medication ◽  
Cross Sectional ◽  
Healthcare Facilities

Background: Self-medication is a common practice in developing countries and its prevalence is attributed to less healthcare facilities, reduced economic burden, and easy availability of drugs and local medicines. With the onset of COVID-19, self-medication has increased due to fear and stigma surrounding the disease and hospitals being considered hotspots of infection. Methods: This is a cross-sectional study and data was collected from 478 participants using a semi-structured, self-reporting online questionnaire. Responses were tabulated and analysed with the help of SPSS (V25). Results: The prevalence of self-medication had risen to 84.5% in lieu of the COVID-19 pandemic. 80.8% of all males and 86.6% of all females who responded to the form used self-medication. Elderly people were found to have self-medicated the most. 71% of the participants self-medicated as they were anxious about contracting the disease. 50.2% reported using home remedies. Most frequently used allopathic drugs among the respondents were Vitamins and other dietary supplements (51.7%). Treatment by self-medication was found effective by 91.6% of the participants. Conclusion: Self-medication cannot be overlooked as it is most often suitable, cheap and effective. Awareness regarding the proper use of selfmedication is necessary, especially during the COVID-19 pandemic as it can lead to drug interactions, microbial resistance or serious adverse effects.

scholarly journals Socioeconomic determinants of unmet need for outpatient healthcare services in Iran: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sajad Vahedi ◽  
Amin Torabipour ◽  
Amirhossein Takian ◽  
Saeed Mohammadpur ◽  
Alireza Olyaeemanesh ◽  
...  
Keyword(s):  
Health System ◽  
Age Groups ◽  
Unmet Need ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Outpatient Services ◽  
Self Medication ◽  
Cross Sectional ◽  
Organizational Policies ◽  
Utilization Of Healthcare

Abstract Background Unmet need is a critical indicator of access to healthcare services. Despite concrete evidence about unmet need in Iran’s health system, no recent evidence of this negative outcome is available. This study aimed to measure the subjective unmet need (SUN), the factors associated with it and various reasons behind it in Iran. Methods We used the data of 13,005 respondents over the age of 15 from the Iranian Utilization of Healthcare Services Survey in 2016. SUN was defined as citizens whose needs were not sought through formal healthcare services, while they did not show a history of self-medication. The reasons for SUN were categorized into availability, accessibility, responsibility and acceptability of the health system. The multivariable logistic regression was used to determine significant predictors of SUN and associated major reasons. Results About 17% of the respondents (N = 2217) had unmet need for outpatient services. Nearly 40% of the respondents chose only accessibility, 4% selected only availability, 78% chose only responsibility, and 13% selected only acceptability as the main reasons for their unmet need. Higher outpatient needs was the only factor that significantly increased SUN, responsibility-related SUN and acceptability-related SUN. Low education was associated with higher SUN and responsibility-related SUN, while it could also reduce acceptability-related SUN. While SUN and responsibility-related SUN were prevalent among lower economic quintiles, having a complementary insurance was associated with decreased SUN and responsibility-related SUN. The people with basic insurance had lower chances to face with responsibility-related SUN, while employed individuals were at risk to experience SUN. Although the middle-aged group had higher odds to experience SUN, the responsibility-related SUN were prevalent among elderly, while higher age groups had significant chance to be exposed to acceptability-related SUN. Conclusion It seems that Iran is still suffering from unmet need for outpatient services, most of which emerges from its health system performance. The majority of the unmet health needs could be addressed through improving financial as well as organizational policies. Special attention is needed to address the unmet need among individuals with poor health status.

scholarly journals Assessment of Saudi Parents’ Beliefs and Behaviors towards Management of Child Fever in Saudi Arabia—A Cross-Sectional Study

2021 ◽  
Vol 18 (10) ◽  
pp. 5217
Author(s):  
Mohamed N. Al Arifi ◽  
Abdulrahman Alwhaibi
Keyword(s):  
Saudi Arabia ◽  
Side Effects ◽  
Febrile Seizures ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Electronic Thermometer ◽  
And Behavior

Objective: Fever alone can lead to rare serious complications in children, such as febrile seizures. The aim of this study is to assess the knowledge, beliefs, and behavior of parents toward fever and its management. Methods: A cross-sectional study using an online questionnaire was applied over a period of 3 months, from January to March 2018, to parents who were living in Saudi Arabia. The inclusion criteria were a parent who is a resident of Saudi Arabia, with at least one child aged 6 years or less, while incomplete questionnaires, having a child aged more than 6 years, or parents who were not living in Saudi Arabia were excluded. Results: A total of 656 parents completed the questionnaire. More than two-thirds of the subjects were female, the majority of whom were aged between 25–33 years old. The best-reported place to measure the temperature of children was the armpit (46%), followed by the ear (28%) and the mouth (10.7%). More than half of the parents considered their children feverish at a temperature of 38 °C. The majority of parents (79.7%) reported that the most serious side effects of fever were seizure, brain damage (39.3%), coma (29.9%), dehydration (29.7%), and death (25%). The most common method used to measure a child’s temperature was an electronic thermometer (62.3%). The most common antipyretic was paracetamol (84.5%). Conclusions: Our study demonstrates the good knowledge of parents in identifying a feverish temperature using the recommended route and tools for measuring body temperature.

scholarly journals Undernutrition and associated factors in orphan children aged 6–59 months in Gambella Southwest, Ethiopia: A community-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045892
Author(s):  
Solomon Feleke ◽  
Gudina Egata ◽  
Firehiwot Mesfin ◽  
Gizachew Yilak ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Orphaned Children ◽  
Access To Health ◽  
Study Participants ◽  
Children Under 5

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.

scholarly journals Results of a Patient Reported Experience Measure (PREM) to measure the rare disease patients and caregivers experience: a Spanish cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Mercedes Guilabert ◽  
Alba Martínez-García ◽  
Marina Sala-González ◽  
Olga Solas ◽  
José Joaquín Mira
Keyword(s):  
Rare Disease ◽  
Rare Diseases ◽  
Healthcare Services ◽  
Paediatric Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Optimal Care ◽  
Cross Sectional ◽  
Patient Reported ◽  
Mean Time

Abstract Objective To measure the experience of the person having a rare disease in order to identify objectives for optimal care in the health care received by these patients. Methods. A cross-sectional study was conducted in Spain involving patients associated with the Spanish Rare Diseases Federation [Federación Española de Enfermedades Raras] (FEDER). A modified version of the PREM IEXPAC [Instrumento para evaluar la Experiencia del Paciente Crónico] instrument was used (IEXPAC-rare-diseases). Scores ranged between 0 (worst experience) and 10 (best experience). Results A total of 261 caregivers (in the case of paediatric population) and patients with rare diseases (response rate 54.4%) replied. 232 (88.9%) were adult patients and 29 (11.1%) caregivers of minor patients. Most males, 227 (87%), with an average age of 38 (SD 13.6) years. The mean time since confirmation of diagnosis was 7.8 (SD 8.0) years. The score in this PREM was 3.5 points out to 10 (95%CI 3.2–3.8, SD 2.0). Caregivers of paediatric patients scored higher, except for coordination of social and healthcare services. Conclusions There are wide and important areas for improvement in the care of patients with rare diseases. This study involves a first assesment of the experience of patients with rare diseases in Spain.

Enhancing family nursing practice in schools: School nurses’ perspectives on illness beliefs and family nursing practice skills when caring for children with attention-deficit hyperactivity disorder or asthma – A cross-sectional study

2021 ◽  
pp. 205715852110096
Author(s):  
Erla Kolbrun Svavarsdottir ◽  
Gudny Bergthora Tryggvadottir ◽  
Margret Gisladottir ◽  
Ragnheidur Osk Erlendsdottir
Keyword(s):  
Nursing Practice ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
School Nurses ◽  
Illness Beliefs ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hyperactivity Disorder ◽  
Family Nursing ◽  
Practice Skills

An increasing number of children attend schools with chronic illnesses/disorders that require managing and comprehensive healthcare from school nurses during the day. Collaboration between school nurses, the school-aged child with attention-deficit hyperactivity disorder (ADHD) or asthma, and their families is needed when coordinating/managing chronic health problems in the school setting. However, involving families in the assessment and care planning processes can be challenging. The aim of this study was to survey the illness beliefs of school nurses and their perceptions of their family nursing practice skills when offering healthcare services to children with ADHD or asthma in schools. A cross-sectional study was used for a sample of 82 school nurses. The manuscript was prepared following STROBE guidelines. Results indicated that the school nurses perceived themselves to be more confident and to have better knowledge and skill in family nursing practice when offering healthcare services to families of children with ADHD in comparison to asthma.

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