Abstract P042: Association Between Covid-19 Pandemic Related Unemployment And Change In Sedentary Screen Time Among Previously Employed Adults

Association between COVID-19 Pandemic Related Unemployment and Change in Sedentary Screen Time among Previously Employed Adults Jennifer L. Mattingly, MPH & Megan E. Petrov, PhD Introduction: Worldwide, the COVID-19 pandemic has resulted in widespread job loss and disruptions in daily life. However, the role of job loss during the COVID-19 pandemic on health behaviors such as sedentary screen time (SST) is unknown. The purpose of this study was to determine the association between employment status change during the pandemic and change in SST. Methods: A 25-minute online survey was distributed through local and global social media from 5/21/2020-7/01/2020. A subsample of employed adults (n=417; M =38.45y, range: 18-75; 74.8.% women) provided complete self-reported pre-and during-COVID-19 employment status (categorized as remained employed and became unemployed), pre-and during-COVID-19 hours of daily SST for non-work-related purposes [low: <5h; high: >5]. Change in daily SST was categorized as low-low (ref), low-high, and high-high. The subsample of participants that changed from high to low SST in the sample was low and were removed from subsequent analyses. Multinomial logistic regression models were conducted to examine the association of change in employment status on change in SST while adjusting for age, gender, education level, body mass index, current minutes of physical activity per week, and current typical 24-hour sleep duration. Results: Of the 417 participants who were employed prior to the pandemic, 15.6% (n=675). Became Unemployed. The proportion of participants in the low-low, low-high, and high-high change in SST groups were 46.8% (n=195), 25.4% (n=106), and 27.8% (n=116), respectively. Relative to adults who remained employed, adults who became unemployed had a 3.02 greater odds (95%CI:1.51, 6.02) of being in the high-high change in SST group, and had a 2.54 greater odds (95%CI:1.23,5.25) of being in the low-high change in SST group relative to participants who were consistently low in SST. Conclusion: In this cross-sectional study of an international, online sample of adults, becoming unemployed was associated with a greater odds of both maintaining high levels of sedentary screen time, and increasing sedentary screen time to high levels. Action to protect people in the workforce from job loss and employment disruption in times of global economic upheaval may prevent increased adoption of maladaptive lifestyle behaviors, such as high levels of SST.

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Screen time exposure and reporting of headaches in young adults: A cross-sectional study

Cephalalgia ◽

10.1177/0333102415620286 ◽

2016 ◽

Vol 36 (11) ◽

pp. 1020-1027 ◽

Cited By ~ 17

Author(s):

Ilaria Montagni ◽

Elie Guichard ◽

Claire Carpenet ◽

Christophe Tzourio ◽

Tobias Kurth

Keyword(s):

Young Adults ◽

Screen Time ◽

Migraine Headache ◽

Multinomial Logistic Regression ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

Time Exposure ◽

Increased Risk

Objective The objective of this article is to investigate whether excessive screen time exposure is associated with non-migraine headache and migraine in young adults. Background Increased levels of television time have been associated with increased risk of headache. However, time spent using newer electronic devices with a screen (smartphone, tablet) has not been examined yet. Methods We conducted a cross-sectional study among 4927 participants of the French i-Share cohort. Demographic characteristics, screen time exposure (computers, tablets, smartphones and television) as well as headache/migraine symptoms were recorded in a standardized questionnaire. Multinomial logistic regression models were used to evaluate the association between screen time exposure and headache status. Results Participants had a mean age of 20.8 years and 75.5% were female. The multivariable model showed that students in the highest screen time exposure quintile had an increased risk for migraine. The odds ratio (OR) (95% confidence interval (CI)) was 1.37 (1.14 to 1.66) for migraine when compared with students without headache and with low screen time exposure. This association was somewhat stronger for migraine without aura (OR = 1.50, 95% CI 1.19 to 1.89). We found no significant association between screen time exposure and non-migraine headache. Conclusion High levels of screen time exposure are associated with migraine in young adults. No significant association was found with non-migraine headache.

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Synovitis is associated with constant pain in knee osteoarthritis: a cross-sectional study of OMERACT knee ultrasound scores

The Journal of Rheumatology ◽

10.3899/jrheum.210285 ◽

2021 ◽

pp. jrheum.210285

Author(s):

Holly T. Philpott ◽

Trevor B. Birmingham ◽

Ryan Pinto ◽

Codie A. Primeau ◽

Dominique Arsenault ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Multinomial Logistic Regression ◽

Cross Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

Knee Oa ◽

Pain Scores ◽

Constant Pain ◽

Secondary Analyses ◽

Pain Experiences

Objective To examine the association between ultrasound (US)-detected knee inflammation and intermittent and constant pain experiences in patients with knee osteoarthritis (OA). Methods Participants with radiographically early- (KL ≤ 2) and late-stage (KL ≥ 3) disease and frequent symptoms underwent musculoskeletal US measures of inflammation using the OMERACT knee US scoring system. Pain experiences were captured using the Intermittent and Constant OA Pain (ICOAP) tool. We assessed the association between US-synovitis and ICOAP pain experiences using a series of linear, logistic, or multinomial logistic regression models (as appropriate for each variable), while adjusting for age, sex, body mass index (BMI), and radiographic stage. Secondary analyses were performed similarly by radiographic stage. Results Pain and synovitis measures from 248 patients (453 knees) were included. Worse synovitis was associated with higher ICOAP constant pain scores (β 8.05 [95%CI 0.67, 15.43]), but not intermittent pain scores. Moderate-to-severe synovitis was associated with a 4.73-fold increased relative risk [95%CI 1.06, 8.80] of a constant pain pattern. In secondary analyses, moderate-to-severe synovitis in early radiographic OA was associated with 2.70-higher odds [95%CI 1.04, 7.02] of any constant pain, 3.28-higher odds [95%CI 1.43, 7.52] of any intermittent pain, and with higher intermittent (β 10.47 [95%CI 1.03, 19.91]) and constant (β 12.62 [95%CI 3.02, 22.23]) pain scores. No associations identified for synovitis in those with late radiographic OA. Conclusion In patients with knee OA, moderate-to-severe synovitis is most strongly associated with constant pain. Inflammation may play context-specific roles across pain experiences, especially in earlier radiographic stages of knee OA.

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Factors associated with workability in Spanish health centre workers

Occupational Medicine ◽

10.1093/occmed/kqaa206 ◽

2020 ◽

Author(s):

I Mateo-Rodríguez ◽

E Knox ◽

A Daponte-Codina ◽

Keyword(s):

Multinomial Logistic Regression ◽

Health Centre ◽

Cross Sectional Study ◽

Work And Family ◽

Physical And Mental Health ◽

Related Factors ◽

Cross Sectional ◽

Logistic Regression Models ◽

Factors Associated ◽

Spanish Health

Abstract Background The concept of workability provides a conceptual framework and proposes measures for the evaluation of relevant actions focused on a healthy workforce. In Spain, one of the countries with the highest life expectancy, there are practically no scientific studies on workability and its associated factors. Aims The objective of this study is to examine the associations between workability and variables related to health and work in a sample of workers from Spanish health centres. Methods Cross-sectional study including 1184 health centre workers who completed a questionnaire at baseline, comprising measures of workability, health and other work-related factors. Workability has been analysed as a one-factor construct, and as a two-factor construct. Multinomial logistic regression models were used to analyse factors associated with workability. Results As a one-dimensional construct, workability is associated with physical and mental health, number of hours of worked, insomnia, work and family life balance, adequate training, never having had an accident and type of contract. When the two-factor measure was used, sensitivity of findings increased, and it was identified that those participants who were older, lived alone and have more years of service in their profession also show worse workability. Conclusions The present study identified factors associated with the workability of health centre workers. The two-factor workability index (WAI) has better psychometric properties and used in combination with the global measure of WAI, identifies important additional aspects, specifically, age and years of professional experience as additional considerations for the intervention.

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Is there an association between ageist attitudes and frailty?

BMC Geriatrics ◽

10.1186/s12877-019-1357-y ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Douglas Salguero ◽

Juliana Ferri-Guerra ◽

Nadeem Y. Mohammed ◽

Dhanya Baskaran ◽

Raquel Aparicio-Ugarriza ◽

...

Keyword(s):

Older Adults ◽

Logistic Regression ◽

Multinomial Logistic Regression ◽

Frailty Index ◽

Cross Sectional Study ◽

Community Dwelling ◽

Outcome Variable ◽

Cross Sectional ◽

Logistic Regression Models ◽

Frailty Status

Abstract Background Frailty is defined as a state of vulnerability to stressors that is associated with higher morbidity, mortality and healthcare utilization in older adults. Ageism is “a process of systematic stereotyping and discrimination against people because they are old.” Explicit biases involve deliberate or conscious controls, while implicit bias involve unconscious processes. Multiple studies show that self-directed ageism is a risk factor for increased morbidity and mortality. The purpose of this study was to determine whether explicit ageist attitudes are associated with frailty in Veterans. Methods This is a cross-sectional study of Veterans 50 years and older who completed the Kogan’s Attitudes towards Older People Scale (KAOP) scale to assess explicit ageist attitudes and the Implicit Association Test (IAT) to evaluate implicit ageist attitudes from July 2014 through April 2015. We constructed a frailty index (FI) of 44 variables (demographics, comorbidities, number of medications, laboratory tests, and activities of daily living) that was retrospectively applied to the time of completion of the KAOP and IAT. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by multinomial logistic regression models with frailty status (robust, prefrail and frail) as the outcome variable, and with KAOP and IAT scores as the independent variables. Age, race, ethnicity, median household income and comorbidities were considered as covariates. Results Patients were 89.76% male, 48.03% White, 87.93% non-Hispanic and the mean age was 60.51 (SD = 7.16) years. The proportion of robust, pre-frail and frail patients was 11.02% (n = 42), 59.58% (n = 227) and 29.40% (n = 112) respectively. The KAOP was completed by 381 and the IAT by 339 participants. In multinomial logistic regression, neither explicit ageist attitudes (KAOP scale score) nor implicit ageist attitudes (IAT) were associated with frailty in community dwelling Veterans after adjusting for covariates: OR = .98 (95% CI = .95–1.01), p = .221, and OR:=.97 (95% CI = .37–2.53), p = .950 respectively. Conclusions This study shows that neither explicit nor implicit ageist attitudes were associated with frailty in community dwelling Veterans. Further longitudinal and larger studies with more diverse samples and measured with other ageism scales should evaluate the independent contribution of ageist attitudes to frailty in older adults.

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Digital health literacy and online information queries in Portuguese university students

European Journal of Public Health ◽

10.1093/eurpub/ckab164.039 ◽

2021 ◽

Vol 31 (Supplement_3) ◽

Author(s):

R Rosário ◽

C Augusto ◽

MJ Silva ◽

S Martins ◽

A Duarte ◽

...

Keyword(s):

Public Health ◽

Health Literacy ◽

University Students ◽

Information Seeking ◽

Online Survey ◽

Digital Health ◽

Cross Sectional Study ◽

Online Information ◽

Cross Sectional ◽

Logistic Regression Models

Abstract Background Worldwide there is an overwhelming amount of information about COVID-19 circulating online, also named infodemic. Misinformation (the unintentional) and disinformation (the intentional) spreading of false information have proven to be very dangerous to public health. Hence, more than ever, people need skills for searching, evaluating and integrating information related to health in daily life, i.e., health literacy. Until now, little is known about the digital health literacy of university students and their information-seeking behaviour. Hence, this study aimed to analyse the associations between university students' digital health literacy and online information queries during the beginning of the COVID-19 pandemic (and infodemic) in Portugal. Methods A cross-sectional study of 3.084 Portuguese university students (75.7% females), with an average age of 24.2 (SD = 7.5), was conducted using an online survey. We used sociodemographic data (sex, age, subjective social status) and the digital health literacy questionnaire adapted to the specific COVID-19 context. Online information queries included the topics related to SARS-CoV-2 and COVID-19 searched by students. Logistic regression models were performed. Results Online information queries (e.g., individual measures to protect against infection, current spread of the virus, current situation assessments and recommendations) were associated with an increased odds of achieving sufficient digital health literacy. Conclusions Online information queries related to epidemiological and public health topics are significantly associated with digital health literacy in times of COVID-19. Further studies are needed, including programs that improve digital health literacy among university students and increase the availability of high-quality content information.

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Gender-based approach on the social impact and mental health in Spain during COVID-19 lockdown: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-044617 ◽

2020 ◽

Vol 10 (11) ◽

pp. e044617

Author(s):

Constanza Jacques-Aviñó ◽

Tomàs López-Jiménez ◽

Laura Medina-Perucha ◽

Jeroen de Bont ◽

Alessandra Queiroga Gonçalves ◽

...

Keyword(s):

Mental Health ◽

Online Survey ◽

Social Impact ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Cross Sectional ◽

Logistic Regression Models ◽

The Social ◽

Gender Based

ObjectiveLockdown has impacts on people’s living conditions and mental health. The study aims to assess the relations between social impact and mental health among adults living in Spain during COVID-19 lockdown measures, taking a gender-based approach into account.Design, setting and participantsWe conducted a cross-sectional study among adults living in Spain during the lockdown of COVID-19 with an online survey from 8 April to 28 May 2020. The main variable was mental health measured by Generalized Anxiety Disorder Scale for anxiety and the Patient Health Questionnaire for depression. Sex-stratified multivariate ordinal logistic regression models were constructed to assess the association between social impact variables, anxiety and depression.ResultsA total of 7053 people completed this survey. A total of 31.2% of women and 17.7% of men reported anxiety. Depression levels were reported in 28.5% of women and 16.7% of men. A higher proportion of anxiety and depression levels was found in the younger population (18–35 years), especially in women. Poorer mental health was mainly related to fear of COVID-19 infection, with higher anxiety levels especially in women (adjusted ordinal OR (aOR): 4.23, 95% CI 3.68 to 4.87) and worsened economy with higher levels of depression in women (aOR: 1.51, 95% CI 1.24 to 1.84), and perceived inadequate housing to cope with lockdown was especially associated with anxiety in men (aOR: 2.53, 95% CI 1.93 to 3.44).ConclusionThe social impact of the lockdown is related to gender, age and socioeconomic conditions. Women and young people had worse mental health outcomes during lockdown. It is urgent to establish strategies for public health emergencies that include mental health and its determinants, taking a gender-based approach into account, in order to reduce health inequities.

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Household chaos, family routines, and young child movement behaviors in the U.S. during the COVID-19 outbreak: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-10909-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Chelsea L. Kracht ◽

Peter T. Katzmarzyk ◽

Amanda E. Staiano

Keyword(s):

Young Child ◽

Screen Time ◽

Online Survey ◽

The United States ◽

Cross Sectional Study ◽

Family Routines ◽

Cross Sectional ◽

Physically Active ◽

Middle Income ◽

Household Chaos

Abstract Background The home environment is an important facilitator of young child movement behaviors, including physical activity (PA), sleep, and screen-time. Household chaos, characterized by crowding, noise, and disorder in the home, may hinder efforts to obtain adequate amounts of movement behaviors. The COVID-19 outbreak impacted many families, and social distancing during this time may create conditions for more household chaos. Family routines can help establish order in the home and encourage an appropriate balance of movement behaviors, such as less screen-time and more sleep. The purpose of this study was to evaluate the association between household chaos and young child movement behaviors during the COVID-19 outbreak in the United States, and the role of family routines in this relationship. Methods A national online survey including 1836 mothers of preschoolers (3.0–5.9 years) was conducted during May 2020. Mothers reported demographic characteristics, household chaos, family routines, and the preschooler’s movement behaviors during the outbreak. Mothers completed a household chaos questionnaire and were grouped into chaos categories (low, moderate/low, moderate/high, and high) for analysis. Linear regression was used to assess the association between chaos category, family routines, and movement behaviors with adjustment for covariates. Results Mothers were 35.9 ± 4.1 years of age, middle income (47.8%), and preschoolers were 3.8 ± 0.8 years of age. Most mothers reported their preschooler was less physically active (38.9%), slept the same amount of time (52.1%), and increased their screen-time (74.0%) after the COVID-19 outbreak. Preschoolers in the high chaos households performed less total PA (β = − 0.36 days/week, 95% CI:-0.62 to − 0.09, p = 0.008), slept less (β = − 0.42 h, 95% CI:-0.59 to − 0.25, p = 0.001) and had more screen-time (β = 0.69 h, 95% CI:0.45 to 0.92, p = 0.001) compared to those in low chaos households. In most chaos categories, having a bed-time ritual was related to more child sleep, and mothers who viewed routines as “less/not important” reported more preschooler screen-time compared to mothers who viewed routines as “very important”. Conclusion Promoting bed-time rituals and prioritizing routines, even somewhat, may be related to an improved balance of child movement behaviors. Innovative measures are needed to support families during periods of disruption such as that experienced in the COVID-19 pandemic.

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Eating habits, lifestyle behaviors and stress during the COVID-19 pandemic quarantine among Peruvian adults

PeerJ ◽

10.7717/peerj.11431 ◽

2021 ◽

Vol 9 ◽

pp. e11431

Author(s):

Hellen S. Agurto ◽

Ana L. Alcantara-Diaz ◽

Eduardo Espinet-Coll ◽

Carlos J. Toro-Huamanchumo

Keyword(s):

Weight Gain ◽

Online Survey ◽

Eating Habits ◽

Cross Sectional Study ◽

Sitting Time ◽

Lifestyle Behaviors ◽

Cross Sectional ◽

Health Crisis ◽

Weight Variation ◽

The Impact

Background and aims The coronavirus disease 2019 (COVID‐19) outbreak has led to an unprecedented public health crisis. In Peru, although the quarantine is no longer mandatory, it was during the first months of 2020. To date, no studies have assessed the impact of the COVID-19 on the eating patterns and lifestyle context in the country. We aimed to describe the eating habits, lifestyle behaviors and stress during the COVID-19 pandemic quarantine among Peruvian adults. Methods We conducted a cross-sectional study. We used an online survey to collect information regarding eating habits, self-perceived stress and sedentary lifestyle among adults over 18 years of age residing in Lima-Peru and who complied with strict home quarantine. We presented our data according to the weight variation of the participants. Results A total of 686 were finally included in the study. The 82.9% were female, the median BMI was 25.97 kg/m2 (IQR: 23.37–29.41) and 68.2% reported a significant variation in their weight (38.9% increased and 29.3% lost weight). All bad habits were significantly associated with weight gain, except for prolonged fasting. Additionally, a sitting time longer than usual (p = 0.001), being in front of a screen for more than five hours in the last week (p = 0.002), and most of the stressful scenarios were significantly associated with weight gain. Conclusion Almost four out of ten participants gained weight during the quarantine. This was associated with unhealthy eating habits, physical inactivity, and stressful scenarios.

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How patients with COVID-19 managed the disease at home during the first wave in Spain: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2021-048702 ◽

2021 ◽

Vol 11 (5) ◽

pp. e048702

Author(s):

María Romay-Barja ◽

Mario Pascual-Carrasco ◽

María José De Tena-Dávila ◽

María Falcón ◽

Carmen Rodriguez-Blazquez ◽

...

Keyword(s):

Online Survey ◽

Cross Sectional Study ◽

Emotional Impact ◽

Sectional Study ◽

Care Needs ◽

Cross Sectional ◽

Logistic Regression Models ◽

Preventive Practices ◽

Hospitalised Patients ◽

At Home

ObjectiveMost patients with mild COVID-19 had to stay at home trying to implement an optimal quarantine. The aim of this study was to describe the COVID-19 cases during the first wave of the pandemic in Spain, how they managed the disease at home, focusing on differences by age, as well as differences in knowledge, attitudes and preventive practices, compared with the uninfected population.DesignAn online survey was used to conduct a cross-sectional study of individuals who were 14 years or older living in Spain during the COVID-19 lockdown. The main variable was a COVID-19 case. Logistic regression models for COVID-19 cases were obtained using a backward stepwise procedure to assess the association between social variables, disease knowledge, attitudes, prevention practices and emotional impact.Results3398 people completed the survey. Participants’ mean age was 49.6 (SD=14.3). COVID-19 was significantly more prevalent among married people (5.3%) and those currently doing an on-site work (8.7%). Most of the COVID-19 cases stayed at home (84.0%) during the episode. There were significant age-based differences with regard to self-isolation conditions at home during the disease. COVID-19 cases showed better attitudes, practices and knowledge about disease symptoms and transmission than the uninfected population. COVID-19 cases also felt more depressed (adjusted OR: 3.46, 95% CI 1.45 to 8.26) and had better preventive behaviour than the uninfected population, such as always wearing a mask outside the home (adjusted OR 1.58, 95% CI 1.06 to 2.30).ConclusionCOVID-19 cases found it difficult to comply with recommended home self-isolation conditions, with differences by age group. COVID-19 had an important impact on care dependency in non-hospitalised patients, who were mostly dependent on their families for care. It is necessary to reinforce social and health services and to be ready to meet the care needs of populations during the different waves or in future epidemics.

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Consumer Empowerment in Transportation Sector

International Research Journal of Business Studies ◽

10.21632/irjbs.14.1.1-12 ◽

2021 ◽

Vol 14 (1) ◽

pp. 1-12

Author(s):

Megawati Simanjuntak ◽

◽

Raisha Ulfa Saniyya ◽

Keyword(s):

Public Transportation ◽

Employment Status ◽

Online Survey ◽

Cross Sectional Study ◽

Consumer Education ◽

Sectional Study ◽

Consumer Empowerment ◽

Consumer Awareness ◽

Cross Sectional ◽

Transportation Sector

Awareness of rights and obligations as a consumer became one of the problems faced by consumers. One way to increase consumer awareness is to provide access to consumer education through media used by consumers. This article aimed to identify and analyze the effect of socio-demographic characteristics and consumer education media toward consumer empowerment on public transportation. This research used a cross-sectional study through an online survey of 100 users of public transportation. Data were analyzed using multiple regression analysis. The results showed that the consumer empowerment index is 44.56 and categorized as capable level. Also, female, early-aged adults (18 - 40 years), high education, employee, income range from IDR 2 000 000 to IDR 3 000 000 per capita per month, and an urban area were the most empowered consumers. In addition, employment status and media of consumer education positively and significantly influenced consumer empowerment.

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