scholarly journals Loneliness in the United States: A 2018 National Panel Survey of Demographic, Structural, Cognitive, and Behavioral Characteristics

2019 ◽  
Vol 33 (8) ◽  
pp. 1123-1133 ◽  
Author(s):  
Liana DesHarnais Bruce ◽  
Joshua S. Wu ◽  
Stuart L. Lustig ◽  
Daniel W. Russell ◽  
Douglas A. Nemecek
Keyword(s):  
United States ◽  
Social Support ◽  
Social Media ◽  
Social Anxiety ◽  
Los Angeles ◽  
Linear Regression Analysis ◽  
The United States ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Health Behavior Intervention

Purpose: To inform health behavior intervention design, we sought to quantify loneliness and its correlates, including social media use, among adults in the United States. Design: Cross-sectional research panel questionnaire. Setting: Responses were gathered from individuals in all 50 states surveyed via Internet from February 2018 to March 2018. Participants: A total of 20 096 US panel respondents aged 18+. Measures: The University of California at Los Angeles (UCLA) Loneliness Scale (theoretical score range = 20-80) was administered along with demographic, structural, cognitive, and behavioral items. Analysis: After calibrating the sample to population norms, we conducted multivariable linear regression analysis. Results: The overall mean survey-weighted loneliness score was 44.03 (standard error = 0.09). Social support (standardized β [sβ] = −0.19) and meaningful daily interactions (sβ = −0.14) had the strongest associations with lower loneliness, along with reporting good relationships, family life, physical and mental health, friendships, greater age, being in a couple, and balancing one’s daily time. Social anxiety was most strongly associated with greater loneliness (sβ = +0.20), followed by self-reported social media overuse (sβ = +0.05) and daily use of text-based social media (sβ = +0.03). Conclusion: Our findings confirm that loneliness decreases with age, and that being in a relationship as well as everyday behavioral factors in people’s control are most strongly related to loneliness. Population health promotion efforts to reduce loneliness should focus on improving social support, decreasing social anxiety, and promoting healthy daily behaviors.

Divergent effects of social media use on meaning in life via loneliness and existential isolation during the coronavirus pandemic

2022 ◽  
pp. 026540752110669
Author(s):  
Peter J. Helm ◽  
Tyler Jimenez ◽  
Madhwa S. Galgali ◽  
Megan E. Edwards ◽  
Kenneth E. Vail ◽  
...  
Keyword(s):  
United States ◽  
Social Media ◽  
Meaning In Life ◽  
Media Use ◽  
The United States ◽  
Psychological Consequences ◽  
Social Media Use ◽  
Cross Sectional ◽  
Media Usage ◽  
Emotional Loneliness

Stay-at-home orders issued to combat the growing number of infections during the coronavirus pandemic in 2020 had many psychological consequences for people including elevated stress, anxiety, and difficulty maintaining meaning in their lives. The present studies utilized cross-sectional designs and were conducted to better understand how social media usage related to people’s subjective isolation (i.e., social loneliness, emotional loneliness, and existential isolation) and meaning in life (MIL) during the early months of the pandemic within the United States. Study 1 found that general social media use indirectly predicted higher MIL via lower existential isolation and social isolation. Study 2 replicated these patterns and found that social media use also predicted lower MIL via higher emotional loneliness, and that the aforementioned effects occurred with active, but not passive, social media use. Findings suggest social media use may be a viable means to validate one’s experiences (i.e., reduce existential isolation) during the pandemic but may also lead to intensified feelings concerning missing others (i.e., increased emotional loneliness). This research also helps to identify potential divergent effects of social media on MIL and helps to clarify the relationships among varying types of subjective isolation.

Testing a Conceptual Framework for Diabetes Self-Care Management

2004 ◽  
Vol 18 (4) ◽  
pp. 293-316 ◽  
Author(s):  
Valmi D. Sousa ◽  
Jaclene A. Zauszniewski ◽  
Carol M. Musil ◽  
Patricia E. McDonald ◽  
Sharon E. Milligan
Keyword(s):  
United States ◽  
Social Support ◽  
Self Efficacy ◽  
Care Management ◽  
Care Center ◽  
Self Care ◽  
The United States ◽  
Diabetes Knowledge ◽  
Cross Sectional ◽  
Care Agency

Diabetes is a major source of morbidity, mortality, and economic expense in the United States. The majority of researchers and clinicians believe that diabetes is a self-care management disease, and that patients should be reliable, capable, and sufficiently responsible to take care of themselves. However, individuals with diabetes may or may not have diabetes knowledge, social support, self-care agency (an individual’s capability to perform self-care actions), and self-efficacy (an individual’s beliefs in his or her capability to perform self-care actions) that would help them to engage in diabetes self-care management. Therefore, this study examined the relationship among those factors using a cross-sectional model testing design. A convenient sample of 141 insulin-requiring individuals with either diabetes type 1 or type 2, 21 years old and over, was recruited from an outpatient diabetes care center located in a Southeast region of the United States. Simple linear regression, multiple standard regression, and multiple hierarchical regression were used to analyze the data. Individuals with greater diabetes knowledge had greater self-care agency and self-efficacy. Those with a higher score in social support had greater self-care agency and better diabetes self-care management, and those with greater self-efficacy had better diabetes self-care management. In addition, self-care agency mediated the effects of diabetes knowledge on self-efficacy and the effects of social support on diabetes self-care management. Self-efficacy mediated the effects of self-care agency on diabetes self-care management. Furthermore, the linear combination of diabetes knowledge, social support, self-care agency, and self-efficacy, taken together, positively affected diabetes self-care management. Enhancing an individual’s diabetes knowledge, social support, self-care agency, and self-efficacy may be a strategy which can promote better engagement in diabetes self-care.

scholarly journals Exploring the Role of Media Sources on COVID-19–Related Discrimination Experiences and Concerns Among Asian People in the United States: Cross-Sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Nan Yu ◽  
Shuya Pan ◽  
Chia-chen Yang ◽  
Jiun-Yi Tsai
Keyword(s):  
Public Health ◽  
United States ◽  
Social Media ◽  
Asian Americans ◽  
Asian American ◽  
The United States ◽  
Cross Sectional ◽  
Racial Biases ◽  
Asian People

BACKGROUND Media coverage and scholarly research have reported that Asian people who reside in the United States have been the targets of racially motivated incidents during the COVID-19 pandemic. OBJECTIVE This study aimed to examine the types of discrimination and worries experienced by Asians and Asian Americans living in the United States during the pandemic, as well as factors that were associated with everyday discrimination experience and concerns about future discrimination that the Asian community may face. METHODS A cross-sectional online survey was conducted. A total of 235 people who identified themselves as Asian or Asian American and resided in the United States completed the questionnaire. RESULTS Our study suggested that up to a third of Asians surveyed had experienced some type of discrimination. Pooling the responses “very often,” “often,” and “sometimes,” the percentages for each experienced discrimination type ranged between 14%-34%. In total, 49%-58% of respondents expressed concerns about discrimination in the future. The most frequently experienced discrimination types, as indicated by responses “very often” and “often,” were “people act as if they think you are dangerous” (25/235, 11%) and “being treated with less courtesy or respect” (24/235, 10%). About 14% (32/235) of individuals reported very often, often, or sometimes being threatened or harassed. In addition, social media use was significantly associated with a higher likelihood of experiencing discrimination (β=.18, <i>P</i>=.01) and having concerns about future episodes of discrimination the community may face (β=.20, <i>P</i>=.005). Use of print media was also positively associated with experiencing discrimination (β=.31, <i>P</i>&lt;.001). CONCLUSIONS Our study provided important empirical evidence regarding the various types of discrimination Asians residing in the United States experienced or worried about during the COVID-19 pandemic. The relationship between media sources and the perception of racial biases in this group was also identified. We noted the role of social media in reinforcing the perception of discrimination experience and concerns about future discrimination among Asians during this outbreak. Our results indicate several practical implications for public health agencies. To reduce discrimination against Asians during the pandemic, official sources and public health professionals should be cognizant of the possible impacts of stigmatizing cues in media reports on activating racial biases. Furthermore, Asians or Asian Americans could also be informed that using social media to obtain COVID-19 information is associated with an increase in concerns about future discrimination, and thus they may consider approaching this media source with caution.

scholarly journals Coping With and Adapting to COVID-19 in Rural United States and Canada

2021 ◽  
Vol 102 (1) ◽  
pp. 78-90
Author(s):  
Donna Wang ◽  
Jill M. Chonody ◽  
Kathryn Krase ◽  
Leina Luzuriaga
Keyword(s):  
United States ◽  
Health Care ◽  
Social Media ◽  
Rural Areas ◽  
Online Survey ◽  
The United States ◽  
Small Towns ◽  
Cross Sectional ◽  
Personal Impact ◽  
Levels Of Support

Guidelines aimed at slowing the spread of COVID-19 resulted in major changes in people’s lives. A cross-sectional online survey, completed by 1,405 adults in Canada and the United States in June 2020, found respondents from rural areas/small towns reported better coping and adjustment (i.e., less use of substances for support), less personal impact, less life disruption, and fewer challenges with transportation and health care, than urban and suburban respondents. Those in rural areas were less likely to use the newspaper, but more likely to use social media, for information. Finally, rural respondents reported higher levels of support for their national leadership’s response to the pandemic. The needs and strengths of rural areas, as well as approaches to serve rural areas are discussed.

scholarly journals Intergroup Contact, COVID-19 News Consumption, and the Moderating Role of Digital Media Trust on Prejudice Toward Asians in the United States: Cross-Sectional Study

10.2196/22767 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e22767
Author(s):  
Jiun-Yi Tsai ◽  
Joe Phua ◽  
Shuya Pan ◽  
Chia-chen Yang
Keyword(s):  
United States ◽  
Social Media ◽  
Media Use ◽  
Intergroup Contact ◽  
The United States ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Frequent Use ◽  
Prejudicial Attitudes

Background The perceived threat of a contagious virus may lead people to be distrustful of immigrants and out-groups. Since the COVID-19 outbreak, the salient politicized discourses of blaming Chinese people for spreading the virus have fueled over 2000 reports of anti-Asian racial incidents and hate crimes in the United States. Objective The study aims to investigate the relationships between news consumption, trust, intergroup contact, and prejudicial attitudes toward Asians and Asian Americans residing in the United States during the COVID-19 pandemic. We compare how traditional news, social media use, and biased news exposure cultivate racial attitudes, and the moderating role of media use and trust on prejudice against Asians is examined. Methods A cross-sectional study was completed in May 2020. A total of 430 US adults (mean age 36.75, SD 11.49 years; n=258, 60% male) participated in an online survey through Amazon’s Mechanical Turk platform. Respondents answered questions related to traditional news exposure, social media use, perceived trust, and their top three news channels for staying informed about the novel coronavirus. In addition, intergroup contact and racial attitudes toward Asians were assessed. We performed hierarchical regression analyses to test the associations. Moderation effects were estimated using simple slopes testing with a 95% bootstrap confidence interval approach. Results Participants who identified as conservatives (β=.08, P=.02), had a personal infection history (β=.10, P=.004), and interacted with Asian people frequently in their daily lives (β=.46, P<.001) reported more negative attitudes toward Asians after controlling for sociodemographic variables. Relying more on traditional news media (β=.08, P=.04) and higher levels of trust in social media (β=.13, P=.007) were positively associated with prejudice against Asians. In contrast, consuming news from left-leaning outlets (β=–.15, P=.001) and neutral outlets (β=–.13, P=.003) was linked to less prejudicial attitudes toward Asians. Among those who had high trust in social media, exposure had a negative relationship with prejudice. At high levels of trust in digital websites and apps, frequent use was related to less unfavorable attitudes toward Asians. Conclusions Experiencing racial prejudice among the Asian population during a challenging pandemic can cause poor psychological outcomes and exacerbate health disparities. The results suggest that conservative ideology, personal infection history, frequency of intergroup contact, traditional news exposure, and trust in social media emerge as positive predictors of prejudice against Asians and Asian Americans, whereas people who get COVID-19 news from left-leaning and balanced outlets show less prejudice. For those who have more trust in social media and digital news, frequent use of these two sources is associated with lower levels of prejudice. Our findings highlight the need to reshape traditional news discourses and use social media and mobile news apps to develop credible messages for combating racial prejudice against Asians.

scholarly journals Exploring the Role of Media Sources on COVID-19–Related Discrimination Experiences and Concerns Among Asian People in the United States: Cross-Sectional Survey Study

10.2196/21684 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e21684
Author(s):  
Nan Yu ◽  
Shuya Pan ◽  
Chia-chen Yang ◽  
Jiun-Yi Tsai
Keyword(s):  
Public Health ◽  
United States ◽  
Social Media ◽  
Asian Americans ◽  
Asian American ◽  
The United States ◽  
Cross Sectional ◽  
Racial Biases ◽  
Asian People

Background Media coverage and scholarly research have reported that Asian people who reside in the United States have been the targets of racially motivated incidents during the COVID-19 pandemic. Objective This study aimed to examine the types of discrimination and worries experienced by Asians and Asian Americans living in the United States during the pandemic, as well as factors that were associated with everyday discrimination experience and concerns about future discrimination that the Asian community may face. Methods A cross-sectional online survey was conducted. A total of 235 people who identified themselves as Asian or Asian American and resided in the United States completed the questionnaire. Results Our study suggested that up to a third of Asians surveyed had experienced some type of discrimination. Pooling the responses “very often,” “often,” and “sometimes,” the percentages for each experienced discrimination type ranged between 14%-34%. In total, 49%-58% of respondents expressed concerns about discrimination in the future. The most frequently experienced discrimination types, as indicated by responses “very often” and “often,” were “people act as if they think you are dangerous” (25/235, 11%) and “being treated with less courtesy or respect” (24/235, 10%). About 14% (32/235) of individuals reported very often, often, or sometimes being threatened or harassed. In addition, social media use was significantly associated with a higher likelihood of experiencing discrimination (β=.18, P=.01) and having concerns about future episodes of discrimination the community may face (β=.20, P=.005). Use of print media was also positively associated with experiencing discrimination (β=.31, P<.001). Conclusions Our study provided important empirical evidence regarding the various types of discrimination Asians residing in the United States experienced or worried about during the COVID-19 pandemic. The relationship between media sources and the perception of racial biases in this group was also identified. We noted the role of social media in reinforcing the perception of discrimination experience and concerns about future discrimination among Asians during this outbreak. Our results indicate several practical implications for public health agencies. To reduce discrimination against Asians during the pandemic, official sources and public health professionals should be cognizant of the possible impacts of stigmatizing cues in media reports on activating racial biases. Furthermore, Asians or Asian Americans could also be informed that using social media to obtain COVID-19 information is associated with an increase in concerns about future discrimination, and thus they may consider approaching this media source with caution.

scholarly journals COVID-19 and Asian Americans: How Elite Messaging and Social Exclusion Shape Partisan Attitudes

2021 ◽  
pp. 1-17
Author(s):  
Nathan Kar Ming Chan ◽  
Jae Yeon Kim ◽  
Vivien Leung
Keyword(s):  
United States ◽  
Social Media ◽  
Social Exclusion ◽  
Asian Americans ◽  
Democratic Party ◽  
The United States ◽  
Racial Group ◽  
The Other ◽  
Cross Sectional ◽  
Media Study

Extending theories of social exclusion and elite messaging, we argue that Trump’s targeted rhetoric toward Asian Americans during the COVID-19 pandemic pushes the racial group, largely “Independent” or nonpartisan affiliated, to lean more towards the Democratic Party. We support this claim by combining social media (Study 1) and survey data (Study 2) analysis. Tracing 1.4 million tweets, we find that Trump’s rhetoric has popularized racially charged coronavirus-related terms and that exclusionary, anti-Asian attitudes have increased in the United States since the pandemic began. Next, by analyzing repeated cross-sectional weekly surveys of Asian Americans from July 2019 to May 2020 (n=12,907), we find that the group has leaned more towards the Democratic Party since Trump first made inflammatory remarks towards Asian Americans. Whites, Blacks, and Latina/os, on the other hand, exhibited fewer and less consistent changes in Democratic Party-related attitudes. Our findings suggest that experiences with social exclusion that are driven by elite sources further cement Asian Americans as Democrats.

scholarly journals Exercise routine change is associated with prenatal depression scores during the COVID-19 pandemic among pregnant women across the United States

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243188
Author(s):  
Theresa E. Gildner ◽  
Elise J. Laugier ◽  
Zaneta M. Thayer
Keyword(s):  
Mental Health ◽  
United States ◽  
Pregnant Women ◽  
Online Survey ◽  
Maternal Mental Health ◽  
The United States ◽  
Regression Analyses ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Exercise Routine

Background The COVID-19 pandemic has negatively affected physical and mental health worldwide. Pregnant women already exhibit an elevated risk for depression compared to the general public, a pattern expected to be exacerbated by the pandemic. Certain lifestyle factors, including moderate exercise, may help support mental health during pregnancy, but it is unclear how the pandemic may impact these associations across different locations. Here, we test whether: (i) reported exercise routine alterations during the pandemic are associated with depression scores; and, (ii) the likelihood of reporting pandemic-related exercise changes varies between women living in metro areas and those in non-metro areas. Methods This cross-sectional study used data from the COVID-19 And Reproductive Effects (CARE) study, an online survey of pregnant women in the United States. Participants were recruited April-June 2020 (n = 1,856). Linear regression analyses assessed whether reported COVID-19-related exercise change was associated with depression score as measured by the Edinburgh Postnatal Depression Survey. Logistic regression analyses tested whether a participant’s Rural-Urban Continuum Code classification of “metro” was linked with higher odds of reporting exercise changes compared to a “non-metro” classification. Results Women who reported exercise changes during the pandemic exhibited significantly higher depression scores compared to those reporting no changes. Moreover, individuals living in metro areas of all sizes were significantly more likely to report exercise changes compared to women living in non-metro areas. Conclusions These results suggest that the ability to maintain an exercise routine during the pandemic may help support maternal mental health. It may therefore be prudent for providers to explicitly ask patients how the pandemic has impacted their exercise routines and consider altered exercise routines a potential risk factor for depression. An effort should also be made to recommend exercises that are tailored to individual space restrictions and physical health.

Immigration Status, Visa Types, and Body Weight Among New Immigrants in the United States

2016 ◽  
Vol 32 (3) ◽  
pp. 771-778 ◽  
Author(s):  
Ming-Chin Yeh ◽  
Nina S. Parikh ◽  
Alison E. Megliola ◽  
Elizabeth A. Kelvin
Keyword(s):  
United States ◽  
Linear Regression Analysis ◽  
The United States ◽  
Immigration Status ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Management Interventions ◽  
Multivariable Linear Regression Analysis ◽  
Permanent Residency

Purpose: To investigate the relationship between immigration-related factors and body mass index (BMI) among immigrants. Design: Secondary analyses of cross-sectional survey data. Setting: The New Immigrant Survey (NIS-2003) contains data from in-person or telephone interviews between May and November 2003, with a probability sample of immigrants granted legal permanent residency in the United States. Participants: A total of 8573 US immigrants. Measures: The NIS-2003 provided data on sociobehavioral domains, including migration history, education, employment, marital history, language, and health-related behaviors. The visa classifications are as follows: (1) family reunification, (2) employment, (3) diversity, (4) refugee, and (5) legalization. Analysis: Nested multivariable linear regression analysis was used to estimate the independent relationships between BMI and the variables of interest. Results: Overall, 32.6% of participants were overweight and 11.3% were obese (mean BMI = 25). Participants who were admitted to the United States with employment, refugee, or legalization visas compared with those who came with family reunion visas had a significantly higher BMI ( P < .001, P < .001, P < .01, respectively). Duration in the United States predicted BMI, with those immigrants in the United States longer having a higher BMI ( P < .001). Conclusion: Our findings suggest that immigrants who obtain particular visa categorizations and immigration status might have a higher risk of being overweight or obese. Immigrants need to be targeted along with the rest of the US population for weight management interventions.

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