scholarly journals The impact of coronavirus disease 2019 (COVID-19) on older adults with an intellectual disability during the first wave of the pandemic in Ireland

2021 ◽  
Vol 4 ◽  
pp. 93
Author(s):  
Mary McCarron ◽  
Darren McCausland ◽  
Retha Luus ◽  
Andrew Allen ◽  
Fintan Sheerin ◽  
...  

Background: People with intellectual disability have increased risk of exposure to and adverse outcomes from coronavirus disease 2019 (COVID-19).They also face challenges to mental health and well-being from COVID-19-related social restrictions and service closures. Methods: Data from a supplemental COVID-19 survey from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) (n=710) was used to assess outcomes from the first infection wave of COVID-19 among adults with intellectual disability aged 40+ years in Ireland. Data was gathered on testing, for symptoms and outcomes; procedures to manage COVID-19; and both stress/anxiety and positive experiences during the pandemic. Demographic and health-related data from the main IDS-TILDA dataset was included in analyses. Results: High rates were identified of health conditions associated with poorer COVID-19 outcomes, including overweight/obesity (66.6%, n=365), high cholesterol (38.6%, n=274) and cardiovascular disease (33.7%, n=239). Over half (53.5%, n=380) reported emotional, nervous or psychiatric disorders. Almost two-thirds (62.4%, n=443) were tested for COVID-19, with 10% (n=71) reporting symptoms and 2.5% (n=11) testing positive. There were no instances of COVID-19 related mortality. Common symptoms included fatigue, fever, and cough. Some participants (7.8%, n=55) moved from their usual home, most often to isolate (n=31) or relocate to a family home (n=11). Three-quarters (78.7%) of those who were symptomatic or who tested positive had plans to manage self-isolation and two-thirds were able to comply with guidelines. Over half (55%, n=383) reported some COVID-19 related stress/anxiety; and a similar proportion reported positive aspects during this period (58%, n=381). Conclusions: Our data suggests that people with intellectual disability avoided the worst impacts of COVID-19 during the first infection wave in Ireland. Nevertheless, participants’ health profiles suggest that this population remains at high risk for adverse infection outcomes. Repeated measures are needed to track health and well-being outcomes across multiple infection waves.

2021 ◽  
Vol 4 ◽  
pp. 93
Author(s):  
Mary McCarron ◽  
Darren McCausland ◽  
Retha Luus ◽  
Andrew Allen ◽  
Fintan Sheerin ◽  
...  

Background: People with intellectual disability have increased risk of exposure to and adverse outcomes from coronavirus disease 2019 (COVID-19).They also face challenges to mental health and well-being from COVID-19-related social restrictions and service closures. Methods: Data from a supplemental COVID-19 survey from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) (n=710) was used to assess outcomes from the first infection wave of COVID-19 among adults with intellectual disability aged 40+ years in Ireland. Data was gathered on testing, for symptoms and outcomes; procedures to manage COVID-19; and both stress/anxiety and positive experiences during the pandemic. Demographic and health-related data from the main IDS-TILDA dataset was included in analyses. Results: High rates were identified of health conditions associated with poorer COVID-19 outcomes, including overweight/obesity (66.6%, n=365), high cholesterol (38.6%, n=274) and cardiovascular disease (33.7%, n=239). Over half (53.5%, n=380) reported emotional, nervous or psychiatric disorders. Almost two-thirds (62.4%, n=443) were tested for COVID-19, with 10% (n=71) reporting symptoms and 2.5% (n=11) testing positive. There were no instances of COVID-19 related mortality. Common symptoms included fatigue, fever, and cough. Some participants (7.8%, n=55) moved from their usual home to isolate, most often (n=31) or relocate to a family home (n=11). Three-quarters (78.7%) of those who were symptomatic or who tested positive had plans to manage self-isolation and two-thirds were able to comply with guidelines. Over half (55%, n=383) reported some COVID-19 related stress/anxiety; and a similar proportion reported positive aspects during this period (58%, n=381). Conclusions: Our data suggests that people with intellectual disability avoided the worst impacts of COVID-19 during the first infection wave in Ireland. Nevertheless, participants’ health profiles suggest that this population remains at high risk for adverse infection outcomes. Repeated measures are needed to track health and well-being outcomes across multiple infection waves.


2020 ◽  
Vol 60 (2) ◽  
pp. 397
Author(s):  
Elizabeth Brook ◽  
Melanie Freeman ◽  
Graeme Ditchburn

Concerns about the increased risk to mental health in fly-in, fly-out (FIFO) workers in the construction and resources industries led to increased public and government scrutiny, resulting in Western Australia’s adoption of a code of practice. In general, research has found that a higher incidence of psychological distress in FIFO workers has resulted from high compression rosters and work–family conflict, as well as feelings of isolation. Risk controls, such as perceived levels of support, have been found to be significantly related to improved mental health and organisational outcomes. Organisations need to address the non-financial needs of their workers and look to develop their perceived support, job satisfaction and adjustment to the FIFO lifestyle. This paper outlines practical risk controls and interventions organisations can take to improve psychological and organisational outcomes.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 900-900
Author(s):  
Anna Thompson ◽  
Britney Wardecker

Abstract Research suggests that mental health and well-being improve as we age, and this trend is dubbed “the paradox of aging” (Charles & Carstensen, 2010). However, little is known about whether this trend happens for individuals who may experience lifelong disadvantage, such as those who identify as lesbian, gay, or bisexual. We used data from the Midlife in the United States Study (MIDUS) to examine lesbian/gay, bisexual, and heterosexual adults’ changes in depression from 1995 to 2014. Participants identified as lesbian/gay (n = 46), bisexual (n = 37), and heterosexual (n = 3030) and 45.1% identified as female. Participants’ ages ranged from 20-74 years (M = 45.61, SD = 11.41) in 1995 and 39-93 years (M = 63.64, SD = 11.35) in 2014. We analyzed our data using a repeated measures ANOVA and our results indicate that depression decreased on average from 1995 to 2014 for heterosexual [Wilk’s Lamda = .996, F (1, 3029) = 12.23, p < .001] and lesbian/gay adults [Wilk’s Lamda = .848, F (1, 45) = 8.08, p = .007]. However, bisexual adults did not experience this decrease in depression [Wilk’s Lamda = .990, F (1, 36) = 0.36, p = .550] and their depression remained relatively stable. Our results are consistent with previous studies that indicate bisexuals experience poorer mental health when compared to lesbian/gay and heterosexual adults (Bostwick, Hughes, & Everett, 2015). The current research highlights depression as a condition that may not decrease universally over time. We discuss implications for bisexuals’ health and well-being.


2019 ◽  
Vol 33 (7) ◽  
pp. 1002-1008 ◽  
Author(s):  
Erin L. D. Seaverson ◽  
Stefan B. Gingerich ◽  
David J. Mangen ◽  
David R. Anderson

Purpose: To develop an index of participation in workplace health and well-being programs and assess its relationship with health risk status. Design: Study design comprised a retrospective longitudinal analysis of employee health risk assessment (HRA) and program participation data. Setting: Data from 6 companies that implemented health and well-being programs from 2014 to 2016. Participants: Employee participants (n = 95 318) from 6 companies who completed an HRA in 2014 to 2016. After matching those who completed the HRA in all 3 years, the longitudinal file included 38 789 respondents. Measures: Participation indicators were created for 9 different program components. The sum of these 9 components established the total participation index. Analysis: Descriptive and correlation analyses were conducted on all participation measures. Repeated-measures analysis of variance was used to assess the impact of participation level on health risk over time. Results: Higher levels of participation were associated with a greater reduction in risks, with each participation dose yielding a reduction of 0.038 risks ( P < .001). Conclusion: Results suggest that employees who participate more in workplace health and well-being programs experience more health risk improvement. The study also supports a more granular definition of participation based on the number of interactions and type of program.


2020 ◽  
Vol 11 ◽  
Author(s):  
Rahul Shidhaye ◽  
Purnima Madhivanan ◽  
Pallavi Shidhaye ◽  
Karl Krupp

The ongoing COVID-19 pandemic has led to disruption of normal life across the globe, severely affecting the already vulnerable populations such as the pregnant women. Maternal mental health and well-being is a public health priority and the evidence about the impact of COVID-19 on mental health status of pregnant women is gradually emerging. The findings of the recently published studies suggest that increased risk perception about contracting COVID-19, reduced social support, increase in domestic violence, disruption of antenatal care, and economic consequences of COVID-19 mitigation strategies can lead to adverse mental health outcomes in antenatal period. There is a significant increase in antenatal depression and anxiety since the onset of COVID-19 and social determinants of health (e.g., younger age, lower education, lower income) are associated with these poor outcomes. In this paper, we propose an integrated approach to improve the mental health and well-being of pregnant women. Physical activity and/or mind-body interventions like yoga can be practiced as self-care interventions by pregnant women. Despite social distancing being the current norm, efforts should be made to strengthen social support. Evidence-based interventions for perinatal depression should be integrated within the health system and stepped, collaborative care using non-specialist health workers as key human resource be utilized to improve access to mental health services. Use of digital platforms and smartphone enabled delivery of services has huge potential to further improve the access to care. Most importantly, the COVID-19 related policy guidelines should categorically include maternal mental health and well-being as a priority area.


2021 ◽  
Vol 5 (1) ◽  
pp. e001043
Author(s):  
Luis Rajmil ◽  
Anders Hjern ◽  
Perran Boran ◽  
Geir Gunnlaugsson ◽  
Olaf Kraus de Camargo ◽  
...  

BackgroundIn the context of containment measures against the COVID-19 pandemic, the aims were to examine the impact of lockdown and school closures on childs’ and adolescents’ health and well-being and social inequalities in health.MethodsLiterature review by searching five databases until November 2020. We included quantitative peer-reviewed studies reporting health and well-being outcomes in children (0–18 years) related to closure measures' impact due to COVID-19. A pair of authors assessed the risk of bias of included studies. A descriptive and narrative synthesis was carried out.FindingsTwenty-two studies, including high-income, middle-income and low-income countries, fulfilled our search criteria and were judged not to have an increased risk of bias. Studies from Australia, Spain and China showed an increase in depressive symptoms and decrease in life satisfaction. A decrease in physical activity and increase in unhealthy food consumption were shown in studies from two countries. There was a decrease in the number of visits to the emergency department in four countries, an increase in child mortality in Cameroon and a decrease by over 50% of immunisations administered in Pakistan. A significant drop of 39% in child protection medical examination referrals during 2020 compared with the previous years was found in the UK, a decrease in allegations of child abuse and neglect by almost one-third due to school closures in Florida, and an increase in the number of children with physical child abuse trauma was found in one centre in the USA.InterpretationFrom available reports, pandemic school closure and lockdown have adverse effects on child health and well-being in the short and probably long term. We urge governments to take the negative public health consequences into account before adopting restrictive measures in childhood.


2018 ◽  
Author(s):  
Andrew S. Fox ◽  
Regina Lapate ◽  
Alexander J. Shackman ◽  
Richard J Davidson

Emotion is a core feature of the human condition, with profound consequences for health, wealth, and wellbeing. Over the past quarter-century, improved methods for manipulating and measuring different features of emotion have yielded steady advances in our scientific understanding emotional states, traits, and disorders. Yet, it is clear that most of the work remains undone. Here, we highlight key challenges facing the field of affective sciences. Addressing these challenges will provide critical opportunities not just for understanding the mind, but also for increasing the impact of the affective sciences on public health and well-being.


Land ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 341
Author(s):  
Ralf-Uwe Syrbe ◽  
Ina Neumann ◽  
Karsten Grunewald ◽  
Patrycia Brzoska ◽  
Jiři Louda ◽  
...  

The quality of life in our cities critically depends on the intelligent planning and shaping of urban living space, in particular urban nature. By providing a wide range of ecosystem services (ES), urban nature essentially contributes to the well-being of city dwellers and plays a major role in avoiding common diseases through its positive impact on physical and mental health. Health is one of the most important factors underlying human welfare and is, thus, vital to sustainable development. The ES of urban green space provide other social-cultural functions alongside public health, for example by fostering environmental justice and citizenship participation. Thus, they should always be considered when searching for solutions to urban problems. The aim of this research was to determine the impact of green areas in three selected cities on the health and well-being of people by self-reporting of green areas’ visitors. To this end, we posed the research question: which types and characteristics of urban green space are most appreciated by city dwellers? Based on our findings, we have drawn up recommendations for practices to promote better living conditions. We have also pinpointed obstacles to and opportunities for leisure time activities as well as ways of supporting the public health of citizens.


2021 ◽  
Vol 3 (2) ◽  
pp. 161-176
Author(s):  
Kellie Schneider ◽  
Diana Cuy Castellanos ◽  
Felix Fernando ◽  
Jeanne A. Holcomb

Food deserts, areas in which it is difficult to obtain affordable, nutritious food, are especially problematic in low-income neighbourhoods. One model for addressing food hardship and unemployment issues within low-income food deserts is a cooperative grocery store. Through the cooperative model, the grocery store can serve as a cornerstone to address socio-economic marginalisation of low-income neighbourhoods and improve the health and well-being of its residents. It is important for communities and policymakers to be able to assess the effectiveness of these types of endeavours beyond traditional economic factors such as profitability. This article uses a systems engineering approach to develop a framework for measuring the holistic impact of a cooperative grocery store on community health and well-being. This framework encompasses values that characterise the relationship between food retail, economic viability and social equality. We develop a dashboard to display the key metrics for measuring the economic, social and environmental indicators that reflect a grocery store’s social impact. We demonstrate the usefulness of the framework through a case study of a full-service cooperative grocery store that is planned within the city of Dayton, OH.


Sign in / Sign up

Export Citation Format

Share Document