scholarly journals ECONOMIC INSECURITY AND STRESS AS DETERMINANTS OF COVID-19 PREVENTIVE BEHAVIOUR IN DENPASAR

2021 ◽  
Vol 9 (2) ◽  
pp. 124
Author(s):  
Gede Benny Setia Wirawan ◽  
The Angela Prisilia Taroreh ◽  
Dewa Ayu Agung Dwita Arthaningsih ◽  
Made Ayu Devi Pita Loka ◽  
Ngakan Made Ari Mahardika ◽  
...  

Background: The COVID-19 pandemic has constituted concurrent public health and economic crises. An inter-correlation between economic and public health impacts due to the COVID-19 pandemic needs to be studied to improve mitigation measures.Aims: This study identified a correlation of the economic insecurity and perceived stress with adherence to recommended preventive behaviours Methods: This across-sectional analytic study was conducted to adults in the working areas of East Denpasar Primary Healthcare Center I. Respondents were selected using consecutive sampling and given a self-administered questionnaire. The research variables included demographic characteristics, economic insecurity indicators, perceived stress, and adherence to handwashing, mask-wearing, physical distancing, and limitation on the social gathering. Correlations, linear regressions, and path analyses were conducted using IBM SPSS 23.0.Results: As many as 161 respondents of which 34.2% males were involved had a mean age of 36.31 (± 7.16) years. Sex, job insecurity, income insecurity, and perceived stress were found as independent determinants in females. Female sex and job insecurity was associated with better preventive behaviours with an adjusted β value of 0.276 and 0.306, while income insecurity and perceived stress had the opposite association with a β value of -0.247 and -0.224.Conclusion: There are correlations between economic insecurity and preventive behavioural practices during COVID-19. It is suggested that public health policies against COVID-19 cover measures of economic safety nets to improve adherenceKeywords: behaviour, COVID-19, economic insecurity, perceived stress, prevention.

2019 ◽  
pp. 131-158
Author(s):  
Emily Mendenhall

The conclusion returns to the simple argument that culture and experience fundamentally shape how diabetes is enacted cross-culturally. This chapter reflects upon the four ethnographic case studies and proposes five ways in which anthropologists and public health practitioners should "rethink diabetes." First, it argues that diabetes must be understood as a disease of poverty as opposed to exclusively one of modernization. Second, it argues that diabetes is always syndemic, especially when it confronts the complexity of economic insecurity. Third, diagnosis is perhaps the most influential feature of syndemic suffering, which reveals how diabetes itself is experienced completely differently in the body pre- and post-diagnosis. Fourth, the social life of diabetes contributes to fundamentally shifting what it means to have and live with diabetes across contexts. Finally, the conclusion suggests that interventions for diabetes should be employ syndemic thinking by working both upstream to address social policy and downstream to navigate clinical challenges and community-based solutions.


2012 ◽  
Vol 17 (5) ◽  
pp. 1285-1296 ◽  
Author(s):  
Simone de Melo Costa ◽  
Marise Fagundes Silveira ◽  
Sarah Jane Alves Durães ◽  
Mauro Henrique Nogueira Guimarães de Abreu ◽  
Paulo Rogério Ferreti Bonan

The scope was to analyze the perceptions of dentistry students at the State University of Montes Claros, Brazil, regarding dentistry, the job market and the public healthcare system. For this, a triangulation method was employed, using a self-administered questionnaire and interviews. The quantitative data were submitted to univariate and multivariate analysis, using Poisson regression, where p<0.05. Content analysis was used for the qualitative data. The majority reported expecting to obtain work in the public healthcare system, stated that the dentistry course prepares students for this market as the curriculum integrates both teaching and service, reported being in favor of greater experience in the public healthcare system and said they would not take classes in Public Health if they were optional. Contact with the social context through teaching/service integration in the advanced semesters of the dentistry course appears to contribute to the development of new professional skills for working in the public sector. However, the students' perceptions revealed contradictions, considering the low value they attributed to the classes on Public Health and their perception of the public system as a residual job option.


2020 ◽  
Vol 16 (9) ◽  
pp. 1600-1621
Author(s):  
E.V. Molchanova

Subject. The article discusses medical and demographic processes in Russia and Finland. Objectives. I evaluate cases of social innovations implemented for the preservation and strengthening of public health in Finland under the auspices of The Global Burden of Disease Study. Methods. Methodologically, the study relies upon the ideology of the GDB Project, which rests on the DALY (the Disability Adjusted Life Year). Results. I analyzed the morbidity and mortality rates, DALY in Russia and Finland, determined what mainly triggers the risk (environmental, behavioral, metabolic) fueling some public health degradation. The article provides the insight into the efficiency of some social innovations implemented in Finland and suggests what should be done to outline medical and demographic programs in Russia. Conclusions and Relevance. The medical and demographic situation in Russia requires new tools to find innovative solutions for the social policy and, inter alia, the use of the GBD technique, which proved to be effective. Referring to evidence from Finland, demographic challenges in Russian can be handled through a systems approach, i.e. socio-economic actions, improvement of the healthcare and social security, wellness propaganda.


2020 ◽  
Vol 13 ◽  
Author(s):  
Manyat Ruchiwit ◽  
Kanjanee Phanphairoj ◽  
Tipsuda Sumneangsanor ◽  
Jinpitcha Mamom

Background: Holistic health is important to life, perhaps especially for elders. Focus should not only be placed on illness or the physical part of their lives, but the whole person should also be considered, emphasizing the connection of their mind, body, and the environment. Objective: The aims of this research were to study the factors of the holistic health status (HHS) of the Thai elderly in the 21st century, and to predict the factors affecting the development of HHS in 3 aspects; physical health status, mental and emotional health status, and the social and environmental health status. Method: The data were collected from 928 Thai elderly aged 60 and over in the central part of Thailand. The research instrument was a questionnaire whose reliability was confirmed using a Cronbach alpha coefficient of .904. Multiple regression analysis was used for predicting the factors of HHS. Results: The results indicated that stress, increased age, gender, and social participation can predict the HHS of Thai elders, and stress can predict each 3 aspects. Therefore, stress prevention activities are very important for enhancing the HHS of Thai elders. Conclusion: The findings of this research can be used to improve the quality of life of elders in the 21st century.


Author(s):  
Janet O'Shea

This section contends with a central irony: Americans are among the most competitive people in the world, and yet we are among the least likely to play competitive sports in adulthood. This exercise gap is usually treated as a public health problem; the goal of this section is to treat it as a social and cultural concern. The conclusion therefore investigates the social and political implications of an American tendency to outsource physical play to experts: higher levels of fear, increased preoccupation with success at all costs, decreased creativity, and increasing rigidity of perspective and position. Specifically, the conclusion maintains that a neglect of fair play has dire consequences for democracy, a suggestion born out by the recent swing toward right-wing populism in politics.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Nordström ◽  
B Kumar

Abstract Issue Sporadic accounts of initiatives, interventions and good practices in Migrant Health at the Municipality level account for Norways' lower score on “Measures to achieve change” in the Migrant Integration Policy Index (MIPEX). While the structure and organization at the municipality level should enable intersectoral action (as all under one umbrella), the municipal counties say lack of intersectoral collaboration is one of the main barriers for long-term public health work. Description of the Problem 51 municipalities have an immigrant population larger than the national average 17,8% (2019). In a recent Country Assessment (part of Joint Action on Health Equity Europe), limited inter-sectoral action on the social determinants of health including migration was observed. Although multiple agencies are engaged in attempts to address these issues. While there is a drive to promote public health and primary health care in municipalities, these initiatives do not pay special attention to migrants. In the first stage of this project, we have reviewed municipal policy documents to map policy and measures on public health, migrant health and intersectoral collaboration. In the second stage, municipalities will be contacted to engage them in the implementation of intersectoral actions. Results The desk review and mapping show that only 8 of the “top” 32 municipalities mention “intersectoral” in the municipal master plan (5 were not available online), its mentioned in 9 action program/budgets, but not necessarily by the same municipalities. 15 of the municipalities mention migrants, but rarely in relation to health. We observe that, the size of the municipality, financial resources and support from the County are factors that may play a significant role in prioritising migrant health and intersectoral collaboration. Lessons Advocating for and supporting the local/municipal level for intersectoral action is highly relevant, timely and essential. Key messages Intersectoral action on the social determinants of migrants’ health needs to be implemented through municipal policies to reduce inequities in migrants’ health. Implementation on the local level is the main arena for good public health work and is crucial to ensure good health for migrants.


2021 ◽  
Vol 12 ◽  
pp. 215013272199545
Author(s):  
Areej Khokhar ◽  
Aaron Spaulding ◽  
Zuhair Niazi ◽  
Sikander Ailawadhi ◽  
Rami Manochakian ◽  
...  

Importance: Social media is widely used by various segments of society. Its role as a tool of communication by the Public Health Departments in the U.S. remains unknown. Objective: To determine the impact of the COVID-19 pandemic on social media following of the Public Health Departments of the 50 States of the U.S. Design, Setting, and Participants: Data were collected by visiting the Public Health Department web page for each social media platform. State-level demographics were collected from the U.S. Census Bureau. The Center for Disease Control and Prevention was utilized to collect information regarding the Governance of each State’s Public Health Department. Health rankings were collected from “America’s Health Rankings” 2019 Annual report from the United Health Foundation. The U.S. News and World Report Education Rankings were utilized to provide information regarding the public education of each State. Exposure: Data were pulled on 3 separate dates: first on March 5th (baseline and pre-national emergency declaration (NED) for COVID-19), March 18th (week following NED), and March 25th (2 weeks after NED). In addition, a variable identifying the total change across platforms was also created. All data were collected at the State level. Main Outcome: Overall, the social media following of the state Public Health Departments was very low. There was a significant increase in the public interest in following the Public Health Departments during the early phase of the COVID-19 pandemic. Results: With the declaration of National Emergency, there was a 150% increase in overall public following of the State Public Health Departments in the U.S. The increase was most noted in the Midwest and South regions of the U.S. The overall following in the pandemic “hotspots,” such as New York, California, and Florida, was significantly lower. Interesting correlations were noted between various demographic variables, health, and education ranking of the States and the social media following of their Health Departments. Conclusion and Relevance: Social media following of Public Health Departments across all States of the U.S. was very low. Though, the social media following significantly increased during the early course of the COVID-19 pandemic, but it still remains low. Significant opportunity exists for Public Health Departments to improve social media use to engage the public better.


2021 ◽  
pp. 1-18
Author(s):  
Barbara L. Voss

This article is the second in a two-part series that analyzes current research on harassment in archaeology. Both qualitative and quantitative studies, along with activist narratives and survivor testimonials, have established that harassment is occurring in archaeology at epidemic rates. These studies have also identified key patterns in harassment in archaeology that point to potential interventions that may prevent harassment, support survivors, and hold perpetrators accountable. This article reviews five key obstacles to change in the disciplinary culture of archaeology: normalization, exclusionary practices, fraternization, gatekeeping, and obstacles to reporting. Two public health paradigms—the social-environmental model and trauma-informed approaches—are used to identify interventions that can be taken at all levels of archaeological practice: individual, relational, organizational, community, and societal.


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