scholarly journals Socioeconomic Disparities in eHealth Literacy and Preventive Behaviors During the COVID-19 Pandemic in Hong Kong: Cross-sectional Study (Preprint)

2020 ◽  
Author(s):  
Ziqiu Guo ◽  
Sheng Zhi Zhao ◽  
Ningyuan Guo ◽  
Yongda Wu ◽  
Xue Weng ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Hong Kong ◽  
Drainage System ◽  
Socioeconomic Disparities ◽  
Preventive Behaviors ◽  
Web Based ◽  
Social Distancing ◽  
Ehealth Literacy ◽  
Surgical Masks ◽  
High Adherence

BACKGROUND eHealth literacy can potentially facilitate web-based information seeking and taking informed measures. OBJECTIVE This study aimed to evaluate socioeconomic disparities in eHealth literacy and seeking of web-based information on COVID-19, and their associations with COVID-19 preventive behaviors. METHODS The COVID-19 Health Information Survey (CoVHIns), using telephonic (n=500) and web-based surveys (n=1001), was conducted among adults in Hong Kong in April 2020. The Chinese eHealth literacy scale (eHEALS; score range 8-40) was used to measure eHealth literacy. COVID-19 preventive behaviors included wearing surgical masks, wearing fabric masks, washing hands, social distancing, and adding water or bleach to the household drainage system. Adjusted beta coefficients and the slope indices of inequality for the eHEALS score by socioeconomic status, adjusted odds ratios (aORs) for seeking of web-based information on COVID-19 by socioeconomic status, and aORs for the high adherence to preventive behaviors by the eHEALS score and seeking of web-based information on COVID-19 were calculated. RESULTS The mean eHEALS score was 26.10 (SD 7.70). Age was inversely associated with the eHEALS score, but education and personal income were positively associated with the eHEALS score and seeking of web-based information on COVID-19 (for all, <i>P</i> for trend&lt;.05). Participants who sought web-based information on COVID-19 showed high adherence to the practice of wearing surgical masks (aOR 1.56, 95% CI 1.15-2.13), washing hands (aOR 1.33, 95% CI 1.05-1.71), social distancing (aOR 1.48, 95% CI 1.14-1.93), and adding water or bleach to the household drainage system (aOR 1.67, 95% CI 1.28-2.18). Those with the highest eHEALS score displayed high adherence to the practice of wearing surgical masks (aOR 3.84, 95% CI 1.63-9.05), washing hands (aOR 4.14, 95% CI 2.46-6.96), social distancing (aOR 2.25, 95% CI 1.39-3.65), and adding water or bleach to the household drainage system (aOR 1.94, 95% CI 1.19-3.16), compared to those with the lowest eHEALS score. CONCLUSIONS Chinese adults with a higher socioeconomic status had higher eHealth literacy and sought more web-based information on COVID-19; both these factors were associated with a high adherence to the guidelines for preventive behaviors during the COVID-19 pandemic.

Development and Evaluation of an Innovative Web-based Training, Learning, and Sharing (i-TLS) Platform for Social Workers: Hong Kong Jockey Club SMART Family-Link Project (Preprint)

2021 ◽  
Author(s):  
Michelle Man Tung Suen ◽  
Agnes Yuen Kwan Lai ◽  
Man Ping Wang ◽  
Sai Yin Ho ◽  
Tai Hing Lam
Keyword(s):  
Hong Kong ◽  
Social Work ◽  
Social Workers ◽  
Work Practice ◽  
Social Work Practice ◽  
Family Services ◽  
Web Based ◽  
Ict Use ◽  
Learning Platform ◽  
Jockey Club

BACKGROUND Information and communication technology (ICT) use may enhance social work practice and continuous professional development. Under the Hong Kong Jockey Club SMART Family-Link project, we developed an innovative web-based training, learning, and sharing (i-TLS) platform to support ICT and other learning needs of Hong Kong social workers in family services. OBJECTIVE We developed i-TLS with 3 major components (i-Training, i-Learning, and i-Sharing) and assessed the acceptability and impact on facilitating ICT use in family services. METHODS We described i-TLS development based on a 4-phase model from platform design, development, implementation to maintenance. We evaluated i-TLS via platform database, Google Analytics, a self-administered survey, and individual phone interviews 1 year after launching. RESULTS i-TLS was launched to 26 Integrated Family Service Centers (IFSCs) and Integrated Services Centers (ISCs) operated by 12 non-governmental organizations (NGOs) on 1 July 2019. The outbreak of COVID-19 started in December 2019 limited face-to-face services, which catalyzed the urgent needs of digital transformation in social work practice. By 31 July 2020, 313 social workers (23 supervisors, 290 frontline workers) had registered with i-TLS. The platform database showed 79.6% (249/313) users accessed i-TLS at least once in the last 28 days, with on average 3.2 platform visits per day viewing 4.8 pages per visit. i-Training provided 41 training mini-modules in applying ICT to family services from counseling, program design, implementation to evaluation. Of 730 enrolments in total, 70.0% (511/730) completed the mini-modules and were awarded digital mini-certificates. i-Learning provided 112 items of learning resources centered around ICT use and family services and had nearly 4000 page views recorded from Google Analytics. i-Sharing had a total of 25 discussion threads with 59 posts. 53.7% (168/313) users completed the 1-year evaluation survey, including 12 who participated in the phone interviews. The mean i-TLS satisfaction score (out of 10) increased from light (4.99) to occasional (6.15) and frequent (6.31) users. Frequent users showed higher scores (out of 10) than light users for an increase in knowledge (5.84 versus 4.09; P<.001), self-efficacy (5.23 versus 3.96; P=.02), and knowledge application (6.46 versus 1.91; P<.001). From the phone interviews, users reported increased ICT use in family services, despite some practical barriers. i-TLS was perceived as an acceptable and supportive tool for learning and practice in family services, especially during the COVID-19 pandemic. CONCLUSIONS We have first reported the development and evaluation of a newly developed web-based learning platform (i-TLS) for social workers in family services. The results provided preliminary evidence of using i-TLS to support social workers’ continuous learning and ICT-enhanced services. Accessibility to self-directed and collaborative learning is essential for optimizing social workers’ learning. Further research on enhancing web-based platforms is needed to expand participation and capacity building of social workers and other related professionals. CLINICALTRIAL ClinicalTrials.gov NCT04034420; https://www.clinicaltrials.gov/ct2/show/NCT04034420

scholarly journals School and Community Socioeconomic Status and Access to Athletic Trainer Services in Wisconsin Secondary Schools

2019 ◽  
Vol 54 (2) ◽  
pp. 177-181 ◽  
Author(s):  
Eric Post ◽  
Andrew P. Winterstein ◽  
Scott J. Hetzel ◽  
Blaire Lutes ◽  
Timothy A. McGuine
Keyword(s):  
Socioeconomic Status ◽  
Secondary Schools ◽  
Student Athletes ◽  
Athletic Directors ◽  
Cross Sectional Study ◽  
Socioeconomic Disparities ◽  
Athletic Trainer ◽  
Cross Sectional ◽  
High School Athletic ◽  
High Level

Context Secondary schools have made significant progress in providing athletic trainer (AT) coverage to their student-athletes, but the levels of access at schools with ATs may vary widely. Socioeconomic disparities in medical coverage and access have been noted in other health care fields, but such disparities in the level of access to AT services have not been thoroughly examined. Objective To determine if (1) access to AT services or (2) the level of access (AT hours per week and athletes per AT hour) differed based on the socioeconomic characteristics of secondary schools. Design Cross-sectional study. Setting Mailed and e-mailed surveys. Patients or Other Participants High school athletic directors and ATs from 402 Wisconsin high schools. Main Outcome Measure(s) Respondents provided information as to whether their school used the services of an AT and the number of hours per week that their school had an AT on-site. The number of athletes per AT hour was calculated by dividing the total number of athletes at the school by the number of hours of AT coverage per week. The socioeconomic status of each school was determined using the percentage of students with free or reduced-cost lunch and the county median household income (MHI). Results Schools without an AT on-site were in lower MHI counties (P &lt; .001) and had more students eligible for a free or reduced-cost lunch (P &lt; .001). Lower levels of AT access (fewer hours of AT access per week and more athletes per AT hour) were observed at schools in the lowest third of the county MHI and with the highest third of students eligible for a free or reduced-cost lunch (P &lt; .001). Conclusions Socioeconomic disparities were present in access to AT services. New models are needed to focus on providing a high level of AT access for all student-athletes, regardless of socioeconomic status.

scholarly journals Effectiveness of a Peer-Led Web-Based Intervention to Improve General Self-Efficacy in Using Dating Apps Among Young Adults: Randomized Clustered Trial (Preprint)

2019 ◽  
Author(s):  
William CW Wong ◽  
Wai Han Sun ◽  
Shu Ming Cheryl Chia ◽  
Joseph D Tucker ◽  
William PH Mak ◽  
...  
Keyword(s):  
Young Adults ◽  
Hong Kong ◽  
Self Efficacy ◽  
Online Dating ◽  
Intervention Group ◽  
Control Group ◽  
Web Based ◽  
Dating Apps ◽  
Hong Kong Students ◽  
General Self Efficacy

BACKGROUND Online dating apps are popular platforms for seeking romance and sexual relationships among young adults. As mobile apps can easily gain access to a pool of strangers (“new friends”) at any time and place, it leads to heightened sexual health risks and privacy concerns. OBJECTIVE This study aimed to evaluate the effectiveness of a peer-led web-based intervention for online dating apps to prepare Chinese college students so that they have better self-efficacy when using dating apps. METHODS An open clustered randomized controlled trial was conducted among students from three colleges (The University of Hong Kong, Hang Seng University of Hong Kong, and Yijin Programme of Vocational Training College) in Hong Kong. Students aged 17 to 27 years who attended common core curriculum or general education were randomized into intervention and control groups. The intervention material, developed with high peer engagement, included four short videos, an interactive scenario game, and a risk assessment tool. An existing website promoting physical activities and healthy living was used as a control. Using the information, motivation, and behavioral skills (IMB) approach to design the evaluation, questionnaires covering participants’ sociodemographics and dating app characteristics, as well as the general self-efficacy scale (GSE) as the primary outcome and the risk propensity scale (RPS) as the secondary outcome were administered before, immediately after, and at 1 month after the intervention. Intention-to-treat analysis was adopted, and between-group differences were assessed using the Mann-Whitney <i>U</i> test. A post-hoc multiple linear regression model was used to examine the correlates of the GSE and RPS. RESULTS A total of 578 eligible participants (290 in the intervention group and 288 in the control group) participated in the study with 36 lost to follow-up. There were more female participants (318/542, 58.7%) than male participants in the sample, reflecting the distribution of college students. Over half of the participants (286/542, 52.8%) reported the following reasons for using dating apps: being curious (170/498, 34.1%), trying to make new friends (158/498, 31.7%), and finding friends with similar interests (121/498, 24.3%). Overall, the participants in the intervention group reported favorable experiences when compared with the finding in the control group. There was significant improvement in the GSE score and reduction in the RPS score (<i>P</i>&lt;.001) in the intervention group. University of Hong Kong students were more susceptible to risk reduction after the intervention when compared with students from the other two institutions. CONCLUSIONS The online intervention was effective in improving general self-efficacy and reducing risk tendency among young students. Future work is needed to determine if this approach is cost-effective and such behavioral change is sustainable. CLINICALTRIAL ClinicalTrials.gov NCT03685643; https://clinicaltrials.gov/ct2/show/NCT03685643. INTERNATIONAL REGISTERED REPORT RR2-10.1186/s13063-018-3167-5

scholarly journals Invasive pneumococcal disease, pneumococcal pneumonia and all-cause pneumonia in Hong Kong during the COVID-19 pandemic compared with the preceding 5 years: a retrospective observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e055575
Author(s):  
King-Pui Florence Chan ◽  
Ting-Fung Ma ◽  
Mary Sau-Man Ip ◽  
Pak-Leung Ho
Keyword(s):  
Hong Kong ◽  
Length Of Stay ◽  
Observational Study ◽  
Pneumococcal Pneumonia ◽  
Transitional Period ◽  
Retrospective Observational Study ◽  
Health Seeking ◽  
Social Distancing ◽  
Hospitalised Patients ◽  
Secondary Outcomes

ObjectivesTo compare the incidence and severity of invasive pneumococcal diseases (IPDs), pneumococcal pneumonia and all-cause pneumonia during the COVID-19 pandemic period with universal masking and social distancing with that of previous 5 years.DesignRetrospective observational study on incidence of IPDs, pneumococcal pneumonia and all-cause pneumonia between January 2015–December 2019 and March 2020–March 2021. January–February 2020 was excluded from analysis as it was treated as a transitional period between normal time and pandemic.SettingEpisode-based data by retrieval of hospitalisation records from the Hospital Authority’s territory-wide electronic medical record database in Hong Kong.ParticipantsHospitalised patients with IPD (n=742), pneumococcal pneumonia (n=2163) and all-cause pneumonia (including COVID-19 pneumonia, n=453 999) aged 18 years or above. Control diagnoses were included to assess confounding from health-seeking behaviours.Primary and secondary outcomesPrimary outcome is the incidence of diseases between two periods. Secondary outcomes include disease severity surrogated by length of stay and mortality.ResultsMonthly average number of IPD, pneumococcal pneumonia and all-cause pneumonia hospitalisation significantly decreased by 88.9% (95% CI 79.8% to 98.0%, p<0.0005), 72.5% (95% CI 65.9% to 79.1%, p<0.0005) and 17.5% (95% CI 16.8% to 18.2%, p<0.0005), respectively. Changes in trend from January 2015–December 2019 to March 2020–March 2021 were −70% (95% CI −87% to −35%, p=0.0025), –43% (95% CI −59% to −19%, p=0.0014) and −11% (95% CI −13% to −10%, p<0.0005), respectively. Length of stay for IPD and pneumococcal pneumonia episodes were insignificantly different in the two periods. No reductions in hospitalisations for control diagnoses were observed.ConclusionsIncidence of IPD, pneumococcal pneumonia and all-cause pneumonia decreased during the COVID-19 pandemic. This was observed with universal masking and social distancing. We postulated this is related to reduced transmission of respiratory viruses and bacteria.

scholarly journals Socioeconomic Disparities and COVID-19 Vaccination Acceptance: Experience from Israel

2021 ◽  
Author(s):  
Gil Caspi ◽  
Avshalom Dayan ◽  
Yael Eshal ◽  
Sigal Liverant-Taub ◽  
Gilad Twig ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Disease Burden ◽  
Vaccination Campaign ◽  
Socioeconomic Disparities ◽  
Strongly Correlated ◽  
Lower Income ◽  
Vaccination Rates ◽  
Disadvantaged Populations ◽  
Vaccination Acceptance ◽  
Active Disease

AbstractCOVID-19 vaccination acceptance has a key role in mitigating the pandemic. Concern has been raised that vaccination rates will be limited in demographically defined areas of lower income. Israel’s rapid vaccination campaign may allow to assess these assumptions in real-world and to devise tools for effectively focusing the vaccination efforts. We analyzed the correlation between COVID-19 vaccination rates, socioeconomic status (SES) and active COVID-19 disease burden. We carried out a nationwide study, based on data provided by Ministry of Health of COVID-19 vaccination rates in all municipalities in Israel up to January 12th, 2021. Municipal Vaccination rates of population older than 60 significantly correlated with the socioeconomic status (r=0.83, 95% confidence interval [0.79 to 0.87]). Finally, we established a novel metric for focusing the vaccination efforts based on % vaccinations and active disease burden. In Israel, a case-model country for COVD-19 vaccinations, vaccination rates were strongly correlated with SES. The study findings demonstrate the need to directly target vaccination acceptance to socio-economically disadvantaged populations and suggest potential tools for policymakers to focus their efforts.

scholarly journals Family E-Chat Group Use Was Associated with Family Wellbeing and Personal Happiness in Hong Kong Adults Amidst the COVID-19 Pandemic

2021 ◽  
Vol 18 (17) ◽  
pp. 9139
Author(s):  
Wei-Jie Gong ◽  
Bonny Yee-Man Wong ◽  
Sai-Yin Ho ◽  
Agnes Yuen-Kwan Lai ◽  
Sheng-Zhi Zhao ◽  
...  
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Family Communication ◽  
Instant Messaging ◽  
Text Messages ◽  
Mediation Effect ◽  
Communication Quality ◽  
Social Distancing ◽  
Voice Calls ◽  
Family Wellbeing

Instant messaging (IM) is increasingly used for family communication amidst the COVID-19 pandemic. However, evidence remains scarce on how family e-chat groups were used and their associations with family and individual wellbeing amidst the pandemic. The numbers of family e-chat groups, functions used, and messages sent and received daily in groups were reported by 4890 adults in May 2020, and their associations with family wellbeing and personal happiness and the mediation effect of family communication quality were examined. Results showed that sending/receiving text messages was most commonly used, followed by receiving/sending photos/pictures, making voice calls, receiving/sending short videos and voice messages, and making video calls. Women and older people used more non-text functions. Higher levels of family wellbeing and personal happiness were associated with having more groups, receiving/sending photos/pictures, video calls, more IM functions used, and more IM messages received/sent daily. Forty-six point two to seventy-five point five percent of their associations with more groups and more functions used were mediated by family communication quality. People having more family e-chat groups and using more IM functions may be more resilient amidst the pandemic, while those without or with low use of family e-chat groups amidst the pandemic would need more attention and assistance in the presence of social distancing.

COVID-19 Outbreak in Hong Kong: Public Health, Surgical Masks, and Hand Hygiene

2020 ◽  
Vol 110 (7) ◽  
pp. 941-942
Author(s):  
Char Leung ◽  
Siddharth Sridhar ◽  
Pak-Leung Ho
Keyword(s):  
Public Health ◽  
Hong Kong ◽  
Hand Hygiene ◽  
Surgical Masks
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