Changes in compliance to personal preventive measures and mental health status among Chinese factory workers during the COVID-19 pandemic: observational prospective cohort study (Preprint)

2021 ◽  
Author(s):  
Jinqiu Yuan ◽  
Bolin Cao ◽  
Changhua Zhang ◽  
Meiqi Xin ◽  
Yuan Fang ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Preventive Measures ◽  
Significant Decline ◽  
Factory Workers ◽  
Good Compliance ◽  
Observational Prospective Cohort Study ◽  
Work Resumption ◽  
Chinese Factory Workers

BACKGROUND Factory workers who resumed work during the pandemic is a sub-population of higher risk of COVID-19 infection than that of the general population. Maintaining good compliance with personal preventive measures during the pandemic plays an important role in achieving the balance between COVID-19 control and work resumption. OBJECTIVE This observational prospective cohort study investigated the changes in compliance to personal preventive measures (i.e., facemask wearing, hand hygiene, household disinfection, avoiding social/meal gathering and avoiding crowed places), depressive symptoms and sleep quality among factory workers who resumed work within a 3-month follow-up period. METHODS Inclusion criteria for this cohort study were the following: 1) full-time employees aged ≥18 years who had resumed work, and 2) willing to leave contacts (mobile or social media account) to complete the follow-up survey. A stratified two-stage cluster sampling design was used. We randomly selected 12 factories in Shenzhen. And all eligible employees in these factories were invite to complete two web-based surveys three months apart. A total of 1311 Chinese adult factory workers completed the baseline survey in March 2020, and 663 (50.6%) completed the follow-up survey three months later. RESULTS Significant decline was observed in consistent facemask wearing in workplace (from 98.0% at baseline to 90.3% at Month 3, P<.001) and in other public spaces (from 97.1% at baseline to 94.4% at Month 3, P=.02), sanitizing hands (from 70.9% at baseline to 48.0% at Month 3, P<.001), household disinfection (from 47.7% at baseline to 37.9% at Month 3, P<.001) and moderate-to-severe depression (from 6.0% at baseline to 0.6% at Month 3, P<.001) over the follow-up period. Significant improvement in avoiding crowed places (from 69.8% at baseline to 77.4% at Month 3, P=.002) and sleep quality (proportion of participants reporting poor sleeping quality dropped from 3.9% at baseline to 1.2% at Month 3, P=.002) was also observed. CONCLUSIONS There were significant decline in some personal preventive measures and significant improvement in mental health status among a cohort of Chinese factory workers who resumed work during COVID-19. Health promotion are needed to maintain good compliance to personal preventive measures. Psychological support for workers during work resumption is necessary.

scholarly journals Tracking Australian Hajj Pilgrims’ Health Behavior before, during and after Hajj, and the Effective Use of Preventive Measures in Reducing Hajj-Related Illness: A Cohort Study

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 78
Author(s):  
Amani Salem Alqahtani ◽  
Mohamed Tashani ◽  
Anita Elizabeth Heywood ◽  
Abdulrahman Bader S. Almohammed ◽  
Robert Booy ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hand Hygiene ◽  
Preventive Measures ◽  
Plain Water ◽  
Travel Agents ◽  
Runny Nose ◽  
Preventative Measures ◽  
Effective Use ◽  
Main Factor

This study assessed Australian Hajj pilgrims’ knowledge, attitude and practices throughout their Hajj journey to understand their health behaviors, use of preventative measures and development of illness symptoms. A prospective cohort study with data collection at three phases (before, during and after Hajj) was conducted among Australian pilgrims between August and December 2015. Baseline data were collected from 421 pilgrims before Hajj, with 391 providing follow-up data during Hajj and 300 after their home return. Most participants (78% [329/421]) received one or more recommended vaccines; travel agents’ advice was the main factor affecting vaccination uptake. Most participants (69% [270/391]) practiced hand hygiene with soap and sanitizers frequently, followed by disposable handkerchief use (36% [139/391]) and washing hands with water only (28% [111/391]). During Hajj 74% (288/391) of participants reported one or more illness symptoms, 86% (248/288) of these symptoms were respiratory. Cough was less often reported among pilgrims who received vaccinations, cleaned their hands with soap or alcoholic hand rubs, while a runny nose was less common among those who frequently washed their hands with plain water but was more common among those who used facemasks. This study reveals that most Australian Hajj pilgrims complied with key preventative measures, and that tour group operators’ advice played an important role in compliance. Pilgrims who were vaccinated and practiced hand hygiene were less likely to report infection symptoms.

scholarly journals Study protocol for resolution of organ injury in acute pancreatitis (RESORP): an observational prospective cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040200
Author(s):  
Ahmed E Sherif ◽  
Rory McFadyen ◽  
Julia Boyd ◽  
Chiara Ventre ◽  
Margaret Glenwright ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Acute Pancreatitis ◽  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Observational Prospective Cohort Study ◽  
New Onset

IntroductionSurvivors of acute pancreatitis (AP) have shorter overall survival and increased incidence of new-onset cardiovascular, respiratory, liver and renal disease, diabetes mellitus and cancer compared with the general population, but the mechanisms that explain this are yet to be elucidated. Our aim is to characterise the precise nature and extent of organ dysfunction following an episode of AP.Methods and analysisThis is an observational prospective cohort study in a single centre comprising a University hospital with an acute and emergency receiving unit and clinical research facility. Participants will be adult patient admitted with AP. Participants will undergo assessment at recruitment, 3 months and 3 years. At each time point, multiple biochemical and/or physiological assessments to measure cardiovascular, respiratory, liver, renal and cognitive function, diabetes mellitus and quality of life. Recruitment was from 30 November 2017 to 31 May 2020; last follow-up measurements is due on 31 May 2023. The primary outcome measure is the incidence of new-onset type 3c diabetes mellitus during follow-up. Secondary outcome measures include: quality of life analyses (SF-36, Gastrointestinal Quality of Life Index); montreal cognitive assessment; organ system physiological performance; multiomics predictors of AP severity, detection of premature cellular senescence. In a nested cohort within the main cohort, individuals may also consent to multiparameter MRI scan, echocardiography, pulmonary function testing, cardiopulmonary exercise testing and pulse-wave analysis.Ethics and disseminationThis study has received the following approvals: UK IRAS Number 178615; South-east Scotland Research Ethics Committee number 16/SS/0065. Results will be made available to AP survivors, caregivers, funders and other researchers. Publications will be open-access.Trial registration numbersClinicalTrials.gov Registry (NCT03342716) and ISRCTN50581876; Pre-results.

scholarly journals Cohort Profile Update: 2004 Pelotas (Brazil) Birth Cohort Study. Body composition, mental health and genetic assessment at the 6 years follow-up

2014 ◽  
Vol 43 (5) ◽  
pp. 1437-1437f ◽  
Author(s):  
I. S. Santos ◽  
A. J. Barros ◽  
A. Matijasevich ◽  
R. Zanini ◽  
M. A. Chrestani Cesar ◽  
...  
Keyword(s):  
Mental Health ◽  
Body Composition ◽  
Cohort Study ◽  
Birth Cohort ◽  
Birth Cohort Study ◽  
Genetic Assessment

scholarly journals Associations between Parenting Style and Mental Health in Children and Adolescents Aged 11–17 Years: Results of the KiGGS Cohort Study (Second Follow-Up)

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 672
Author(s):  
Özge Azman ◽  
Elvira Mauz ◽  
Matthias Reitzle ◽  
Raimund Geene ◽  
Heike Hölling ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Children And Adolescents ◽  
Parenting Style ◽  
Parenting Styles ◽  
Family Status ◽  
Migration Status ◽  
Using Data ◽  
Emotional Distancing

Few studies from Germany have investigated the associations between parenting style and children’s and adolescents’ health. Little attention has been directed to whether these associations vary with familial socioeconomic or migration status. The aim of this analysis was to investigate the association between parenting style and the mental health of children and adolescents aged 11–17 years using data from the KiGGS cohort study (second follow-up). We calculated mean Strengths and Difficulties Questionnaire (SDQ) total difficulties scores stratified by parenting style (authoritative, permissive, demanding–controlling, emotional distancing). Linear regression analyses adjusted for age, gender, socioeconomic status, migration status, and family status were performed. We also analyzed moderating effects of socioeconomic and migrations status on associations between parenting style and SDQ scores. There were only small differences between the permissive and the authoritative parenting styles. Significantly higher mean scores were observed for the demanding–controlling and emotional distancing styles for both the mother and father. These associations persisted after full adjustment and did not vary by socioeconomic or migration status. Parenting behavior is an important predictor of children’s and adolescents’ mental health. The promotion of good relationships within families and improving parenting skills offer promising approaches for health promotion in young people.

scholarly journals The Impact of Receiving Pretravel Health Advice on the Prevention of Hajj-Related Illnesses Among Australian Pilgrims: Cohort Study (Preprint)

2018 ◽  
Author(s):  
Amani S Alqahtani ◽  
Saeed A Alsharif ◽  
Mohammad A Garnan ◽  
Mohamed Tashani ◽  
Nasser F BinDhim ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health Behaviors ◽  
General Practitioners ◽  
Preventive Measures ◽  
Disease Risk ◽  
Travel Agents ◽  
Travel Health ◽  
Health Advice ◽  
The Impact

BACKGROUND Pretravel health advice can play a crucial role in improving both travelers’ awareness about disease risk and compliance with preventive measures. General practitioners (GPs) and the internet have been reported internationally to be the main sources of health advice for travelers to non–mass gathering (MG) destinations. However, few studies have attempted to investigate the sources of health advice among travelers to MGs including the Hajj pilgrimage, and none of these studies further investigated the impact of pretravel advice on pilgrims’ health behaviors. OBJECTIVE The objective of this study was to investigate the impact of the source of pretravel health advice (from GPs and specialized Hajj travel agents) on Hajj pilgrims’ awareness of and compliance with health recommendations, and the incidence of Hajj-associated illnesses. METHODS A prospective cohort study (before and during Hajj) was conducted among Australian pilgrims aged ≥18 years in 2015. RESULTS A total of 421 pilgrims participated prior to Hajj, and 391 (93%) provided follow-up data during Hajj. All participants obtained pretravel health advice from one or more sources, with Hajj travel agents (46%) and general practitioners (GPs; 40%) the most commonly reported sources. In total, 288 (74%) participants reported Hajj-related symptoms, of which 86% (248/288) were respiratory symptoms. Participants who obtained pretravel health advice from travel agents were more likely to be aware of the official Saudi recommendations (adjusted odds ratio [aOR] 2.1, 95% CI 1.2-3.8; <i>P</i>=.01), receive recommended vaccines before travel (aOR 2.4, 95% CI 1.4-3.9; <i>P</i>=.01), use hand sanitizers including soap (aOR 2.5, 95% CI 1.1-6.1; <i>P</i>=.03), and wash their hands after touching an ill person during Hajj (aOR 2.9, 95% CI 1.1-7.1; <i>P</i>=.01), compared to those who sought advice from GPs. However, neither advice from travel agents nor GPs was associated with a lower incidence of Hajj-related illnesses. CONCLUSIONS Advice from travel agents appeared to be accessed by more travelers than that from GPs, and was associated with an increased likelihood of positive travel health behaviors.

scholarly journals Influence of Social Media on Sexualized Drug Use and Chemsex Among Chinese Men Who Have Sex With Men: Observational Prospective Cohort Study

10.2196/17894 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e17894 ◽  
Author(s):  
Zixin Wang ◽  
Xue Yang ◽  
Phoenix K H Mo ◽  
Yuan Fang ◽  
Tsun Kwan Mary Ip ◽  
...  
Keyword(s):  
Social Media ◽  
Cohort Study ◽  
Social Networking ◽  
Prospective Cohort ◽  
Telephone Survey ◽  
Anal Intercourse ◽  
Observational Prospective Cohort Study ◽  
Male Sex ◽  
Sex With Men

Background Sexualized drug use (SDU; the use of any psychoactive substance before or during sexual intercourse) is prevalent among men who have sex with men (MSM) and may aggravate the worsening HIV epidemic in this key population. Objective This observational prospective cohort study investigated factors predicting the occurrence of SDU within a 6-month follow-up period among a sample of MSM in Hong Kong. We hypothesized that perceptions related to SDU would mediate the association between the influence of social media/gay social networking apps and SDU during the follow-up period. Methods Participants were Chinese-speaking men in Hong Kong, China who had anal intercourse with at least one man in the past year. Among 600 participants who completed the baseline telephone survey, 407 (67.8%) completed another telephone survey 6 months later. Logistic regression models and path analysis were fitted. Results At Month 6, 6.9% (28/407) and 4.4% (18/407) of participants reported SDU and chemsex during the follow-up period. After adjustment for significant baseline background variables (use of pre-exposure prophylaxis; history of HIV and other sexually transmitted infections; anal intercourse with nonregular male sex partners, condomless anal intercourse with men, multiple male sex partnerships, and SDU at baseline), three constructs of the Theory of Planned Behavior (TPB) were significantly associated with SDU during the follow-up period: (1) positive attitudes toward SDU (adjusted odds ratio [AOR] 1.19, 95% CI 1.05-1.36), (2) perceived support for SDU from significant others (AOR 1.15, 95% CI 1.01-1.30), and (3) perceived behavioral control of refraining from SDU (AOR 0.76, 95% CI 0.59-0.98). Exposure to information supporting SDU on social media and gay social networking apps was also significantly associated with SDU (AOR 1.11, 95% CI 1.01-1.22). Bootstrapping analyses indicated that social media influence was indirectly associated with SDU through TPB-related perceptions of SDU (β=.04; B=.002, 95% CI 0.001-0.01). Conclusions Social media and gay social networking apps may be a major source of influence on MSM’s perceptions and actual behaviors related to SDU.

scholarly journals Chronic pain and mental health problems among Syrian refugees: associations, predictors and use of medication over time: a prospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e046454
Author(s):  
Elisabeth Marie Strømme ◽  
Jannicke Igland ◽  
Jasmin Haj-Younes ◽  
Bernadette Nirmal Kumar ◽  
Lars T Fadnes ◽  
...  
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Cohort Study ◽  
Pharmacological Treatment ◽  
Prospective Cohort ◽  
Mental Health Problems ◽  
Health Problems ◽  
Poor Mental Health ◽  
Syrian Refugees

ObjectivesThis study aims to examine associations, predictors and pharmacological treatment of chronic pain and mental health problems among Syrian refugees in a longitudinal perspective.DesignProspective cohort study.SettingWe collected survey data among Syrian refugees in Lebanon granted resettlement to Norway (self-administered questionnaires) and at follow-up 1 year after arrival in Norway (structured telephone interviews).ParticipantsAdult Syrian refugees attending mandatory pretravel courses in Lebanon in 2017–2018 were invited to participate. In total, 353 individuals participated at both time points.Primary and secondary outcomesWe examined the cross-sectional associations between pain, mental health and migration-related exposures at baseline and follow-up and assessed whether associations changed significantly with time. Furthermore, we investigated the longitudinal association between mental health at baseline and pain at follow-up. We also evaluated temporal changes in use of analgesics and psychotropic drugs.ResultsWhile most refugees reported improved health from the transit phase in Lebanon to the early resettlement phase in Norway, a few had persisting and intertwined health problems. Most migration-related stressors were more closely associated with chronic pain and mental health problems after resettlement as compared with the transit phase. In parallel, poor mental health was associated with chronic pain in the follow-up (adjusted risk ratio (ARR) 1.5 (1.0, 2.2)), but not at baseline (ARR 1.1 (0.8, 1.5)). Poor mental health at baseline was a statistically significant predictor of chronic pain at follow-up among those not reporting chronic pain at baseline. At both timepoints, one in four of those with chronic pain used analgesics regularly. None with mental health problems used antidepressants daily.ConclusionsProviders of healthcare services to refugees should be attentive to the adverse effect of postmigration stressors and acknowledge the interrelations between pain and mental health. Possible gaps in pharmacological treatment of pain and mental health problems need further clarification.

scholarly journals Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Yihang Pan ◽  
Yuan Fang ◽  
Meiqi Xin ◽  
Willa Dong ◽  
Liemin Zhou ◽  
...  
Keyword(s):  
Perceived Risk ◽  
Preventive Measures ◽  
Public Spaces ◽  
Survey Study ◽  
Specific Information ◽  
Full Time ◽  
Factory Workers ◽  
Web Based ◽  
The Individual ◽  
Work Resumption

BACKGROUND Maintaining compliance with personal preventive measures is important to achieve a balance of COVID-19 pandemic control and work resumption. OBJECTIVE The aim of this study was to investigate self-reported compliance with four personal measures to prevent COVID-19 among a sample of factory workers in Shenzhen, China, at the beginning of work resumption in China following the COVID-19 outbreak. These preventive measures included consistent wearing of face masks in public spaces (the workplace and other public settings); sanitizing hands using soap, liquid soap, or alcohol-based hand sanitizer after returning from public spaces or touching public installations and equipment; avoiding social and meal gatherings; and avoiding crowded places. METHODS The participants were adult factory workers who had resumed work in Shenzhen, China. A stratified two-stage cluster sampling design was used. We randomly selected 14 factories that had resumed work. All full-time employees aged ≥18 years who had resumed work in these factories were invited to complete a web-based survey. Out of 4158 workers who had resumed work in these factories, 3035 (73.0%) completed the web-based survey from March 1 to 14, 2020. Multilevel logistic regression models were fitted. RESULTS Among the 3035 participants, 2938 (96.8%) and 2996 (98.7%) reported always wearing a face mask in the workplace and in other public settings, respectively, in the past month. However, frequencies of self-reported sanitizing hands (2152/3035, 70.9%), avoiding social and meal gatherings (2225/3035, 73.3%), and avoiding crowded places (1997/3035, 65.8%) were relatively low. At the individual level, knowledge about COVID-19 (adjusted odds ratios [AORs] from 1.16, CI 1.10-1.24, to 1.29, CI 1.21-1.37), perceived risk (AORs from 0.58, CI 0.50-0.68, to 0.85, CI 0.72-0.99) and severity (AOR 1.05, CI 1.01-1.09, and AOR 1.07, CI 1.03-1.11) of COVID-19, perceived effectiveness of preventive measures by the individual (AORs from 1.05, CI 1.00-1.10, to 1.09, CI 1.04-1.13), organization (AOR 1.30, CI 1.20-1.41), and government (AORs from 1.14, CI 1.04-1.25, to 1.21, CI 1.02-1.42), perceived preparedness for a potential outbreak after work resumption (AORs from 1.10, CI 1.00-1.21, to 1.50, CI 1.36-1.64), and depressive symptoms (AORs from 0.93, CI 0.91-0.94, to 0.96, CI 0.92-0.99) were associated with self-reported compliance with at least one personal preventive measure. At the interpersonal level, exposure to COVID-19–specific information through official media channels (AOR 1.08, CI 1.04-1.11) and face-to-face communication (AOR 0.90, CI 0.83-0.98) were associated with self-reported sanitizing of hands. The number of preventive measures implemented in the workplace was positively associated with self-reported compliance with all four preventive measures (AORs from 1.30, CI 1.08-1.57, to 1.63, CI 1.45-1.84). CONCLUSIONS Measures are needed to strengthen hand hygiene and physical distancing among factory workers to reduce transmission following work resumption. Future programs in workplaces should address these factors at multiple levels.

scholarly journals Self-Reported Compliance With Personal Preventive Measures Among Chinese Factory Workers at the Beginning of Work Resumption Following the COVID-19 Outbreak: Cross-Sectional Survey Study

10.2196/22457 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e22457
Author(s):  
Yihang Pan ◽  
Yuan Fang ◽  
Meiqi Xin ◽  
Willa Dong ◽  
Liemin Zhou ◽  
...  
Keyword(s):  
Perceived Risk ◽  
Preventive Measures ◽  
Public Spaces ◽  
Survey Study ◽  
Specific Information ◽  
Full Time ◽  
Factory Workers ◽  
Web Based ◽  
The Individual ◽  
Work Resumption

Background Maintaining compliance with personal preventive measures is important to achieve a balance of COVID-19 pandemic control and work resumption. Objective The aim of this study was to investigate self-reported compliance with four personal measures to prevent COVID-19 among a sample of factory workers in Shenzhen, China, at the beginning of work resumption in China following the COVID-19 outbreak. These preventive measures included consistent wearing of face masks in public spaces (the workplace and other public settings); sanitizing hands using soap, liquid soap, or alcohol-based hand sanitizer after returning from public spaces or touching public installations and equipment; avoiding social and meal gatherings; and avoiding crowded places. Methods The participants were adult factory workers who had resumed work in Shenzhen, China. A stratified two-stage cluster sampling design was used. We randomly selected 14 factories that had resumed work. All full-time employees aged ≥18 years who had resumed work in these factories were invited to complete a web-based survey. Out of 4158 workers who had resumed work in these factories, 3035 (73.0%) completed the web-based survey from March 1 to 14, 2020. Multilevel logistic regression models were fitted. Results Among the 3035 participants, 2938 (96.8%) and 2996 (98.7%) reported always wearing a face mask in the workplace and in other public settings, respectively, in the past month. However, frequencies of self-reported sanitizing hands (2152/3035, 70.9%), avoiding social and meal gatherings (2225/3035, 73.3%), and avoiding crowded places (1997/3035, 65.8%) were relatively low. At the individual level, knowledge about COVID-19 (adjusted odds ratios [AORs] from 1.16, CI 1.10-1.24, to 1.29, CI 1.21-1.37), perceived risk (AORs from 0.58, CI 0.50-0.68, to 0.85, CI 0.72-0.99) and severity (AOR 1.05, CI 1.01-1.09, and AOR 1.07, CI 1.03-1.11) of COVID-19, perceived effectiveness of preventive measures by the individual (AORs from 1.05, CI 1.00-1.10, to 1.09, CI 1.04-1.13), organization (AOR 1.30, CI 1.20-1.41), and government (AORs from 1.14, CI 1.04-1.25, to 1.21, CI 1.02-1.42), perceived preparedness for a potential outbreak after work resumption (AORs from 1.10, CI 1.00-1.21, to 1.50, CI 1.36-1.64), and depressive symptoms (AORs from 0.93, CI 0.91-0.94, to 0.96, CI 0.92-0.99) were associated with self-reported compliance with at least one personal preventive measure. At the interpersonal level, exposure to COVID-19–specific information through official media channels (AOR 1.08, CI 1.04-1.11) and face-to-face communication (AOR 0.90, CI 0.83-0.98) were associated with self-reported sanitizing of hands. The number of preventive measures implemented in the workplace was positively associated with self-reported compliance with all four preventive measures (AORs from 1.30, CI 1.08-1.57, to 1.63, CI 1.45-1.84). Conclusions Measures are needed to strengthen hand hygiene and physical distancing among factory workers to reduce transmission following work resumption. Future programs in workplaces should address these factors at multiple levels.

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