scholarly journals Face Mask Wearing Behaviors, Depressive Symptoms, and Health Beliefs Among Older People During the COVID-19 Pandemic

2021 ◽  
Vol 8 ◽  
Author(s):  
Rick Yiu Cho Kwan ◽  
Paul Hong Lee ◽  
Daphne Sze Ki Cheung ◽  
Simon Ching Lam
Keyword(s):  
Depressive Symptoms ◽  
Older People ◽  
Disease Severity ◽  
Health Beliefs ◽  
Online Survey ◽  
Preventive Measures ◽  
Preventive Measure ◽  
Face Mask ◽  
Community Dwelling ◽  
Perceived Severity

The COVID-19 pandemic has affected more than 100 countries. Despite the global shortage of face masks, the public has adopted universal mask wearing as a preventive measure in many Asian countries. The COVID-19 mortality rate is higher among older people, who may find that wearing a face mask protects their physical health but jeopardizes their mental health. This study aimed to explore the associations between depressive symptoms, health beliefs, and face mask wearing behaviors among older people. By means of an online survey conducted between March and April 2020, we assessed depressive symptoms, health beliefs regarding COVID-19, and face mask use and reuse among community-dwelling older people. General linear models were employed to explore the associations among these variables. Of the 355 valid participants, 25.6% experienced depressive symptoms. Health beliefs regarding the perceived severity of disease (p = 0.001) and perceived efficacy of practicing preventive measures (p = 0.005) were positively associated with face mask use. Those who reused face masks (p = 0.008) had a stronger belief in disease severity (p < 0.001), had poorer cues to preventive measures (p = 0.002), and were more likely to experience depressive symptoms. Mask reuse was significantly associated with depression only among those who perceived the disease as serious (p = 0.025) and those who had poorer cues to preventive measures (p = 0.004). In conclusion, health beliefs regarding perceived severity and efficacy contributed to more frequent face mask use, which was unrelated to depressive symptoms. Older people who had a stronger belief in disease severity had less adequate cues to preventive measures and reused face masks experienced greater depressive symptoms. A moderation effect of health beliefs (i.e., disease severity and cues to preventive measures) on face mask reuse and depression was observed.

Knowledge and perception as critical components in recognition of Covid-19 symptoms

2021 ◽  
Vol 42 (1) ◽  
pp. 9-18
Author(s):  
S.O. Sam-Wobo ◽  
C.N. Ukaga ◽  
D. Pam ◽  
I.C.J. Omalu ◽  
A. Mogaji ◽  
...  
Keyword(s):  
Online Survey ◽  
Preventive Measures ◽  
Age Distribution ◽  
Preventive Measure ◽  
Face Mask ◽  
Cross Sectional ◽  
North West ◽  
North East ◽  
Endemic Diseases ◽  
The North

The knowledge, attitude, and practices (KAP) people hold towards a new disease could play a major role in the way they accept measures put in place to curb its spread as Symptoms of COVID-19 are similar to those of other endemic diseases, especially malaria. A cross-sectional KAP/symptomatology online survey was conducted from August –September 2020 across the six geopolitical regions of Nigeria. Data were entered into Google sheets and analyses performed using SPSS version 20. From the 900 respondents, majority 66% were from the North west while 1.2% were from the North east. By sex and age distribution, 69% were males while females were 31%. Age group 15-25 years were more (32.22%) and the least (11%) among respondents were above 65years. Majority of respondents (57.89%), had not experienced symptoms associated with COVID-19 in the past 3 months before this study, however 96.0% of respondents have heard about COVID19 prior the time of survey. Hyperthemia (high fever) 636(70.67%) was accurately recognized by respondents as the most common symptoms. Other highly mentioned symptoms were dry or chesty cough, shortness of breath, catarrh and cough, difficulty in breathing at night, painful breathing, and weakness or tiredness, with significant differences in the responses recorded for the recognition of COVID-19 symptoms across the geopolitical zones (p=0.00). In terms of preventive measures, 771(85.67%) respondents perceive regular hand washing with soap as the major preventive measure for COVID19 infection. This was followed by the usage of face mask 659(73.22%). Also, 794(88.22%) respondents accurately recognized hyperthemia as the most  common overlapping symptom between malaria and COVID-19. Other highly mentioned overlapping symptoms were weakness or tiredness 591(65.67%), loss of appetite 504 (56.00%), loss of taste and smell 388(43.11%), and catarrh and cough 313(34.78%). We conclude that awareness of COVID-19 symptoms is fairly high in the country. Awareness strategies should target those with limited access to information on the disease. Keywords: COVID-19, Knowledge, Symptoms, Preventive measures

scholarly journals COVID-19 Preventive Behaviours in Cameroon: A Six-Month Online National Survey

2021 ◽  
Vol 18 (5) ◽  
pp. 2554
Author(s):  
Joseph Nelson Siewe Fodjo ◽  
Leonard Ngarka ◽  
Wepnyu Y. Njamnshi ◽  
Leonard N. Nfor ◽  
Michel K. Mengnjo ◽  
...  
Keyword(s):  
Regression Models ◽  
Health Personnel ◽  
Online Survey ◽  
Preventive Measures ◽  
Face Mask ◽  
Logistic Regression Models ◽  
Adherence Score ◽  
Preventive Behaviour ◽  
Predictors Of Adherence

Since March 2020, the Cameroonian government implemented nationwide measures to stall COVID-19 transmission. However, little is known about how well these unprecedented measures are being observed as the pandemic evolves. We conducted a six-month online survey to assess the preventive behaviour of Cameroonian adults during the COVID-19 outbreak. A five-point adherence score was constructed based on self-reported observance of the following preventive measures: physical distancing, face mask use, hand hygiene, not touching one’s face, and covering the mouth when coughing or sneezing. Predictors of adherence were investigated using ordinal logistic regression models. Of the 7381 responses received from all ten regions, 73.3% were from male respondents and overall mean age was 32.8 ± 10.8 years. Overall mean adherence score was 3.96 ± 1.11 on a scale of 0–5. Mean weekly adherence scores were initially high, but gradually decreased over time accompanied by increasing incidence of COVID-19 during the last study weeks. Predictors for higher adherence included higher age, receiving COVID-19 information from health personnel, and agreeing with the necessity of lockdown measures. Meanwhile, experiencing flu-like symptoms was associated with poor adherence. Continuous observance of preventive measures should be encouraged among Cameroonians in the medium- to long-term to avoid a resurgence in COVID-19 infections.

scholarly journals Do opposite ends of same factors underlie life satisfaction vs. depressive symptoms among older people?

2021 ◽  
Author(s):  
Katja Pynnönen ◽  
Katja Kokko ◽  
Milla Saajanaho ◽  
Timo Törmäkangas ◽  
Erja Portegijs ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Older People ◽  
Executive Functions ◽  
Physical Performance ◽  
Well Being ◽  
Community Dwelling ◽  
Satisfaction With Life Scale ◽  
Financial Situation ◽  
Self Acceptance

Abstract Background Although depressive symptoms are more common among older than younger age groups, life satisfaction tends to remain stable over the life course, possibly because the underlying factors or processes differ. Aim To study whether the factors that increase the likelihood of high life satisfaction also decrease the likelihood of depressive symptoms among older people. Methods The data were a population-based probability sample drawn from community-dwelling people aged 75, 80, and 85 years (n = 1021). Participants’ life satisfaction was measured with the Satisfaction with Life Scale and depressive symptoms with the Centre for Epidemiologic Studies Depression Scale (CES-D). Physical performance, perceived financial situation, executive functions, loneliness, self-acceptance, and having interests in one’s life were studied as explanatory variables. The data were analyzed using cross-sectional bivariate linear modeling. Results Better physical performance, not perceiving loneliness, having special interests in one’s life, and higher self-acceptance were associated with higher life satisfaction and fewer depressive symptoms. Better financial situation was related only to life satisfaction. Executive functions were not associated with either of the outcomes. Discussion The opposite ends of the same factors underlie positive and negative dimensions of mental well-being. Conclusion Further studies are warranted to better understand how people maintain life satisfaction with aging when many resources may diminish and depressive symptoms become more prevalent.

Pain and symptoms of depression in older adults living in community and in nursing homes: the role of activity restriction as a potential mediator and moderator

2014 ◽  
Vol 26 (10) ◽  
pp. 1679-1691 ◽  
Author(s):  
Almudena López-Lopez ◽  
José L. González ◽  
Miriam Alonso-Fernández ◽  
Noelia Cuidad ◽  
Borja Matías
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Nursing Homes ◽  
Older People ◽  
Pain Intensity ◽  
Nursing Home Residents ◽  
Well Being ◽  
Community Dwelling ◽  
Activity Restriction

ABSTRACTBackground:Chronic pain is likely to lead to depressive symptoms, but the nature of this relationship is not completely clear. The aim of the present study is to analyze the role of activity restriction in the pain-depression relationship in older people, and to test the hypothesis that this role is more relevant in community-dwelling older people than in nursing home residents.Method:Depressive symptoms, pain intensity, and activity restriction were measured in a sample of 208 older adults with osteoarthritis, 102 living in nursing homes (NH), and 106 in the community. Analyses were carried out using moderation and moderated mediation analyses approach, treating activity restriction as a confounder.Results:Results showed a significant confounding effect of activity restriction, interaction effect between pain intensity and activity restriction on depression, and modifying effect of pain intensity on depression by adding activity restriction into the model. These results suggest a potential mediating and moderating effects of activity restriction. Moreover, analyses suggest that, surprisingly, the strength of the mediation could be higher in nursing homes.Conclusions:Overall, it may be that what is really important to emotional well-being is not so much pain itself, but rather the way in which the pain alters older people's lives. The greater strength of the mediation in NH might be understood within the scope of self-determination theory. Generally speaking, the NH context has been considered as a coercive setting, promoting non-autonomous orientation. In this context, when events are objectively coercive, people may lack perceived autonomy and hence be at greater risk of depression.

scholarly journals Acceptance of COVID-19 preventive measures as a tradeoff between health and social outcomes

2021 ◽  
Author(s):  
Aymery Constant ◽  
Donaldson ◽  
Karine Gallopel-Morvan ◽  
Jocelyn Raude
Keyword(s):  
Process Model ◽  
Online Survey ◽  
Open Space ◽  
Preventive Measures ◽  
Negative Effects ◽  
Perceived Efficacy ◽  
Protective Measures ◽  
Perceived Severity ◽  
Acceptance Rates ◽  
Effective Public Health

Background: A better understanding of the factors underlying their acceptance may contribute greatly to the design of more effective public health programs during the current and future pandemics. The objectives of the present study were to assess their acceptance after populations experienced their negative effects, and their relationships with COVID-19 perceptions.Methods: Data were collected from 2004 individuals through an online survey conducted 6 to 8 weeks after the first lockdown in France. Participants were asked whether they supported eight COVID-19 preventive measures. COVID-19-related perceptions were also assessed using an adapted version of Witte’s Extended Parallel Process Model, together with sociodemographic and environmental variables.Results: Acceptance rate reached 86.1 % for individual protective measures, such as make mask mandatory in public open space, and 70.0% for collective restrictions, such as isolating the most vulnerable people (80%) or forbidding public gatherings (79.3%). The least popular restrictions were closing all schools/universities and non-essential commerce such as bars and restaurants (57.2%). Acceptance of collective restrictions was positively associated with their perceived efficacy, fear, and perceived severity of COVID-19, and negatively with age older than 60 years. Acceptance of individual protective measures was associated with their perceived efficacy, fear, and perceived severity of COVID-19.Discussion: Acceptance rates of COVID-19 preventive measures were rather high, but varied according to their perceived social cost, and were more related to collective than personal protection. Preventive measures that minimize social costs while controlling the spread of the disease are more likely to be accepted during pandemics.

scholarly journals Kansans in the Middle of the Pandemic: Risk Perception, Knowledge, Compliance with Preventive Measures, and Primary Sources of Information about COVID-19

2020 ◽  
Vol 13 ◽  
pp. 160-164 ◽  
Author(s):  
Mugur Geana
Keyword(s):  
United States ◽  
Social Media ◽  
Health Beliefs ◽  
Online Survey ◽  
Preventive Measures ◽  
The United States ◽  
Sources Of Information ◽  
Midwest United States ◽  
The Times ◽  
Novel Coronavirus

Introduction. As we conduct this study, the world is in the grasp of a deadly pandemic. In less than six months since its first diagnosis in Wuhan, China, the COVID-19 infectious disease due to the novel coronavirus has infected over 5,000,000 people and claimed over 350,000 lives. In the United States, most of the cases are in large urban settings along the coasts, but the disease is slowly progressing through the mainland. Kansas, with its particular location in the midwest United States, has seen a relatively small number of cases, but these are increasing. The Kansas government took radical measures to prevent the spread of the disease. According to the Health Beliefs Model, an individual’s perception of risk will dictate engagement with preventive behaviors. Knowledge about the disease and preventive measures drive the risk assessment. Knowledge is dependant on the sources of information used. This study explored these metrics in a sample of Kansans living in the times of the COVID-19 pandemic. Methods. A combination of snowball samples and random distribution through social media was used to recruit participants to an online survey. The risk and knowledge instrument was developed and validated by WHO Europe. Data collection lasted 96 hours. Results. The attitudes and behaviors of Kansans concerning COVID-19 were consistent with its location in an area of the country with a relatively lower incidence of the disease. Participants had good knowledge about the disease and preventive measures and were willing to comply with recommendations from local authorities. Conclusion. Localized information sources that cater to the community are often primary, while social media is not a valuable source for information pertinent to COVID-19.

scholarly journals Apathy is associated with incident dementia in community-dwelling older people

Neurology ◽  
2017 ◽  
Vol 90 (1) ◽  
pp. e82-e89 ◽  
Author(s):  
Jan Willem van Dalen ◽  
Lennard L. Van Wanrooij ◽  
Eric P. Moll van Charante ◽  
Edo Richard ◽  
Willem A. van Gool
Keyword(s):  
Depressive Symptoms ◽  
Older People ◽  
Cox Regression ◽  
Depression Scale ◽  
Community Dwelling ◽  
Memory Complaints ◽  
Incident Dementia ◽  
Increased Risk ◽  
Community Dwelling Older People

ObjectiveTo assess whether apathy and depressive symptoms are independently associated with incident dementia during 6-year follow-up in a prospective observational population-based cohort study.MethodsParticipants were community-dwelling older people in the Prevention of Dementia by Intensive Vascular Care trial, aged 70–78 years, without dementia at baseline. Apathy and depressive symptoms were measured using the 15-item Geriatric Depression Scale (GDS-15). Dementia during follow-up was established by clinical diagnosis confirmed by an independent outcome adjudication committee. Hazard ratios (HRs) were calculated using Cox regression analyses. Given its potentially strong relation with incipient dementia, the GDS item referring to memory complaints was assessed separately.ResultsDementia occurred in 232/3,427 (6.8%) participants. Apathy symptoms were associated with dementia (HR 1.28, 95% confidence interval [CI] 1.12–1.45; p < 0.001), also after adjustment for age, sex, Mini-Mental State Examination score, disability, and history of stroke or cardiovascular disease (HR 1.21, 95% CI 1.06–1.40; p = 0.007), and in participants without depressive symptoms (HR 1.26, 95% CI 1.06–1.49; p = 0.01). Depressive symptoms were associated with dementia (HR 1.12, 95% CI 1.05–1.19), also without apathy symptoms (HR 1.16, 95% CI 1.03–1.31; p = 0.015), but not after full adjustment or after removing the GDS item on memory complaints.ConclusionsApathy and depressive symptoms are independently associated with incident dementia in community-dwelling older people. Subjective memory complaints may play an important role in the association between depressive symptoms and dementia. Our findings suggest apathy symptoms may be prodromal to dementia and might be used in general practice to identify individuals without cognitive impairment at increased risk of dementia.

scholarly journals Adherence to COVID-19 Preventive Measures in Mozambique: Two Consecutive Online Surveys

2021 ◽  
Vol 18 (3) ◽  
pp. 1091
Author(s):  
António Júnior ◽  
Janeth Dula ◽  
Sérgio Mahumane ◽  
Olivier Koole ◽  
Sónia Enosse ◽  
...  
Keyword(s):  
Online Survey ◽  
Preventive Measures ◽  
Compliance Rate ◽  
Face Mask ◽  
Healthcare Sector ◽  
Low Grade ◽  
Cross Sectional ◽  
Preventive Behaviour ◽  
The Face ◽  
Definition Of

We assessed adherence to government recommendations implemented shortly after the introduction of COVID-19 in Mozambique in March 2020, through two online cross-sectional surveys in April and June 2020. We quantified adherence to preventive measures by a composite score comprising of five measures: physical distancing, face mask use, hand hygiene, cough hygiene, and avoidance of touching the face. 3770 and 1115 persons participated in the first and second round respectively. Wearing face masks, regular handwashing and cough hygiene all reached compliance rates of over 90% while physical distancing and avoiding to touch the face reached a compliance rate of 80–90%. A multivariable model investigating factors associated with adherence found that being older, more educated, and belonging to the healthcare sector increased the odds for higher adherence. Private workers and retired people, respondents receiving COVID-19 information through social media, and those who reported flu-like symptoms were less likely to adhere. 6% of respondents reported flu-like symptoms which aligned with the WHO clinical definition of COVID-19, suggesting low level community transmission. In conclusion, most respondents in this online survey in Mozambique complied well with strategies to prevent COVID-19. Whether the good preventive behaviour explains the low grade COVID-19 transmission requires further study.

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