A Cross-sectional Online Survey on Public Attitudes towards Wearing Face Masks and Washing Hands to Prevent the Spread of COVID-19 in Indonesia

BACKGROUND: The COVID-19 infection spreads quickly and easily, hence people are required to obey health protocols. Attitudes play an important role in building people’s readiness to use face masks and wash hands. AIM: The study aims at analyzing several factors influencing people’s attitudes towards wearing face masks and washing hands in Indonesia. METHODS: The study employs a cross-sectional online survey involving 400 adult respondents in the Java region from July to September 2020. RESULTS: Of 400 respondents, 54.3% showed positive attitudes toward wearing face masks and 59.3% towards washing hands. The multivariate analysis showed that people’s attitudes towards wearing face masks were influenced by age and knowledge. Respondents aged 36–45 years old had positive attitudes on wearing face masks 3.9 times (p = 0.038) and aged ≥46 years old 4.1 times (p = 0.039) compared to aged 18–35 years old. Furthermore, attitudes on washing hands were influenced by gender, age groups, and knowledge. Female had positive attitudes towards washing hands 1.7 times (p = 0.029) compared to male. Respondents aged 36–45 years old had positive attitudes on washing hands 5 times (p = 0.037) and aged ≥46 years old 4.8 times (p = 0.05) compared to aged 18–35 years old. Knowledge acted as the confounding factor. CONCLUSION: The age and knowledge factors influenced positive attitude of using masks and washing hands were influenced by gender, age, and knowledge. Health education programs are recommended to increase knowledge about COVID-19, this is very helpful for the young generation of Indonesia to have a positive attitude.

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Prevalence, awareness, treatment, and control of dyslipidemia among diabetes mellitus patients and predictors of optimal dyslipidemia control: results from the Korea National Health and Nutrition Examination Survey

Lipids in Health and Disease ◽

10.1186/s12944-021-01455-3 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Seung Jae Kim ◽

Oh. Deog Kwon ◽

Kyung-Soo Kim

Keyword(s):

Diabetes Mellitus ◽

Optimal Control ◽

National Health ◽

Age Groups ◽

Density Lipoprotein ◽

Nutrition Examination Survey ◽

Cross Sectional ◽

Health And Nutrition ◽

Factors Influencing ◽

And Control

Abstract Background This study aimed to investigate the prevalence, awareness, treatment, and control rates of dyslipidemia and identify the predictors of optimal control (low-density lipoprotein cholesterol < 100 mg/dL) among patients with diabetes mellitus (DM). Methods A cross-sectional study was conducted using the representative Korea National Health and Nutrition Examination Survey (2014–2018). Overall, 4311 patients with DM, aged ≥19 years, and without cardiovascular diseases were selected, and the prevalence, awareness, treatment, and control rates of dyslipidemia were calculated. Univariate and multivariate logistic regression analyses were conducted to evaluate the factors influencing the optimal control of dyslipidemia. Results Dyslipidemia was prevalent in 83.3% of patients with DM, but the awareness and treatment rates were 36.5 and 26.9%, respectively. The control rate among all patients with dyslipidemia was 18.8%, whereas it was 61.1% among those being treated. Prevalence and awareness rates were also significantly higher in women than in men. Dyslipidemia was most prevalent in those aged 19–39 years, but the rates of awareness, treatment, and control among all patients with dyslipidemia in this age group were significantly lower than those in other age groups. The predictors of optimal control were age ≥ 40 years [range 40–49 years: adjusted odds ratio (aOR) 3.73, 95% confidence interval (CI) 1.43–9.72; 50–59 years: aOR 6.25, 95% CI 2.50–15.65; 60–69 years: aOR 6.96, 95% CI 2.77–17.44; 70–79 years: aOR 9.21, 95% CI 3.58–23.74; and ≥ 80 years: aOR 4.43, 95% CI 1.60–12.27]; urban living (aOR 1.44, 95% CI 1.15–1.80); higher body mass index (aOR 1.27, 95% CI 1.13–1.42); lower glycated hemoglobin levels (aOR 0.71, 95% CI 0.67–0.76); hypertension (aOR 1.53, 95% CI 1.22–1.92); poorer self-rated health status (aOR 0.72, 95% CI 0.62–0.84); and receiving regular health check-ups (aOR 1.58, 95% CI 1.25–2.00). Conclusions Most patients with DM were diagnosed with dyslipidemia, but many were unaware of or untreated for their condition. Therefore, their control rate was suboptimal. Thus, by understanding factors influencing optimal control of dyslipidemia, physicians should make more effort to encourage patients to undergo treatment and thus, adequately control their dyslipidemia.

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Chinese views on nuclear weapons: Evidence from an online survey

Research & Politics ◽

10.1177/20531680211032840 ◽

2021 ◽

Vol 8 (3) ◽

pp. 205316802110328

Author(s):

Naomi Egel ◽

R. Lincoln Hines

Keyword(s):

Nuclear Weapons ◽

Text Analysis ◽

Online Survey ◽

Public Attitudes ◽

Age Groups ◽

Computer Assisted ◽

The Public ◽

Self Defense ◽

Public Views ◽

Chinese Public

What are Chinese public attitudes regarding nuclear weapons? Although scholars have studied Chinese elites’ views on nuclear weapons, surprisingly little is known about the views of China’s public. To understand Chinese public views on nuclear weapons, we conduct an online survey ( N = 1066) of Chinese respondents. This is, to our knowledge, the first survey of Chinese public attitudes towards nuclear weapons. We find that although Chinese citizens view the possession of nuclear weapons as important for their country’s security, they strongly oppose the use of nuclear weapons under any circumstances. We also provide respondents an opportunity to describe their views on nuclear weapons in their own words. Using computer-assisted text analysis, we assess patterns in these open-ended responses and compare across age groups. We find that younger respondents emphasize non-material factors such as having a greater voice internationally, whereas older respondents emphasize self-defense. Overall, this analysis sheds light on the public attitudes that may shape China’s evolving approach to nuclear weapons.

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The UPTAKE study: implications for the future of COVID-19 vaccination trial recruitment in UK and beyond

Trials ◽

10.1186/s13063-021-05250-4 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Sonika Sethi ◽

Aditi Kumar ◽

Anandadeep Mandal ◽

Mohammed Shaikh ◽

Claire A. Hall ◽

...

Keyword(s):

Online Survey ◽

Age Groups ◽

Small Towns ◽

Vaccine Uptake ◽

Effective Vaccine ◽

Trial Recruitment ◽

Trial Management ◽

Cross Sectional ◽

Study Results ◽

The Future

Abstract Background Developing a safe and effective vaccine will be the principal way of controlling the COVID-19 pandemic. However, current COVID-19 vaccination trials are not adequately representing a diverse participant population in terms of age, ethnicity and comorbidities. Achieving the representative recruitment targets that are adequately powered to the study remains one of the greatest challenges in clinical trial management. To ensure accuracy and generalisability of the safety and efficacy conclusions generated by clinical trials, it is crucial to recruit patient cohorts as representative as possible of the future target population. Missing these targets can lead to reduced validity of the study results and can often slow down drug development leading to costly delays. Objective This study explores the key factors related to perceptions and participation in vaccination trials. Methods This study involved an anonymous cross-sectional online survey circulated across the UK. Statistical analysis was done in six phases. Multi-nominal logistic models examined demographic and geographic factors that may impact vaccine uptake. Results The survey had 4884 participants of which 9.44% were Black Asian Minority Ethnic (BAME). Overall, 2020 (41.4%) respondents were interested in participating in vaccine trials; 27.6% of the respondents were not interested and 31.1% were unsure. The most interested groups were male (OR = 1.29), graduates (OR = 1.28), the 40–49 and 50–59 age groups (OR = 1.88 and OR = 1.46 respectively) and those with no health issues (OR = 1.06). The least interested groups were BAME (OR = 0.43), those from villages and small towns (OR = 0.66 and 0.54 respectively) and those aged 70 and above (OR = 1.11). Conclusions In order to have a vaccination that is generalisable to the entire population, greater work needs to be done in engaging a diverse cohort of participants. Public health campaigns need to be targeted in improving trial recruitment rates for the elderly, BAME community and the less educated rural population.

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Loneliness and Its Association With Social Media Use During the COVID-19 Outbreak

Social Media + Society ◽

10.1177/20563051211033821 ◽

2021 ◽

Vol 7 (3) ◽

pp. 205630512110338

Author(s):

Tore Bonsaksen ◽

Mary Ruffolo ◽

Janni Leung ◽

Daicia Price ◽

Hilde Thygesen ◽

...

Keyword(s):

Social Media ◽

Online Survey ◽

Media Use ◽

Age Groups ◽

The United States ◽

Social Media Use ◽

Cross Sectional ◽

Social And Emotional ◽

Emotional Loneliness ◽

Social Loneliness

Social distancing rules during the COVID-19 pandemic changed social interaction for many and increased the risk of loneliness in the general population. Social media use has been ambiguously related to loneliness, and associations may differ by age. The study aimed to examine loneliness and its association with social media use within different age groups during the COVID-19 pandemic. A cross-sectional online survey was conducted in Norway, the United Kingdom, the United States, and Australia during April/May 2020, and 3,810 participants aged 18 years or above were recruited. Multiple regression analyses were conducted to examine associations between social media use and social and emotional loneliness within separate age groups. Emotional loneliness was higher among young adults and among those who used social media several times daily. Adjusting by sociodemographic variables, using more types of social media was associated with lower social loneliness among the oldest participants, and with higher emotional loneliness among the youngest participants. Among middle-aged participants, using social media more frequently was associated with lower social loneliness. We found that the associations between social media use and loneliness varied by age. Older people’s engagement on social media may be a resource to reduce loneliness during the COVID-19 pandemic. We observed higher levels of loneliness among high-frequent social media users of younger age.

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Factors influencing resilience and burnout among resident physicians - a National Survey

BMC Medical Education ◽

10.1186/s12909-021-02950-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Cristina Nituica ◽

Oana Alina Bota ◽

John Blebea ◽

Chin-I Cheng ◽

Gus J. Slotman

Keyword(s):

Training Program ◽

Online Survey ◽

High Stress ◽

Institutional Support ◽

Maslach Burnout Inventory ◽

Demographic Characteristics ◽

Burnout Syndrome ◽

Cross Sectional ◽

Resident Physicians ◽

Factors Influencing

Abstract Background Residency training exposes young physicians to a challenging and high-stress environment, making them vulnerable to burnout. Burnout syndrome not only compromises the health and wellness of resident physicians but has also been linked to prescription errors, reduction in the quality of medical care, and decreased professionalism. This study explored burnout and factors influencing resilience among U.S. resident physicians. Methods A cross-sectional study was conducted through an online survey, which was distributed to all accredited residency programs by Accreditation Council of Graduate Medical Education (ACGME). The survey included the Connor-Davidson Resilience Scale (CD-RISC 25), Abbreviated Maslach Burnout Inventory, and socio-demographic characteristics questions. The association between burnout, resilience, and socio-demographic characteristics were examined. Results The 682 respondents had a mean CD-RISC score of 72.41 (Standard Deviation = 12.1), which was equivalent to the bottom 25th percentile of the general population. Males and upper-level trainees were more resilient than females and junior residents. No significant differences in resilience were found associated with age, race, marital status, or training program type. Resilience positively correlated with personal achievement, family, and institutional support (p < 0.001) and negatively associated with emotional exhaustion and depersonalization (p < 0.001). Conclusions High resilience, family, and institutional support were associated with a lower risk of burnout, supporting the need for developing a resilience training program to promote a lifetime of mental wellness for future physicians.

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The Public Attitudes, Concerns and Behaviors towards Children Vaccination

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i1331264 ◽

2021 ◽

pp. 39-43

Author(s):

Nehad J. Ahmed ◽

Abdulrahman S. Alrawili ◽

Faisal Z. Alkhawaja

Keyword(s):

Online Survey ◽

Public Attitudes ◽

Active Role ◽

Arabic Language ◽

Cross Sectional Study ◽

Cross Sectional ◽

The Public ◽

And Behavior ◽

Attitudes And Behavior ◽

Public Concerns

Aim: The aim of this study was to identify the public concerns, attitudes and behavior towards vaccination. Methodology: This was a cross-sectional study that included an online survey about the public concerns, attitudes and behavior towards vaccination in Saudi Arabia. The survey was translated to Arabic language and converted to an online form using google forms and after that it was sent to be filled by the parents. Results: About 92% of the respondents said that children should be vaccinated in order to protect them and about 86% of them believed that vaccinations are safe for children in general. Regarding the concerns about vaccination, about 69% of the respondents were concerned about the distress to children of the injection itself and 59% of them were concerned about the increasing number of vaccines recommended for children. Furthermore, about 62% of the respondents were concerned that vaccines are not tested enough for safety. Conclusion: The majority of respondents in this study reported positive attitude but more than half of them expressed some degree of concern regarding children vaccination. Healthcare professionals should play an active role in clarifying these concerns about vaccination with the public. Moreover, they should communicate with parents regarding the vaccinations and provide them with a trusted information about the vaccine.

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The role of Science Literacy, Trust, and Impulsivity on Adherence to COVID-19 Recommendations: Cross-sectional Study (Preprint)

10.2196/preprints.27665 ◽

2021 ◽

Author(s):

Perla Amalia Vargas ◽

Nicole M Lee ◽

Scott Barclay

Keyword(s):

Online Survey ◽

Science Literacy ◽

Cross Sectional Study ◽

Health Campaigns ◽

Sources Of Information ◽

Cross Sectional ◽

Fox News ◽

Positive Attitudes ◽

Public Health Campaigns ◽

Perfect Adherence

BACKGROUND To slow down transmission and prevent deaths in the face of the severe acute respiratory syndrome coronavirus 2 (COVID-19) pandemic, the public needs to adhere to recommendations to limit exposure and the spread of the disease. There is emerging evidence that television viewership choices and partisanship are associated to adherence to COVID-19 -related preventive recommendations. On the other hand, some suggest that believing fake news may be due to impulsivity or a lack of thinking rather than partisanship. OBJECTIVE To test whether 1) individuals with high levels of impulsivity will be less likely to adhere to COVID-19 recommendations; and 2) if the odds of adhering to the recommendations will be higher for those with positive attitudes toward science, higher levels of science literacy, and COVID-19 knowledge, who get their news from scientific/reliable sources. METHODS We conducted a cross-sectional online survey administered via Qualtrics (Provo, UT). COVID-related survey items were extracted from recent COVID-19 studies. Respondents completed assessments on impulsiveness, perception of scientists and science literacy. selected their common sources of information including conservative and liberal media (e.g., Fox News or One America News Network – OANN and MSNBC or CNN). The sample was recruited from Amazon’s Mechanical Turk (MTurk) and from the student population of a large university in the southwestern U.S. After removing incomplete responses, the final sample included 1223 cases. RESULTS Consistent with previous reports, compared to respondents who got their News from sources other than Fox News or OANN, those who reported Fox News or OANN as their main source of information had significantly lower scores of COVID-19 knowledge. Consistent with our hypotheses, we found that impulsivity was associated with adherence: high scores was associated to adherence failure while low scores were associated to perfect adherence. COVID-19 knowledge and trust in scientists showed the same significant associations: high knowledge scores were associated to perfect adherence and low to failure. Contrary to our hypothesis, Science Literacy did not predict adherence. Finally, race was also significantly associated with adherence: being white was associated to adherence failure while being non-white predicted perfect adherence. CONCLUSIONS To increase voluntary adherence to COVID-19 measures, it is critical to implement public health campaigns that foster trust in authorities –Republican and Democrat-- and leverage trustworthy individuals in the community to disseminate information. For individuals with high levels of impulsivity, environmental restructuring, and/or nudging may be necessary to increase adherence to preventive recommendations.

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Age-related factors influence HIV testing within subpopulations: a cross-sectional survey of MSM within the Celtic nations

Sexually Transmitted Infections ◽

10.1136/sextrans-2018-053935 ◽

2019 ◽

Vol 95 (5) ◽

pp. 351-357

Author(s):

Jenny Dalrymple ◽

Kareena McAloney-Kocaman ◽

Paul Flowers ◽

Lisa M McDaid ◽

Jamie Scott Frankis

Keyword(s):

Hiv Testing ◽

Online Survey ◽

Future Research ◽

Sociocultural Factors ◽

Health Improvement ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional ◽

Factors Influencing ◽

Age Related

ObjectivesDespite a recent fall in the incidence of HIV within the UK, men who have sex with men (MSM) continue to be disproportionately affected. As biomedical prevention technologies including pre-exposure prophylaxis are increasingly taken up to reduce transmission, the role of HIV testing has become central to the management of risk. Against a background of lower testing rates among older MSM, this study aimed to identify age-related factors influencing recent (≤12 months) HIV testing.MethodsCross-sectional subpopulation data from an online survey of sexually active MSM in the Celtic nations—Scotland, Wales, Northern Ireland and Ireland (n=2436)—were analysed to compare demographic, behavioural and sociocultural factors influencing HIV testing between MSM aged 16–25 (n=447), 26–45 (n=1092) and ≥46 (n=897).ResultsMultivariate logistic regression demonstrated that for men aged ≥46, not identifying as gay (OR 0.62, CI 0.41 to 0.95), location (Wales) (OR 0.49, CI 0.32 to 0.76) and scoring higher on the personalised Stigma Scale (OR 0.97, CI 0.94 to 1.00) significantly reduced the odds for HIV testing in the preceding year. Men aged 26–45 who did not identify as gay (OR 0.61, CI 0.41 to 0.92) were also significantly less likely to have recently tested for HIV. For men aged 16–25, not having a degree (OR 0.48, CI 0.29 to 0.79), location (Republic of Ireland) (OR 0.55, CI 0.30 to 1.00) and scoring higher on emotional competence (OR 0.57, CI 0.42 to 0.77) were also significantly associated with not having recently tested for HIV.ConclusionKey differences in age-related factors influencing HIV testing suggest health improvement interventions should accommodate the wide diversities among MSM populations across the life course. Future research should seek to identify barriers and enablers to HIV testing among the oldest and youngest MSM, with specific focus on education and stigma.

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Trust in genomic data sharing among members of the general public in the UK, USA, Canada and Australia

Human Genetics ◽

10.1007/s00439-019-02062-0 ◽

2019 ◽

Vol 138 (11-12) ◽

pp. 1237-1246 ◽

Cited By ~ 11

Author(s):

Richard Milne ◽

◽

Katherine I. Morley ◽

Heidi Howard ◽

Emilia Niemiec ◽

...

Keyword(s):

Data Sharing ◽

General Public ◽

Personal Experience ◽

Online Survey ◽

Latent Class ◽

Public Attitudes ◽

Genomic Medicine ◽

Genomic Data ◽

Cross Sectional ◽

The Usa

Abstract Trust may be important in shaping public attitudes to genetics and intentions to participate in genomics research and big data initiatives. As such, we examined trust in data sharing among the general public. A cross-sectional online survey collected responses from representative publics in the USA, Canada, UK and Australia (n = 8967). Participants were most likely to trust their medical doctor and less likely to trust other entities named. Company researchers were least likely to be trusted. Low, Variable and High Trust classes were defined using latent class analysis. Members of the High Trust class were more likely to be under 50 years, male, with children, hold religious beliefs, have personal experience of genetics and be from the USA. They were most likely to be willing to donate their genomic and health data for clinical and research uses. The Low Trust class were less reassured than other respondents by laws preventing exploitation of donated information. Variation in trust, its relation to areas of concern about the use of genomic data and potential of legislation are considered. These findings have relevance for efforts to expand genomic medicine and data sharing beyond those with personal experience of genetics or research participants.

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Poor level of knowledge on elderly care despite positive attitude among nursing students in Zanzibar Island: findings from a cross-sectional study

BMC Nursing ◽

10.1186/s12912-020-00488-w ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Arafa A. Muhsin ◽

Mariam J. Munyogwa ◽

Stephen M. Kibusi ◽

Saada A. Seif

Keyword(s):

Nursing Students ◽

Positive Attitude ◽

Elderly Population ◽

Elderly Care ◽

Elderly Person ◽

Cross Sectional Study ◽

Cross Sectional ◽

Positive Attitudes ◽

Level Of Knowledge ◽

Knowledge And Attitude

Abstract Background It is estimated by the year 2050, 80% of the global elderly population will be from the low-and middle income countries. Elderly care requires health workers with skills associated with an understanding of the biological, psychological, social and cultural theories related to aging. Nurses with better knowledge, skills and positive attitudes towards elderly care are highly needed and critically important for better healthcare and wellbeing of the elderly population. Therefore the objective of this study was to assess the level of knowledge and attitude of nursing students towards elderly care in Zanzibar Island. Methods A cross-sectional study was conducted in Zanzibar involving three out of five nursing training institutions. Participants were selected by systematic random sampling. Facts on Aging Quiz 2 and Kogan’s Attitudes Toward Old People scale were used to assess the level of knowledge and attitude towards elderly care among the students respectively. Simple and multivariable logistic regressions were applied to determine the predictors of knowledge and attitude among the participants. Results A total of 393 students participated in this study. Only 17% (69) of the participants had good level of knowledge and about 67.9% (267) had positive attitude towards elderly care. Living in an extended family and with an elderly person at home were both associated with good level of knowledge and positive attitude towards elderly care. Furthermore, living in a rural area (adjusted odds ratio = 2.23; 95% confidence interval: 1.22, 4.10) and studying at public institution (adjusted odds ratio = 2.59; 95% confidence interval: 1.41, 4.63) were associated with positive attitude towards elderly care. Conclusion This study has shown that the majority of nursing students in Zanzibar have positive attitude but poor level of knowledge towards elderly care. The current findings have demonstrated that past experience with an elderly person can help in influencing good knowledge and shaping positive attitudes towards elderly care. Low level of knowledge shown in the study suggests for further research on adequacy of nursing curriculum and/or its implementation.

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