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Author(s):  
Philippe Hanna ◽  
Aline Issa ◽  
Ziad Noujeim ◽  
Mira Hleyhel ◽  
Nadine Saleh

Abstract Background Vaccines have become the best weapon for epidemic prevention and control in the absence of standard approved effective therapies. However, skepticism about the vaccine efficacy and safety is constantly reported. To our knowledge, there has been no study assessing COVID-19 vaccine acceptance in Lebanon. The primary objective of this survey is to assess the COVID-19 vaccines’ acceptance and its related determinants in the Lebanese population. Methods A cross-sectional study was conducted in Lebanon from February 16 through February 25, 2021. Data was collected using an online questionnaire via social media platforms using the snowball technique. The questionnaire consisted of 47 questions related to sociodemographic and medical history, COVID-19 experience, knowledge, practice, and beliefs towards COVID-19 vaccines, including vaccines acceptance. Binary logistic regression was performed to identify factors associated with vaccine acceptance. Results A total of 1209 questionnaires were completed; around 63.4% have reported their acceptance for receiving the COVID-19 vaccine, while only 57% of participants registered themselves on the national platform. The multivariable analysis showed that a higher knowledge scale, living in an urban residential area, having hypertension, not having a food allergy, reporting a higher fear to experience COVID-19 infection, and receiving or wanting to receive influenza vaccine, were positive predictors of COVID-19 vaccines acceptance. Conclusions Our findings support the need to improve knowledge about COVID-19 infection and vaccination through education and awareness programs. Specifically residents of rural areas should be targeted to optimize COVID-19 vaccine acceptance among the Lebanese population.


2021 ◽  
Author(s):  
Chadia HADDAD ◽  
Sandrella Bou Malhab ◽  
Hala SACRE ◽  
Rasha THEBIAN ◽  
Hassan SALAME ◽  
...  

Abstract Background: Infectious illness outbreaks, such as COVID-19, have a devastating impact on physical health and social and psychological well-being. Therefore, the objective of this study was to assess the quality of life (QOL) after the COVID-19 outbreak in a sample of the Lebanese population and compare sociodemographic factors associated with QOL among COVID-19 patients and healthy controls. Methods: A cross-sectional study conducted between January and March 2021 during the lockdown imposed by the Lebanese Government enrolled 2349 Lebanese adults. The major dependent variable was the 12-item Short Form Survey (SF-12), often used as a QOL measure for assessing the impact of health on an individual's everyday life.Results: In participants with non-positive PCR, linear regression showed that higher income (Beta=2.224) is associated with a higher QOL score. Whereas higher household crowding index (Beta=-0.537), older age (Beta=-0.109), being married (Beta=-1.308), having hypertension (Beta=-2.479), and other chronic diseases (Beta=-3.704) were associated with a lower QOL score.In participants with positive PCR, linear regression showed that the female gender (Beta=2.416) and a higher income (Beta=4.856) were associated with a higher QOL score. Whereas shortness of breath (beta=-2.607), sore throat (Beta=-5.654), sneezing (Beta=-3.761), and having a chronic disease other than hypertension (Beta=-3.181) were associated with a lower QOL score.Conclusion: Overall, factors such as age, male gender, married status, crowded household, low monthly income, high BMI, the presence of chronic disease, and severe COVID-19 symptoms were related to lower QOL after the covid-19 pandemic.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Chadia Haddad ◽  
Sandrella Bou Malhab ◽  
Diana Malaeb ◽  
Hala Sacre ◽  
Danielle Saadeh ◽  
...  

Abstract Introduction Stigma develops during outbreaks such as the COVID-19 pandemic due to the human fear that arises from the anxiety about a disease of an unknown etiology, with the associated detrimental consequences on both the individual and society. This study was conducted to assess if knowledge about COVID-19, attitude, practice and behavior regarding preventive measures against COVID-19, fear, and anxiety towards COVID-19 will affect the level of stigma and evaluate the mediating effect of fear, anxiety, and diagnosis of COVID-19 on stigma. Methods A cross-sectional online survey conducted between December 20, 2020, and January 05, 2021, enrolled 405 participants recruited from the Lebanese population. Two scales were created and adapted to the Lebanese context to measure the current stigma (stigma discrimination scale, self-stigma scale) toward COVID-19. Results More than half of the sample had moderate to severe stigma discrimination (62%) and self-stigma (65.9%). The multivariable analysis showed that higher fear of COVID-19 scale (Beta = .143) was significantly associated with a higher stigma discrimination scale. Whereas, higher knowledge score (Beta =  −.153) was significantly associated with a lower stigma discrimination scale. Fear of COVID-19, anxiety from COVID-19, being diagnosed with COVID-19, and having a family member with COVID-19 partially mediated the association between knowledge and stigma discrimination scale. No mediation effect of fear and anxiety scale was found between the knowledge and self-stigma score. Conclusion Our main findings indicate that a considerable proportion of the Lebanese population has stigma discrimination behaviors toward COVID-19 patients and that those who were infected with the virus experienced COVID-19-related stigmatization.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258258
Author(s):  
Ramia Zakhour ◽  
Hani Tamim ◽  
Farah Faytrouni ◽  
Joanne Khoury ◽  
Maha Makki ◽  
...  

Background A growing number of parents refuse vaccination due to concerns about side effects. Influenza vaccine is no exception and remains one of the most controversial vaccines. Data regarding influenza vaccine uptake and parental knowledge, attitude and practice towards vaccination in the Lebanese population is lacking. The aim of this study was to assess the rate of vaccination refusal and potential associated factors among Lebanese parents of school-aged children, in general and with a focus on influenza vaccine. Methods A parent questionnaire was distributed in randomly selected 2 public and 2 private schools from the greater Beirut area during the school year 2017–2018. Questionnaires covered knowledge, attitude (including themes of efficacy, hesitancy and trust), and practice of vaccination in general and influenza vaccine in particular. Results The response rate was 76.5% (306/400). Overall, 29.4% parents reported vaccinating their children against influenza (62.2% in private and 37.7% in public schools). Younger age, paternal employment and higher household income were associated with higher vaccination rates (p = 0.01, 0.02 and <0.0001 respectively). Lack of vaccine recommendation by the physician was the most common reason for not taking it (47%). Parents who accepted influenza vaccination had higher scores in efficacy, hesitancy and trust and were more compliant with other vaccinations. Conclusion One third of parents of school aged children in the greater Beirut area vaccinate their children against influenza. This rate is likely lower in rural remote areas. Physician’s recommendation is the single most important predictor of such vaccination. Future studies tackling physicians’ attitude and practice are needed to help improve influenza vaccination rates in the Lebanese population.


2021 ◽  
Vol 17 ◽  
Author(s):  
Rola Hamade ◽  
Amani Mohsen ◽  
Firas Kobeissy ◽  
Ali karouni ◽  
Hikmat Akoum

Introduction: Preeclampsia (P.E) has remained a public health threat to both developed and developing countries, the incidence of preeclampsia in Lebanon is high at 2.84 %. Pregnant female knowledge and awareness of P.E are crucial to reduce morbidity and mortality for both fetus and mother. Objective: Across-sectional observational study was conducted to analyze data from Lebanese’s pregnant women. This study aims to assess the level of knowledge of PE among pregnant women in the Lebanese population. Methods: this cross-sectional study was conducted between September and December2020 in obstetricians’ clinics of different health care institutions, in five governorates in Lebanon. A closed-ended questionnaire was distributed to 400 pregnant females. The first part of the questionnaire aimed to collect socio-demographic information about the participants. The second part was specified for knowledge of PE. Twenty-three knowledge points were assessed looking at signs and symptoms, risk factors, and complications. The last part addressed some attitudes about dealing with this disorder. Responses were scored percentage-wise and grouped into low <60m%, moderate (60-80 %), and high (80-100%). Results: there is inadequate knowledge of P.E among the Lebanese population. In total 15.3 % have adequate knowledge of P.E. A linear regression showed that the knowledge score increased in working pregnant women (p=0.04), who lived in Bekaa (p<0.001), who had a vocational (p=0.01) or university education (p=0.001) and who had any relative develop preeclampsia (p=0.03) or suffering from diabetes (p=0.03). Furthermore, the knowledge when blood pressure is considered high (p<0.001) and the hearing about preeclampsia (p<0.001) increased also the knowledge score about preeclampsia. Conclusion: the knowledge of PE among pregnant women in Lebanon is low.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Johnny Boustany ◽  
Maher Abdessater ◽  
Halim Akl ◽  
Anthony Kanbar ◽  
Joey El Khoury ◽  
...  

Abstract Background Prostate cancer (Pca) is the second most common cause of cancer among Lebanese men. Screening is an effective method to reduce prostate cancer mortality. This study assessed the knowledge, awareness, and screening practices among Lebanese population regarding Pca. Methods A cross-sectional national study over all the Lebanese governorates on 1558 persons was undergone. Information on Pca knowledge and attitudes towards screening was obtained using a semi structured questionnaire. Bivariate and binary logistic regression were used to assess relations between Pca knowledge and socio-demographic characteristics. Results The sample consisted of 1088 (69.8%) males and 470 (30.2%) females, with a mean age of 40 Y.O. Concerning early detection methods of Pca, its frequency, the ideal screening age, symptoms and curability of Pca, a significant difference (p < 0.05) was found when studying the following variables: the educational level (university level group having the highest percentage of correct answers), the individual monthly income (more correct answers were found with higher monthly income) and the age groups (most correct answers in the younger age groups). Conclusion Our study points to the need of developing Pca prevention and education programs that should especially target older men, and people of low socioeconomic status and education in Lebanon. Such programs would increase awareness to Pca and screening, ultimately reducing the burden of advanced cancer through its early diagnosis.


2021 ◽  
Vol 3 (1) ◽  
pp. 101-107
Author(s):  
N. N. Salti ◽  
M. Shaya

Except for two reports on Lebanese immigrants, there have been no studies on the major histocompatibility [MHC] antigens in the Lebanese population. We describe the frequency and distribution of MHC class I antigens present in the A, B and C loci based on data obtained from 200 healthy unrelated individuals from different parts of Lebanon. The highest gene frequencies were as follows:A2 [24.8%], B35 [17.9%] and Cw4 [18.6%], making this haplotype the commonest. Comparison of genetic distances revealed a pattern closer to the Caucasoid population than to the Mongoloid, Oriental or Black populations


2021 ◽  
Vol 104 (3) ◽  
pp. 003685042110294
Author(s):  
Emile Andari ◽  
Paola Atallah ◽  
Sami Azar ◽  
Akram Echtay ◽  
Selim Jambart ◽  
...  

Given that the complications of type 2 diabetes can start at an early stage, early detection and appropriate management of prediabetes are essential. We aimed to develop an expert opinion on prediabetes in Lebanon to pave the way for national guidelines tailored for the Lebanese population in the near future. A panel of seven diabetes experts conducted a thorough literature review and discussed their opinions and experiences before coming up with a set of preliminary recommendations for the detection and management of prediabetes in Lebanon. Lebanese physicians employ multiple tests for the diagnosis of prediabetes and no national cut-off values exist. The panel agreed that prediabetes screening should be focused on patients exceeding 45 years of age with otherwise no risk factors and on adults with risk factors. The panel reached that fasting plasma glucose (FPG) and HbA1c should be used for prediabetes diagnosis in Lebanon. FPG values of 100–125 mg/dL or HbA1c values of 5.7%–6.4% were agreed upon as indicative of prediabetes. For the management of prediabetes, a three-step approach constituting lifestyle modifications, pharmacological treatment and bariatric surgery is recommended. There should be more focus on research on prediabetes in Lebanon. This preliminary report will be further discussed with the Lebanese Society of Endocrinology, Diabetes and Lipids in 2021 in order to come up with the first Lebanese national guidelines for the detection and management of prediabetes in Lebanon.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Georges Merhy ◽  
Vanessa Azzi ◽  
Pascale Salameh ◽  
Sahar Obeid ◽  
Souheil Hallit

Abstract Background The Lebanese population has undergone several conflicts and were the most afflicted by shelling and chaos during the civil war from 1975 to 1990, or even by displacement, bereavement, emigration, family separations, not to mention the economic crises that have hit the country since 2019 under which young adults are still succumbing. Our study aims to validate the Lebanese Anxiety Scale and assess correlates of anxiety among Lebanese adolescents. Methods A cross-sectional study was carried between January and May 2019, using a proportionate random sampling of schools from all five Lebanese governorates, among which 1810 adolescents aged 14 to 17 years. Results All LAS items remained in the model and formed one factor solution that explained 61.38% of the total variance (KMO = 0.873; pBartlett test < 0.001), with an excellent Cronbach’s alpha of 0.93. Higher neglect (B = 0.38), insomnia (B = 0.21) and child psychological abuse (B = 0.08) were significantly associated with more anxiety. Those results were considered adjusted overall sociodemographic variables since the latter had no statistically significant association with anxiety. Conclusion The study confirmed the association between anxiety and some variables such as psychological child abuse, neglect, and insomnia and emphasized the correlation between anxiety and these factors. Further, the LAS appears to be a short, valid and efficient tool for assessing anxiety among Lebanese adolescents. Further studies need to be carried to evaluate whether the LAS-10 gives a similar diagnosis to psychiatrists.


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