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Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 100610
Author(s):  
Dana Drzayich Antol ◽  
Angela Hagan ◽  
Hannah Nguyen ◽  
Yong Li ◽  
Gilbert S. Haugh ◽  
...  

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
SangNam Ahn ◽  
Seonghoon Kim ◽  
Kanghyock Koh

Abstract Background The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Objectives To examine the associations of the COVID-19 pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health among middle-aged and older individuals in Singapore. Method Utilizing data collected from a monthly panel survey, a difference-in-differences approach was used to characterize monthly changes of healthcare use and spending and estimate the probability of being diagnosed with a chronic condition and self-reported health status before and during the COVID-19 outbreak in 2020. Subjects Data were analyzed from 7569 nationally representative individuals from 2019 January and 2020 December. Measures Healthcare utilization and healthcare spending by medical service categories as well as self-reported health status. Results Between January and April 2020 (the first peak period of COVID-19 in Singapore), doctor visits decreased by 30%, and out-of-pocket medical spending decreased by 23%, mostly driven by reductions in inpatient and outpatient care. As a result, the probability of any diagnosis of chronic conditions decreased by 19% in April 2020. The decreased healthcare utilization and spending recovered after lifting the national lockdown in June, 2020 and remained similar to the pre-pandemic level through the rest of 2020. Conclusions Middle-aged and older Singaporeans’ healthcare utilization and the diagnosis of chronic conditions substantially decreased during the first peak period of the COVID-19 outbreak. Further studies to track the longer-term health effect of the pandemic among non-COVID-19 patients are warranted.


2022 ◽  
Vol 6 ◽  
Author(s):  
Sarah Bauerle Bass ◽  
Ilene L. Hollin ◽  
Patrick J. Kelly ◽  
Mohammed Alhajji ◽  
Paul D’Avanzo ◽  
...  

Living donor kidney transplantation is a superior treatment option for those with end stage kidney disease, but most transplants are from deceased donors. Securing a living donor for living donor kidney transplantation requires effective, well-timed communication which many may find difficult or intimidating. This study uses segmentation analysis and an innovative marketing technique called perceptual mapping to create three dimensional models to compare living donor kidney transplant perceptions by self-reported health status in 160 end-stage kidney disease dialysis patients of two hospital-based dialysis units and an online forum through cross-sectional surveys. Findings indicate patients with poor self-reported health status are more concerned with not knowing what to say or being afraid a person would say no to living donor kidney transplantation. They are also concerned about the donor’s ability to care for family or donate in the future. They are, however, more likely to see benefits of living donor kidney transplantation, including the kidney lasting longer and having a greater quality of life. Findings reveal messages that could be emphasized in interventions to enhance the ability to ask for living donor kidney transplantation, especially in those assessed as having poor health status. Segmentation analysis and perceptual mapping methods can provide a more nuanced look at how best to develop intervention content to increase living donor kidney transplant.


Author(s):  
Anne Britt Vika Nilsen ◽  
Tine Schauer Eri ◽  
Soo Downe ◽  
Eva Haukeland Fredriksen

2022 ◽  
Author(s):  
Harald Walach ◽  
Michael Ofner ◽  
Viviane Ruof ◽  
Markus Herbig ◽  
Rainer J. Klement

Abstract Objective: to answer the question: Why do people consent to being vaccinated with novel vaccines against SARS-CoV2? Design: Representative survey Setting: Online panel Participants: 1032 respondents of the general German population Method: a representative survey among German citizens in November/December 2021 which resulted in 1032 complete responses on vaccination status, socio-demographic parameters and opinions about the COVID-19 situation. Results: Almost 83% of the respondents were vaccinated. The major motivation was fear of medical consequences of an infection and the wish to lead a normal life again. The major motivation to be not vaccinated was the fear of side effects and skepticism about long-term effectiveness and safety. Sixteen percent of vaccinated respondents reported some serious side effect, while more than 30% reported health improvements, mostly due to the relief of psychological stress and social reintegration. We also validated a “Corona Orthodoxy Score – COS” consisting of 7 items reflecting opinions on Covid-19. The scale is reliable (alpha = 0.76) and unidimensional. The COS was a highly significant predictor of vaccination status and readiness to be vaccinated in a multivariable logistic regression model. Those who were vaccinated were more likely to live in smaller households (OR = 0.82, p=0.024), had a higher income (OR = 1.27, p<0.001), a higher COS score (OR 1.4, p<0.0001) and utilized less alternative media (OR = 0.44, p=0.0024) and scientific publications (OR=0.42, p=0.011) as information sources. Conclusions: The major motives for being vaccinated are fear of medical symptoms and the wish to lead a normal life. Those not wanting to be vaccinated cite a lack of knowledge regarding long-term safety and side effects as reasons. This can likely only be overcome by careful and active long-term efficacy and safety monitoring.


2022 ◽  
Vol 98 ◽  
pp. 104537
Author(s):  
Ming-Hsien Lin ◽  
Li-Ju Chen ◽  
Shih-Tsung Huang ◽  
Lin-Chieh Meng ◽  
Wei-Ju Lee ◽  
...  

2022 ◽  
Vol 131 ◽  
pp. 01006
Author(s):  
Linda Matisane ◽  
Linda Paegle ◽  
Ivars Vanadzins ◽  
Asnate Anna Linde

Workplace risk assessment is one of the key tools for improving occupational safety and health conditions. However, providing risk assessment for teleworkplaces in the COVID-19 pandemic-related restrictions has been a challenge for employers. The objective of this study was to identify the frequency of implementation of workplace risk assessment for teleworkplaces and the association between it and self-reported health complaints among teleworkers during the 1st emergency state of the COVID-19 pandemic in Latvia. Teleworkers were recruited using a non-probability sampling (snowball sampling) method and social media advertisements. To obtain data that is representative of the demographic profile of the working population in Latvia, the sample was weighed based on gender and age. Out of 447 teleworking respondents included in our analysis, only 20.3% have mentioned that their employer had assessed the teleworking conditions (additional 8.1% reported partial assessment). Workers who have reported lack of risk assessment more often have health related complaints – e.g., pain longer than three days (26.9% with risk assessment versus 73.1% with no risk assessment), sore eyes (24.4% versus 75.6%) and anxiety (21.8% versus 78.2%) (p < 0.001 in all cases, except for pain). Increased incidence of occupational musculoskeletal diseases and burnout can be predicted in coming years in Latvia. Good practise examples should be gathered and promoted; guidelines for labour inspection should be developed in order to cover supervision of teleworking workplaces.


BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e047753
Author(s):  
Xinye Qi ◽  
Jiahui Wang ◽  
Jingjing Liu ◽  
Daniel Adjei Amporfro ◽  
Kexin Wang ◽  
...  

ObjectivesThis study aimed to examine the prevalence of peritraumatic stress symptoms (PTSSs), perceived threat, social support and factors contributing to clinically significant PTSS among frontline COVID-19 healthcare workers (HCWs) in China.Design and settingAn online survey through self-administered questionnaires was conducted from 18 February to 4 March 2020, during the outbreak of COVID-19.Outcomes measuresPTSS was assessed using the post-traumatic stress disorder (PTSD) self-rating scale. Demographic and socioeconomic characteristics, self-reported health, physical/psychological symptoms, perceived threat from frontline work and perceived social support were investigated. Multivariable line regression analysis distinguished factors associated with HCWs’ PTSS scores.ResultsA total of 676 (58.1%) HCWs have shown clinically significant high levels of PTSS. Only 441 (37.9%) self-reported good health. Most had physical symptom(s) (915 (78.7%)), psychological symptom(s) (906 (77.9%)), inability to vent emotions (284 (24.4%)), emotional exhaustion (666 (57.3%)) and 1037 (89.2%) needed professional respect. Moreover, social support received was less than expected, and the receipt of psychological services/help scored the lowest (3.11±1.73). Combined psychological and physical symptoms, difficulty in releasing tension and venting emotions timely, fear of infection, emotional exhaustion and depersonalisation are significantly associated with PTSS scores among frontline HCWs. Working ≥8 hours, having the senior professional title, self-reported health, enjoying perfect protection and control measures, economic subsidy and control policy on reducing discriminatory practices are negatively correlated with PTSS scores.ConclusionsDuring the outbreak of COVID-19, frontline HCWs experienced clinically significant high levels of PTSS and heavy workload, and the emergency resulted in their inadequate psychosocial support. If this is left unchecked, HCWs have a higher risk of developing PTSD. Early detection, identification and person-directed, targeted multidisciplinary interventions should be undertaken to address various influencing factors. Comprehensive measures, including setting up emotional release channels, as well as providing psychological and social support intervention for HCWs globally, are highly recommended.


2021 ◽  
Author(s):  
Heidi Lyshol ◽  
Liv Grøtvedt ◽  
Tone Natland Fagerhaug ◽  
Astrid J Feuerherm ◽  
Gry Jakhelln ◽  
...  

Abstract This study assesses the association between socioeconomic determinants and self-reported health using data from a regional Norwegian health survey. A total of 9,068 participants 25+ were included. Survey data were linked to registry data on education and personal income. Self-reported oral health and general health were separately assessed and categorized into ‘good’ and ‘poor’. The exposures were educational level, personal income, and economic security. Prevalence ratios (PRs) were computed to assess the associations between socioeconomic determinants and self-reported health using multilevel Poisson regression. Participants with low education or income had poorer oral and general health than those with more education or higher income. Comparing the highest education level versus the lowest, adjusted PRs for poor oral and general health were 1.44 (95%CI 1.26-1.65) and 1.53 (95%CI 1.35-1.74). Correspondingly, with the highest income quintile versus the lowest, estimates were 1.64 (95%CI 1.39-1.94) and 2.34 (95%CI 1.97-2.79) for oral and general health. Lack of economic security was also significantly associated with poor self-reported oral and general health. Positive linear trends between levels of education and income were documented for both outcomes (P-linear trends <0.001), including a pattern of socioeconomic gradients, both for oral and general health.


2021 ◽  
Vol 10 (1) ◽  
pp. 16-26
Author(s):  
T.B Bello ◽  
T.D Kolawole ◽  
F.A Jesuleye ◽  
E.O Ogunola ◽  
M.O Oyebode ◽  
...  

Background: Indiscriminate waste disposal is a common practice in many cities of Sub-Saharan Africa and these unhealthy practices have made the region face severe environmental deterioration and health implications. The objective of this study is to assess the association between waste management practices and self-reported health outcomes among inner city dwellers in Osogbo.Method: The study is a cross sectional study carried out among 351 household heads using a semistructured interviewer administered questionnaire.Results: Majority (78.6%) of respondents had poor practice of waste management although, most showed concern on likely impacts of poor waste management. Most of them (81.8%) demonstrated positive attitude towards waste management and were willing to participate in organized waste management at low cost. Gender (X2 =7.217, P<0.05), income (X 2=12.140, P<0.05), occupation (X 2=29.034, P<0.05) and level of education were significantly associated with their poor waste management practices. Majority (74%) reported at least one ill health condition, practice and attitude were the major variables implicated in various ill health reported by the respondents.Conclusion: Poor waste management practices are strongly associated with ill health. Keywords: Solid Waste, Management, Self-reported health outcomes, Practices.


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