Healthcare Workers Attitudes, Practices and Sources of Information for COVID-19 Vaccination: An Italian National Survey

Vaccination of healthcare workers (HCWs) is a crucial element to overcome the COVID-19 pandemic. The aim of this survey was to assess attitudes, sources of information and practices among Italian Healthcare workers (HCWs) in relation to COVID-19 vaccination. Methods: From 19 February to 23 April 2021, an anonymous voluntary questionnaire was sent to the mailing list of the main National Health Service structures. Data were collected through the SurveyMonkey platform. Results: A total of 2137 HCWs answered. Hesitancy towards COVID-19 vaccination was more frequent in females, in those with lower concern about COVID-19, and in nurses, auxiliary nurses (AN) and healthcare assistants. Hesitant professionals were more likely to not recommend vaccination to their patients or relatives, while a high concern about COVID-19 was related to an increased rate of recommendation to family members. HCWs were mostly in favor of mandatory vaccination (61.22%). Female sex, a lower education level, greater hesitancy and refusal to adhere to flu vaccination campaigns were predictors influencing the aversion to mandatory vaccination. All categories of HCWs referred mainly to institutional sources of information, while scientific literature was more used by professionals working in the northern regions of Italy and in infection control, infectious diseases, emergencies and critical areas. HCWs working in south-central regions, nurses, AN, healthcare technicians, administrators and HCWs with a lower education level were more likely to rely on internet, television, newspapers, and the opinions of family and friends. Conclusions: Communication in support of COVID-19 immunization campaigns should consider the differences between the various HCWs professional categories in order to efficiently reach all professionals, including the most hesitant ones.

Educational Differences in Cycling: Evidence from German Cities

Cycling is an environmentally sustainable social practice that contributes to liveable cities and provides affordable and healthy transport. People with lower education could particularly benefit from cycling, as they tend to fare worse regarding finances and health. However, in bivariate analyses, those with lower education cycle less. This article discusses the social meaning of cycling and investigates whether the education–cycling association holds after accounting for (1) confounders and (2) factors that determine decision leeway between different transport modes. I analyse approximately 80,000 short-distance trips (0.5–7.5 km) reported by 28,000 working-age individuals from cities in Germany using multilevel linear probability regression models. Results support that higher education systematically and substantially increases the propensity to cycle. This education gap implies major untapped potential for environmental sustainability, that current pro-cycling policies in cities disproportionally favour the highly educated and that cycling patterns contribute to inequalities in finances and health.

Socio-psychological profile of Latvian inhabitants who did not comply with the COVID-19 epidemiological requirements

Since the beginning of 2020, the world has been affected by the corona virus COVID-19. Since the spring, a number of nations around the world, including Latvia, have declared a state of emergency, with specific government restrictions developed in cooperation with WHO, to reduce spread of the COVID-19. The aim of this study is to examine socio-psychological profile of Latvian inhabitants who did not comply with the COVID-19 epidemiological requirements. A randomized nationally representative sample (N = 2608, aged from 18–74, men 39.8%, women 60.2%) from the online survey, carried out in the frame of the National research program, project Nr. VPP-COVID-2020/1-0011, was used in this study. The results showed that less compliant with COVID-19 epidemiological requirements were males, rural inhabitants, persons aged less than 60 years old, unemployed, with lower education level, and those, who are less afraid of COVID-19 and think that its dangerousness is exaggerated. Compliance with the restrictions did not relate to the marital and parental status. Based on this study, policy suggestions were made regarding a more targeted way of the providing important information on the preventive behaviour to reduce the spread of the virus.

The Appraisal and Endorsement of Individual and Public Preventive Measures to Combat COVID-19 and the Associated Psychological Predictors among Chinese Living in Canada

Aims: The study examines the factors related to the appraisal and adherence of the individual and public health preventive measures. Background: The effectiveness of the measures battling the pandemic was largely determined by the voluntary compliance of the public. Objectives: This study aimed to identify psychological perception factors related to the appraisal of individual measures and endorsement of public health measures during the early stage of the COVID-19 pandemic among Chinese living in Canada. Methods: A convenience sample of 656 participants completed an online survey. Nonparametric Kruskal Wallis tests were used to compare COVID perception variables (e.g., perceived susceptibility, fear, perceived severity, and information confusion) among different sociodemographic subgroups. Bootstrapped regression models were used to assess the association of these variables with outcome measures. Results: Compared to their counterpart groups, lower perceived susceptibility was reported by adults 65 years and older (p = .002) or retired (p = .015); greater fear was reported by females (p = .044), those with lower education (p = .001), and Mainland Chinese (p = .033); greater perceived severity was reported by individuals with lower education and smaller household size (ps = .003). Perceived susceptibility was inversely associated with individual measure appraisal (p = .032). Perceived severity was positively associated with individual measure appraisal (p = .005) and public measure endorsement (p < .001). Conclusion: Individual behaviour measure appraisal was predicted by lower perceived susceptibility and higher perceived severity, whereas public health measure endorsement was related to higher perceived severity. These results inform the public and the policymakers about the critical factors that affect the preventive measure appraisal and endorsement.

Losing a child due to a life-limiting diagnosis—parental well-being and quality of life: nationwide survey

ObjectiveLosing a child is burdensome with potential long-term impact on the parents’ well-being and quality of life. The aim was to investigate parental well-being and quality of life 3–5 years after losing a child due to life-limiting diagnoses and to identify associated factors in order to target future interventions.MethodsAll parents, who lost a child (<18 years) due to life-limiting diagnoses in the period 2012–2014 in Denmark, were invited to complete a self-administered questionnaire. A seven-point Visual Digital Scale (VDS) was used to assess issues of well-being and quality of life including physical health, anxiety, depression and sleep quality which were combined into a cumulative symptom index. Associations were assessed by means of ordinal logistic regression models.ResultsIn all, 152 (38%) children were represented by 136 mothers and 57 fathers. Totally, 17.6% of the mothers and 14.0% of the fathers had ≥2 symptoms (assessed by the symptom index). Parents with lower education had 2.11 (95% CI: 1.01 to 4.40) times higher odds of having more symptoms than parents with higher education. Unmarried parents had 2.14 (95% CI: 1.03 to 4.42) times higher odds of having more symptoms than married parents. Ten per cent of the parents reported poor overall quality of life.ConclusionAccording to the VDS, 1 out of 10 parents experienced poor overall quality of life 3–5 years after the loss. Every sixth had two or more symptoms assessed by the symptom index. Associated factors for poor quality of life suggest attention to particularly unmarried parents and parents with lower education.

Increasing inequalities in disability-free life expectancy among older adults in Sweden 2002–2014

Background: In an aging society with increasing old age life expectancy, it has become increasingly important to monitor the health development in the population. This paper combines information on mortality and disability and explores educational inequalities in disability-free life expectancy in the aging population in Sweden, and to what extent these inequalities have increased or decreased over time. Methods: A random sample of the Swedish population aged 77 years and above ( n=2895) provided information about disability in the population in the years 2002, 2004, 2011 and 2014. The prevalence of disability was assessed by five items of personal activities of daily living and incorporated in period life tables for the corresponding years, using the Sullivan method. The analyses were stratified by sex and educational attainment. Estimates at ages 77 and 85 years are presented. Results: Disability-free life expectancy at age 77 years increased more than total life expectancy for all except men with lower education. Women with higher education had a 2.7-year increase and women with lower education a 1.6-year increase. The corresponding numbers for men were 2.0 and 0.8 years. The educational gap in disability-free life expectancy increased by 1.2 years at age 77 years for both men and women. Conclusions: While most of the increase in life expectancy was years free from disability, men with lower education had an increase of years with disability. The educational differences prevailed and increased over the period as the gains in disability-free life expectancy were smaller among those with lower education.

Iskolázottsági és keresetegyenlőtlenségek : Educational attainment inequalities and earnings inequalities

Az iskolázottság növekedése az előrejelzések szerint nem lassul. Ugyanakkor az iskolázottság növekedésével az iskolázottsági egyenlőtlenségek alakulása sajátos képet mutat. Az iskolázottság növekedésével az iskolázottsági egyenlőtlenségek a Kuznets-görbének nagyjából megfelelő lefutást mutatnak a magasabb iskolázottság időszakában, de az országcsoportok nagy részében ez kiegészül egy ellentétes görbületű résszel az alacsonyabb iskolázottság időszakában, s így egy hullámszerű alakulás jellemzi az iskolázottsági egyenlőtlenségeket az iskolázottsággal együtt vizsgálva. Az írás azt is megvizsgálja, hogy az iskolázottsági egyenlőtlenségek milyen kapcsolatot mutatnak a keresetegyenlőtlenségekkel.Educational attainment is growing and is not projected to slow down in the future. However, as educational attainment rises, the evolution of educational inequalities shows a particular pattern. As schooling increases, the inequalities in schooling follow a roughly Kuznets curve slope for the period with a higher number of years of schooling completed. But in most groups of countries, this is complemented by an opposite curvature in the period of lower education, and thus a wave-like trend characterizes educational inequalities when examined in conjunction with education. In addition to analysing educational inequalities, the paper also examines the relationship between educational inequalities and earnings inequalities.

The evolution of depressive symptomatology across three waves of the COVID-19 pandemic: A 17-month representative longitudinal study of the adult population

This 17-month longitudinal study on a representative sample of 4,361 Norwegian adults employs an observational ABAB design across six repeated assessments and three pandemic waves to systematically investigate the evolution of depressive symptomatology across all modifications of viral mitigation protocols (VMPs) from their onset to termination. Using Latent Change Score Models to analyze 26,166 observations, the study empirically corroborates that critical fluctuations in depressive symptomatology within and across individuals occur during the first three months of the pandemic, after which symptom trajectories are predominantly consolidated throughout the pandemic period. Contrary to established belief, female sex, young age, lower education and preexisting psychiatric diagnosis only served as adequate predictors of the initial shocks to symptomatology observed during the onset of the pandemic, and did not adequately predict subsequent change and the critical fluctuations observed in symptoms within and across individuals. Population-level trajectories demonstrated that symptom levels increased in accordance with the presence and strictness of VMPs. Upon predominant termination of VMPs, population-level symptoms began declining, while large heterogeneity was present across the adult population. Detrimental long-term adversities were revealed by 10% of the adults. These individuals displayed chaotic adaptation to the pandemic and its VMPs, exhibiting substantial increases in clinical levels of symptomatology ensuing partial re-opening of society and through the remainder of the pandemic, with these deleterious symptoms further projected to remain heightened ahead. Number of times exposed to quarantine was incrementally tied with increases in contemporaneously experienced and long-term depressive adversities, while information obtainment through unmonitored sources was associated with contemporaneous but not long-term states of heightened symptomatology.

The Effect of China’s Compulsory Education Reforms on Physiological Health in Adulthood: A Natural Experiment

Lower education is related to higher biological risks for physiological health, but it remains unclear whether the risks can be reduced through policies aimed at increasing years of education. We utilized China’s compulsory education reforms as a unique natural experiment, which stipulates that primary and lower secondary education is mandatory and free for all school-age children. Using a regression discontinuity design (RDD), we assessed the effect of the reform eligibility on biomarkers. The reforms resulted in an increase in years of education for those from communities with the middle 1/3 per capita income (PCI) (β = 2.44, 95% CI = 0.23 – 4.64). Reform eligibility had no impact on allostatic risks for the total sample (β = 0.065, 95% CI = -0.70 – 0.83) and for those from communities with the lowest (β = 0.35, 95% CI = -0.77 – 1.47) or highest third of PCI (β = 0.68, 95% CI = -0.64 – 2.00), while it reduced the metabolic risk (β = -0.14, 95% CI = -0.26 – -0.015) and total allostatic load (β = -1.58, 95% CI = -3.00 – -0.16) among those from communities with the middle third PCI. The results were confirmed by sensitivity analyses of different placebo cutoff points and bandwidths. The reforms led to better physiological health to some extent, but the effect only manifested in people from communities with a moderate community PCI, and had little impact on affluent or disadvantaged groups. Our findings stressed that the institutional context and respondents’ socioeconomic environment must be taken into account when assessing the health impact of China’s compulsory education reforms.

Binge Eating and Binge Drinking in Emerging Adults During COVID-19 Lockdown in Italy: An Examination of Protective and Risk Factors

This study investigated binge behaviors during COVID-19 lockdown in Italy, exploring individual and contextual risk factors. Participants were 1925 emerging adults ( M age = 24.18, SD age = 2.75; 71.9% women), recruited during the national lockdown in Italy. An online survey investigated binge behaviors both prior and during quarantine. Binge drinking significantly diminished during quarantine, while binge eating episodes did not vary in frequency. However, participants with pre-existent binge eating disorder (BED) reported a worsening in BED symptoms. Lower education, lower SES, job suspension due to lockdown, and higher pandemic-related stress were associated to an increase in binge behaviors during home confinement, whereas living with family was a protective factor. Participants reporting co-occurrent binge behaviors also had significantly higher pandemic-related stress and lower perceived support during home confinement, in comparison with no-binge participants. The study provides new insights about protective and risk factors for binge behaviors in emerging adults during COVID-19 lockdown.