Technology Infrastructure in Public Health System: Mediating Role of Public Trust in Government Disaster Preparedness

It is a natural tendency for the developing world to be unprepared for public health emergencies. Prioritizing public health systems and technological infrastructure is both costly and crucial. The goal of this study is to serve as a wake-up call to policymakers in low-income nations to make a significant change toward pandemic preparedness through innovative health investment. For the developing-country sample population, the study used a mixed-method approach. A total of 340 healthcare workers were recruited for the experiment via convenient sampling, and they were fully aware that no data would be compromised. The results reveal no major differences in pandemic threat readiness between technology infrastructure and health systems. However, although vaccination take-up attenuation dampens the study link between public trust and Covid-19 mitigation. To maintain public trust in government, it is vital to use innovative investment schemes to research global public health and upgrade health professionals and scientists. The WHO's global strategy and preparedness approach is quickly shifting toward R&D on digital infrastructure for any impending epidemics. It was also intended to increase public trust in government control of effective safety measures, immunization, and a technological deficiency that could be exploited to rescue lives if a crisis arose. Keywords: Disaster Preparedness; Health Systems; Technology Infrastructure; Government Trust; Vaccine Uptake. DOI: 10.7176/PPAR/12-5-03 Publication date:July 31st 202

Adverse childhood experiences, emotional distress and dissatisfaction with motherhood among first-time mothers: Mediations and child differences

Despite the challenges associated with motherhood, studies have not consistently identified factors contributing to first-time mothers’ dissatisfaction with motherhood in resource-limited regions. To fill this research gap, this study investigates how adverse childhood experiences (ACEs) result in first-time mothers’ dissatisfaction with motherhood through emotional distress in Nigeria. Results from the partial least square structural equation model suggests that ACEs are associated with dissatisfaction with motherhood ( $\beta$ = 0.092; p < 0.01) and emotional distress ( $\beta$ = 0.367; p < 0.001). There is also a significant association between emotional distress and dissatisfaction with motherhood ( $\beta$ = 0.728; p < 0.001). Indirect path from first-time mothers’ ACEs to dissatisfaction with motherhood through emotional distress shows significance ( $\beta$ = 0.267; 95% CI (0.213, 0.323); p < 0.001). In addition, the indirect path from first-time mothers’ ACEs to dissatisfaction with motherhood through child emotional closeness showed significant dampening effects ( $\beta$ = 0.044; 95% CI (0.025, 0.066); p < 0.001). No serial impact of emotional distress and child emotional closeness was found in the study. The findings based on child gender indicated that only among first-time mothers of female children are ACEs predictors of dissatisfaction with motherhood. Trauma-informed interventions should be introduced in primary care settings to screen for ACEs and emotional dysfunctions among first-time mothers

Non-kinship foster care in Nigeria: Socioeconomic and demographic drivers of mothers’ willingness to foster

Research in Africa indicates an increasing number of children needing a secure and stable alternative family environment, yet the commonly used kinship care system is insufficient to meet this need requiring the support of non-kinship care. This study examined the socioeconomic and demographic drivers of willingness to foster non-kin children among mothers in Nigeria. Data from 779 mothers of children ages 2-10 were analyzed using Pearson correlation matrix and linear regression analysis to examine the associations among socioeconomic/demographic characteristics and willingness to foster. Attributes of the mothers such as region, neighborhood (rural or urban), education, occupation, and age are some determinants of willingness to foster, which also varies across children with special needs, diversity, and under six. Efforts to improve non-kinship foster care in Nigeria should consider mothers’ socioeconomic and demographic attributes when seeking to attract foster parents. The findings of this study provide implications for research, social work practice, and education in Nigeria and Africa

Factors associated with COVID-19 vaccine uptake among foreign migrants in China

Background/Purpose: The COVID-19 outbreak created unique policy challenges for vaccinating special groups like migrants. As part of sustainable development goals, the equitable distribution of the COVID-19 vaccine can contribute to ensuring health for all. This study examined COVID-19 vaccine uptake among foreign migrants in China based on sociodemographics, cultural beliefs, past vaccine behaviors, and psychosocial factors. Design: An online cross-sectional survey was conducted among foreign migrants in mainland China via social media platforms from 21 November through 20 December 2021. Bivariate (unadjusted odd-ratio) and multivariate logistic regression analyses were performed to establish the correlates of COVID-19 vaccine uptake. Result: Surveyed foreign migrants that are culture neutral (AOR: 2.5, CI: 95%, 1.02–5.90, p = 0.044), willing to pay for vaccination (AOR: 2.27, CI: 95%, 1.18–3.98, p = 0.012), believe in vaccine efficacy (AOR: 3.00, CI: 95%, 1.75–5.16, p < 0.000), have poor psychological health (AOR: 1.96, CI: 95%, 1.14–3.38, p = 0 0.014), and have higher perceived seriousness of COVID-19 (AOR: 2.12, CI: 95%, 1.26–3.57, p = 0.005) are more likely to receive COVID-19 vaccine. Those migrants with a history of declining vaccination (AOR: 0.34, CI: 95%, 0.18–0.65, p = 0.000) and middle-income earners $1701–3500 (AOR: 0.43, CI: 95%, 0.23–0.82, p = 0.010) are less likely to receive the COVID-19 vaccine. Conclusion: This study brings a unique perspective to understanding vaccine behavior among international migrants in China. There is an urgent call from the World Health Organization and countries for complete vaccination and efforts to improve vaccine coverage. However, fewer studies have been conducted globally on the vaccination of migrant populations. The current study provides empirical information to increase the knowledge of the correlates of vaccine behavior among immigrants in countries around the globe. Future studies should conduct cross-country comparisons to understand the factors associated with increasing vaccination rates among immigrant populations to formulate a strong policy to increase vaccine coverage among immigrant populations across countries

Mapping the global research output on Ebola vaccine from research indexed in web of science and scopus: a comprehensive bibliometric analysis

Introduction: The Ebola Virus outbreak in Africa is believed to be one of the deadliest viral infections that causes severe hemorrhagic fever in human and nonhuman primates, which has resulted in increased mortality rates in the affected African countries. Thus, the current study mapped and quantified global research output and trends in the EBOV vaccine publications via a bibliometric analysis. Methods: Publications about the Ebola virus vaccine were extracted from the Web of Science and Scopus databases. HistCite, Bibliometrix, an R package, and VOSviewer.Var1.6.6 were used for data mapping and analysis. Results: A total of 541 (WoS) and 511 (Scopus) documents were included, with a cumulation of 24,611 citations in both databases. These documents were published in 141 journals in the Wos and 185 in Scopus. The USA was the most productive country with 206 (38.08%) publications in the Wos. Although the top-cited authors are from the USA, the United Kingdom, and Canada, only one author from Africa “Samai M” from the University of Sierra Leone contributed 13 publications. Meanwhile, the Journal of Infectious Diseases was the most productive (45, 8.32%) in this field. Conclusion: The study provides insight for researchers and health policy on the trends and progress of the EBOV vaccine research and development, focusing on the hot topics, research collaboration, and research dearth that requires urgent redress to fast-track an all-inclusive EBOV vaccine development

Social integration, solidarity, and psychological health of internally displaced persons in Cameroon: Exploring the role of community satisfaction

Background/Introduction: Conflict-induced displacement continue to be a pressing public policy concern due to the adverse effects on the well-being of internally displaced persons (IDPs). Understanding the integration process of these individuals, particularly the role of solidarity and social integration in fostering a sense of belonging and improving their community experiences and psychological well-being, remains unclear. This study investigates the role of community satisfaction in the relationship among social integration, solidarity, and psychological health of IDPs in Cameroon. Methods: Cross-sectional data from 428 displaced individuals in the Ntui subdivision, Cameroon, were analyzed using structural equation modeling (SEM). This technique tested four latent variables: social integration, solidarity, community satisfaction, and psychological health. Results: The results show a direct association between solidarity and both community satisfaction (β = 0.282; p < 0.001) and psychological health (β = 0.137; p < 0.01). Community satisfaction also has a direct relationship with the psychological health of the IDPs (β = 0.292; p < 0.001). An indirect effect of solidarity on psychological health through community satisfaction was observed (β = 0.084 (SE = 0.025, CI = [0.047, 0.129], p < 0.001)). However, no mediational effect of community satisfaction was found on the association between social integration and psychological health. The model accounted for 7% of the variance in community satisfaction (R2 = 0.07) and 20% of the variance in psychological health (R2 = 0.20). Conclusion: The findings indicate a strong sense of solidarity among the displaced persons in the studied communities in Cameroon, which promotes their psychological health via community satisfaction. As such, interventions should aim to foster solidarity among displaced persons to enhance their community experiences and psychological health

Understanding the Food Insecurity and Coping Strategies of Indigenous Households during COVID-19 Crisis in Chittagong Hill Tracts, Bangladesh: A Qualitative Study

This study examined the food insecurity and coping mechanisms among the indigenous Bangladeshi population of the Chittagong Hill Tracts (CHT) region to extract empirical evidence on the ongoing discussion on the COVID-19 pandemic-exacerbated food-insecurity situation. The study adopted a qualitative approach by interviewing 60 indigenous households. Data were collected in two phases between 15 June 2020, and 30 July 2021 in Bangladesh’s Chittagong Hill Tracts (CHT) region. Thematic data analyses were performed using the Granheim approach and NVivo-12 software. The authors used Huston’s social–ecological theory to explain the indigenous coping mechanisms. The research evidence revealed that most households experienced challenges over daily foods, manifesting in the decreasing consumption of them, the increased price of food items, a food crisis due to an income shock, malnutrition, the shifting to unhealthy food consumption, starvation and hunger, and food insufficiency, thereby leading to mental stress. This study further revealed that the indigenous population took crucial coping strategies to survive the pandemic. In response to COVID-19, they took loans and borrowed foods, reduced expenses, changed their food habits, avoided nutritional foods, relied on vegetables, sold domestic animals and properties, collected forest and hill foods, and depended on governmental and societal relief. This study also provides the in-depth policy actions for the urgent intervention of government, stakeholders, policymakers, NGOs, and development practitioners to take necessary initiatives to enhance the quality of life of the people that were affected by the post-pandemic recovery period

sj-docx-1-hpq-10.1177_13591053231225306 – Supplemental material for Indirect effects of health-related quality of life on suicidal ideation through psychological distress among cancer patients

Supplemental material, sj-docx-1-hpq-10.1177_13591053231225306 for Indirect effects of health-related quality of life on suicidal ideation through psychological distress among cancer patients by Nkechi A Chukwuemeka, Tosin Yinka Akintunde, Favour E Uzoigwe, Marvellous Okeke, Andrew Tassang and Stanley Oloji Isangha in Journal of Health Psychology</p

sj-docx-2-hpq-10.1177_13591053231225306 – Supplemental material for Indirect effects of health-related quality of life on suicidal ideation through psychological distress among cancer patients

Supplemental material, sj-docx-2-hpq-10.1177_13591053231225306 for Indirect effects of health-related quality of life on suicidal ideation through psychological distress among cancer patients by Nkechi A Chukwuemeka, Tosin Yinka Akintunde, Favour E Uzoigwe, Marvellous Okeke, Andrew Tassang and Stanley Oloji Isangha in Journal of Health Psychology</p

sj-docx-3-hpq-10.1177_13591053231225306 – Supplemental material for Indirect effects of health-related quality of life on suicidal ideation through psychological distress among cancer patients

Supplemental material, sj-docx-3-hpq-10.1177_13591053231225306 for Indirect effects of health-related quality of life on suicidal ideation through psychological distress among cancer patients by Nkechi A Chukwuemeka, Tosin Yinka Akintunde, Favour E Uzoigwe, Marvellous Okeke, Andrew Tassang and Stanley Oloji Isangha in Journal of Health Psychology</p