Companionship and worries in uncertain times: Australian parents’ experiences of children and pets during COVID-19

Companion animals (pets), especially cats and dogs, have featured regularly in the media and public discourse during the global COVID-19 pandemic, including increased demand for pet adoption and more time spent with existing pets. This qualitative study aimed to describe the experiences of Australian parents with a child under 18 years and a cat or dog. Within a broader survey, parents were asked open-ended questions about the benefits and challenges for their family of living with a cat or dog during COVID-19, and where relevant, about reasons for adopting a new pet. Data were collected between July and October 2020, during Australia’s ‘second wave’ of COVID-19, when some Australians were subject to strict physical distancing or ‘stay at home’ orders. A total of 611 parents provided at least one free-text response. Inductive template analysis was conducted on all responses; 33 unique codes were identified and mapped onto a biopsychosocial model under three themes: (i) “Trying to Stay Healthy and Well” (biological), (ii) “Comfort, Coping and Worries” (psychological), and “Spending More Time Together” (social). Findings highlight the therapeutic role of pets for families during times of change and uncertainty, as well as the significant social impact of pandemic-related restrictions on family units. Benefits included support for the family’s physical and mental health, maintenance of family routines, distraction, comfort, and pets as an opportunity to connect with others. Challenges were numerous and diverse, such as cost and access to pet care, behavioural concerns, worries about pet and child wellbeing, and reflections about the pet’s mortality. These findings demonstrate the complex and varied impacts of the pandemic on families with children and pets; some families are likely to require ongoing psychological, financial, and veterinary supports.

Quality of life among caregivers of thalassaemic children, attending at Thalassaemia control unit of a rural tertiary care hospital, in a sub-Himalayan district of West Bengal

Thalassaemia is a disease of abnormal development of red blood cells which manifests as anaemia. This chronic disease may cause mental, social, financial burdens on the families, care givers and also on health care system.To assess the quality of life (QOL) of the caregivers of thalassaemic children and to identify the predictors of quality of their physical and mental health.Institution based descriptive cross-sectional study conducted in the Thalassaemia Control Unit (TCU) of North Bengal Medical College (NBMC) from December 2018 to April 2019. Total 136 caregivers of children (≤12 years) with thalassaemia were included by complete enumeration method. Physical and mental health of the caregivers were reported in Short Form-36 (SF-36) Health Survey. Collected data were entered into MS-Excel, analysed with the help of SPSS (Version 22).Mean age of caregivers was 34.3 (SD ± 1.4 years). Most of caregivers were female (89%) and had educational qualification up to Primary school (45.6%). Majority (70.6%) of the caregivers were the mothers of the children. Most of the study participants (60.3%) had favourable Physical health Component Summary (PCS) but 64.7% of the caregivers had unfavourable Mental health component Summary (MCS). Educational status was found to be the predictor for PCS but age and relationship with the child were the predictors for MCS.Counselling, psychotherapy, social support for family members or caregivers of the thalassaemic children and community involvement with their full participation should be emphasized to reduce stigma related to thalassaemia.

Family caregiver’s loneliness and related health factors: what can be changed?

Background Loneliness is a public health issue which may affect the entire population. Loneliness is associated with depression, sleep disorders, fatigue and increase the risk of obesity and diabetes. Risk factors for loneliness include poor social network and poor physical and mental health. The main objective was to study factors related to loneliness of family caregivers caring for independent older people. Methods We performed a non-interventional observational cross-sectional study in south-eastern France. Family Caregivers caring for people aged 70 and over living at home were included. These older people were independent, without long-term conditions and who applied for professional social assistance for daily living. Data were collected through a questionnaire, administered face-to-face or by telephone. Loneliness and perceived health status were measured through a single-question. Burden was assessed through the Mini-Zarit Scale, frailty was measured through the Gerontopole Frailty Screening Tool. Results Of the 876 caregivers included, 10% felt lonely often or always. They reported more physical and mental health issues than those who did not feel loneliness (p<0.001). Family caregivers with loneliness were more likely to be looking after a parent and were twice as likely to have a moderate to severe burden (OR=2.6). They were more likely to feel anxious (OR=5.6), to have sleep disorders (OR=2.4), to be frail (OR=2) and to feel their health as poor or bad (OR=2). Conclusions Loneliness has a negative impact on health, frailty and burden of family caregivers. Means must be implemented to anticipate the consequences of the loneliness felt by family caregivers, notably by orienting them towards the relevant services.

Physical activity of individuals with Parkinson’s in social isolation before and during the pandemic COVID-19

The world has been hit by a pandemic caused by the new coronavirus (COVID 19), which has resulted in government recommendations and measures including social isolation to reduce the spread of the disease. In view of these recommendations, there were drastic changes in lifestyle, impacting the physical and mental health of men and women. Thus, this study aimed to investigate the practice of physical activity, according to sex, in individuals with Parkinson’s disease in social isolation before and during the COVID-19 pandemic. Cross-sectional observational study, based on an online questionnaire validated for individuals with Parkinson’s disease PAFPA/COVID19, in which 156 individuals of both sexes and degrees of the disease (I to V) were allocated, with a mean age of 63.70 ± 11.00 years and from different Brazilian regions. Chi-square, Fisher’s exact and binary logistic regression tests were used. It is observed that 92% of the participants were in social isolation, which caused negative effects on the level of physical activity of the participants, even though most of them doing physical activity online. In addition, it was found that those who participated in specific exercise programs for Parkinson’s disease, are less likely to be insufficiently active, as well as individuals who receive online guidance. Although social isolation is a necessary measure to combat COVID-19, the results show a negative effect of this social isolation on the parameters of physical activity in this population in different regions of Brazil. This suggests that better strategies for health promotion in order to increase levels of physical activity at home are necessary to reduce the physical inactivity lifestyle during the pandemic, in order to prevent diseases associated with social isolation and physical inactivity.

Backward Trajectory and Multifractal Analysis of Air Pollution in Zhengzhou Region of China

With the continuous promotion of industrialization and urbanization, China's environmental pollution is becoming increasingly serious, which has caused considerable damage to the natural balance. Air pollution seriously harms people's physical and mental health, the ecological environment, and the social sustainable development of society. In this study, the backward trajectory model and multifractal methods were adopted to analyze air pollution in Zhengzhou. The backward trajectory analysis showed that most clusters of air pollution were from southern Hebei, eastern Shandong, and mid-western Henan, which were then transported to Zhengzhou. For the PSCF and CWT analyses, we selected four representative cities to explore how close the air pollution of Zhengzhou is to other areas on the basis of air polluted concentration. The results of several multifractal methods indicated that multifractality existed in the AQI time series of Zhengzhou and cross-correlations between Zhengzhou and each of the four cities. The widths of multifractal spectra showed that the air pollution in Zhengzhou was closest to that in Jinan, followed by Shijiazhuang, Zibo, and Luoyang. The CDFA analysis showed that carbon monoxide (CO), nitrogen dioxide (NO2), and inhalable particulate matter (PM10) had important influences on air pollution in Zhengzhou. These findings offer a useful reference for air pollution sources and their potential contributions in Zhengzhou, which can support policy makers in environmental governance and in achieving sustainable urban development.

How Do Housing Prices Affect Residents' Health? New Evidence From China

This paper aims to explore the effect and mechanism of rising housing prices on residents' physical and mental health. Using data from the China Family Panel Studies from 2014 to 2018, we investigate the impact and mechanism of rising housing prices on the mental and physical health of urban residents through multiple grouping regression and analysis of variance. The study finds that overall, rising housing prices have a positive effect on residents' mental health but a negative effect on physical health, and those who do not own a house show the greatest adverse effect. The impact of rising housing prices on health is mainly reflected in three aspects: the wealth effect, cost effect, and comprehensive environmental expectation effect. Of these, the wealth effect and comprehensive environmental expectation effect play a role in promoting residents' health, whereas the cost effect has a strong inhibitory effect. This paper also analyzes how house prices impact health and finds that having health insurance reduces residents' active health behavior, thus affecting their physical and mental health levels, which has a positive effect on uninsured residents.

Relationships Between Self-Rated Health at Three Time Points: Past, Present, Future

Background: Multiple studies have shown that people who have experienced a serious health problem such as an injury tend to overrate the quality of health they had before that event. The main objective of this study was to test whether the phenomenon of respondents overrating their past health can also be observed in people from the general population. A second aim was to test whether habitual optimism is indeed focused on events in the future.Method: A representatively selected community sample from Leipzig, Germany (n = 2282, age range: 40–75 years) was examined. Respondents were asked to assess their current health, their past health (5 years before), and their expected future health (in 5 years) on a 0–100 scale. In addition, the study participants completed several questionnaires on specific aspects of physical and mental health.Results: Respondents of all age groups assessed their health as having been better in the past than it was at present. Moreover, they also assessed their earlier state of health more positively than people 5 years younger did their current state. Habitual optimism was associated with respondents having more positive expectations of how healthy they will be in 5 years time (r = 0.37), but the correlation with their assessments of their current health was nearly as high (r = 0.36).Conclusion: Highly positive scores of retrospectively assessed health among people who have experienced a health problem cannot totally be accounted for by a response to that health problem.

Parent Perceived Barriers and Facilitators of Children’s Adventurous Play in Britain: A Framework Analysis

Background: From a public health perspective there is growing interest in children’s play, including play involving risk and adventure, in relation to children’s physical and mental health. Regarding mental health, it is theorised that adventurous play, where children experience thrilling, exciting emotions, offers important learning opportunities that prepare children for dealing with uncertainty and help prevent anxiety. Despite these benefits, adventurous play has decreased substantially within a generation. Parents have a key role in facilitating or limiting children’s opportunities for adventurous play, but research identifying the barriers and facilitators parents perceive in relation to adventurous play is scarce. The present study therefore examined the barriers to and facilitators of adventurous play as perceived by parents of school-aged children in Britain. Methods: This study analysed data from a subsample of parents in Britain (n=377) who participated in the nationally representative British Children’s Play Survey. Parents responded to two open-ended questions pertaining to the barriers to and facilitators of children’s adventurous play. Responses were analysed using a Framework Analysis, an approach suitable for managing large datasets with specific research questions. Results: Four framework categories were identified: Social Environment; Physical Environment; Risk of Injury; Child Factors. Social Environment included barriers and facilitators related to parents, family and peers as well as community and society. Dominant themes related to perceptions about the certainty of child safety, such as supervision and the safety of society. Beliefs about the benefits of adventurous play for development and well-being were important facilitators. Physical Environment factors focused on safety and practical issues. Risk of Injury captured concerns about children being injured during play. Child Factors included child attributes, such as play preference, developmental ability and trait-like characteristics. Conclusions: Improved understanding of what influences parent perceptions of adventurous play can inform public health interventions designed to improve children’s opportunities for and engagement in adventurous play, with a view to promote children’s physical and mental health.

Pandemics and Social Work

The onset of the Covid-19 pandemic in 2020 confronted health and also social services globally with unprecedented challenges. These amounted to a combination of increased demands for support to individuals and families whose physical and mental health and economic security were threatened by the rapid spread of the virus and the imposed limitations to direct contacts with service users. This constituted a situation for which there was no immediate historical parallel but from which important lessons for better preparedness for future global disasters and pandemics can be drawn. There existed no specific introductions to or textbooks on social work responses to pandemics and the nearest usable references concerned social work involvement in the HIV/AIDS epidemic and in the aftermath of natural disasters. Frontline social workers were at first forced to improvise ways of establishing and maintaining contacts with service users partly through electronic means and partly by taking personal risks. This is reflected in an initial delay in the production of comprehensive theoretical reflections on the practice implications of the new situation. Practitioners resorted to pragmatism, which became manifest in numerous episodic practice accounts and brief statements in social work journals which nevertheless contain important messages for new practice developments. Notably, the International Federation of Social Workers (IFSW) opened an online exchange and advice platform for social workers globally and also hosted a series of webinars. Nevertheless, books with collections of contributions from various practice fields and geographical areas soon began to appear. In view of the interdisciplinary nature of social work responses required in the pandemic the use of publications from a wider range of academic disciplines and related professions was indicated for this review.