Initial Lockdown Research Articles

Student-, Study- and COVID-19-Related Predictors of Students' Smoking, Binge Drinking and Cannabis Use before and during the Initial COVID-19 Lockdown in The Netherlands.

Tobacco, alcohol and cannabis are commonly used among university students. However, student lives and their substance use have changed dramatically since the start of the COVID-19 pandemic. This study investigated the impact of COVID-19 on (trends in) weekly smoking, weekly binge drinking and weekly cannabis use in Dutch university students and investigated associated student-, study- and COVID-19-related characteristics. Between April and June 2020, several Dutch higher educational institutes invited their students to participate in an online survey. Data of 9967 students (Mage = 22.0 (SD = 2.6); Nfemale = 7008 (70.3%)) were available for analyses. Overall, weekly smoking remained stable (±11.5%), weekly binge drinking decreased (from 27.8% to 13.9%) and weekly cannabis use increased (from 6.7% to 8.6%). Male gender, not living with parents, being a bachelor student, having less financial resources and less adherence to the COVID-19 measures were found to increase the risk of substance use (before/during the first COVID-19 lockdown). Additionally, male gender, not living with parents, being a bachelor student, not being born in the Netherlands and having a student loan contributed to the likelihood of increased substance use during COVID-19. Patterns of characteristics contributing to the likelihood of decreased weekly substance use during COVID-19 were less clear. The risk factors male gender, not living with parents and being a bachelor student do not only contribute to the likelihood of using substances but also contribute to the likelihood of increased use during a lockdown. Prevention and intervention programs should especially target these risk groups.

Tall tower eddy covariance measurements of CO2 fluxes in Vienna, Austria

This study reports on three years (2018–2020) of turbulent CO2 fluxes measured at 144 m above the city of Vienna, Austria using an eddy covariance system installed on the A1 Arsenal radio tower. Overall CO2 flux data availability after quality control filtering (49%) was comparable to that observed by other studies of urban and suburban eddy covariance measurements. Average monthly CO2 fluxes followed seasonal trends in temperature-based proxies of heating demand, with the highest fluxes observed in the winter months. When analysing separate trends for the two dominating wind directions, this seasonality was most pronounced for the flows from the north-west when flux footprints overlapped with Vienna's most populated and urbanised districts and fluxes. For flows from the south-east, when flux footprints covered areas of built-up and industrial land yet were dominated by green urban spaces and arable land, the seasonality was much less marked and average monthly CO2 fluxes were generally lower, particularly in winter. Weekday-weekend patterns as well as weekday diurnal variations in CO2 generally followed respective trends in local traffic counts; however, flux correlations with hourly traffic counts on weekends and public holidays were much weaker. Weekend/public holiday diurnal trends in CO2 fluxes indicated an influence of vegetation fluxes on net CO2 flux variations between midday and late afternoon in spring and summer. Furthermore, variations in weekend/public holiday CO2 fluxes from night-time to morning periods suggested a partial night-time decoupling between turbulent exchange at 144 m and the net fluxes at the surface. While the influence of CO2 advection could not be quantified, the pronounced morning flux peaks indicated that CO2 released to the atmosphere during these partially decoupled, night-time periods accumulated to some extent and was subsequently mixed vertically with the morning increase in boundary layer depth. Indeed, the calculated annual fluxes suggested that positive and negative 30-min biases were largely offset when averaging over longer time intervals. The 2018 flux of 10.89 kt CO2 km−2 was in close agreement with the annual CO2 emissions estimate of 10.19 kt CO2 km−2 derived from an official emissions inventory (excluding large point source emissions). A similar annual flux was observed in 2019; however, the substantially lower flux in 2020 likely reflected emissions reductions associated with the COVID-19 pandemic. Comparison of normalised daytime CO2 fluxes between years indicated that the initial lockdown led to a ca. 50–60% reduction in net CO2 emissions from Vienna's most populated and urbanised districts. This study thus provides further evidence that defensible estimates of urban CO2 fluxes can be achieved with tall tower eddy covariance.

Intervention of an Upgraded Ventilation System and Effects of the COVID-19 Lockdown on Air Quality at Birmingham New Street Railway Station.

High NO2 concentrations (long term average of 383 µg/m3 in 2016/2017) recorded at Birmingham New Street railway station have resulted in the upgrade of the bi-directional fan system to aid wind dispersion within the enclosed platform environment. This paper attempts to examine how successful this intervention has been in improving air quality for both passengers and workers within the station. New air pollution data in 2020 has enabled comparisons to the 2016/2017 monitoring campaign revealing a 23–42% decrease in measured NO2 concentrations. The new levels of NO2 are below the Occupational Health standards but still well above the EU Public Health Standards. This reduction, together with a substantial decrease (up to 81%) in measured Particulate Matter (PM) concentrations, can most likely be attributed to the new fan system effectiveness. Carbon Monoxide levels were well below Occupational and Public Health Standards at all times. The COVID-19 pandemic “initial lockdown” period has also allowed an insight into the resultant air quality at lower rail-traffic intensities, which produced a further reduction in air pollutants, to roughly half the pre-lockdown concentrations. This study shows the scope of improvement that can be achieved through an engineering solution implemented to improve the ventilation system of an enclosed railway station. Further reduction in air pollution would require additional approaches, such as the removal of diesel engine exhaust emissions via the adoption of electric or diesel-electric hybrid powered services.

Case Studies in the Treatment of Asian Scroll Paintings

Works of art in the diverse Asian collections at the National Gallery of Australia (NGA) are regularly requested for display. These collections are routinely condition checked and, where appropriate, interventive treatments undertaken. Storage, in particular, has been continually improved. With the closure of the NGA during the initial Covid lockdown in March 2020, and the subsequent decreased demand to prepare works for exhibition, loan and travelling exhibitions, there was an opportunity to investigate Asian works in the NGA Study Collection, with the objective of identifying those excluded from display because of condition. The time available meant that the NGA Paper Conservation team could examine and treat a number of Asian scroll paintings in this collection. The focus of this paper is three Japanese paintings and two Chinese paintings, all on silk supports, with various degraded paper and fabric mounts and backings. After initially viewing the works with Curatorial colleagues, treatment expectations were discussed and established. Background research was undertaken, in terms of generic style and period, together with limited analysis on supports and pigments in order to inform treatment. While further Curatorial research is ongoing, it was possible to agree appropriate potential mounting styles and materials, allowing treatments to progress.

COVID-19 - Initial Lockdown: Implications on Cancer Treatment among Palliative Care Outpatients.

Objectives:The pandemic and the lockdown has challenged palliative care patients especially those on palliative oncological treatments. This study aims to understand the effect of COVID-19 and initial lockdown on palliative oncological treatments among palliative care patients.Materials and Methods:A retrospective chart review of patients who attended the palliative care outpatient clinic, between 21 April and 12 May 2020, was done. Sociodemographic and palliative oncological treatment details were reviewed.Results:Of the 107 patients included, 53.7% were between 40 and 60 years of age, and 58.3% were women. A large proportion (63%) was unemployed and 40.2% had to rent vehicles for hospital travel. During this period, palliative oncological treatment was interrupted or deferred in 20% and 3.5%, respectively. During this period, homecare services were also affected in about 12.2% of our patients.Conclusion:The COVID-19 pandemic and the lockdown have affected the palliative oncological treatment of palliative care outpatients with cancer. The implications of interrupted and deferred treatment on patient outcomes would be seen in the months and years to follow. Palliative care teams should enhance patient and caregiver support and promote non-abandonment and continuum of care during such unprecedented times.

Changes in the Prevalence of Nonstandard Employment during the COVID-19 Pandemic

This paper addressed two research questions related to employment throughout the COVID-19 pandemic. First, how did the prevalence of different types of nonstandard employment change before and during the COVID-19 pandemic? Second, how did these changes differ by gender, immigration status, and age group? These questions are important to understanding how economic uncertainty and downturn may impact the types of employment that workers enter and who is impacted. This study pools together 10 Canadian Labour Force Surveys from May 2017 to November 2021 and employs a multivariate linear regression analysis to answer the previously stated research objectives. Within these regression models, we examined the likelihood of entering temporary employment, part-time employment, and nonstandard self-employment before and throughout the pandemic. We also ran several interaction models to test whether changes to different types of nonstandard employment differed by sex, immigration status, and age. These interactions tested whether the likelihood of nonstandard employment differs by each demographic group before and during the pandemic. The findings demonstrate that the COVID-19 pandemic differed from previous economic crises in its impact on nonstandard employment. The main finding was that rates of nonstandard wage work (temporary and part-time employment) decreased during the first initial lockdown and returned to pre-pandemic levels by the end of 2020. Meanwhile, own-account and part-time self-employment increased during the first wave of the pandemic. During the first few months of the pandemic, the rate of nonstandard employment had a narrower gender gap and a wider immigrant/non-immigrant gap. There is also some evidence that the nonstandard self-employment rate increased among immigrants and women during the first few months.AbstractThe COVID-19 pandemic has drastically impacted employment across Canada. While several reports show an increase in job loss and unemployment, there is little mention of changes in types of employment during the pandemic. Drawing on the Canadian Labour Force Surveys from 2017-2021, this article explored how the pandemic affected nonstandard employment rates while examining whether these impacts differed by certain sociodemographic variables. Namely, differences in rates of nonstandard employment were explored by gender, immigrant status, and age group. The main finding was that rates of nonstandard wage work (temporary and part-time employment) decreased during the first initial lockdown and returned to pre-pandemic levels by the end of 2020. Meanwhile, own-account and part-time self-employment increased during the first wave of the pandemic. While these increases were uniformly experienced across different groups of workers, there is some evidence of widening or narrowing gaps in rates of nonstandard employment depending on the sociodemographic group.

Initial impacts of the COVID-19 pandemic on sexual and reproductive health service use and unmet need in Britain: findings from a quasi-representative survey (Natsal-COVID)

SummaryBackgroundThe COVID-19 pandemic has affected sexual and reproductive health (SRH) service use and unmet need, but the impact is unknown. We aimed to determine the proportion of participants reporting sexual risk behaviours, SRH service use and unmet need, and to assess remote sexually transmitted infection (STI) testing service use after the first national lockdown in Britain.MethodsWe used data from the National Surveys of Sexual Attitudes and Lifestyles (Natsal)-COVID cross-sectional, quasi-representative web survey (Natsal-COVID Wave 1). Adults aged 18–59 years who resided in England, Scotland, or Wales completed the survey between July 29 and Aug 10, 2020, which included questions about the approximate 4-month period after announcement of the initial lockdown in Britain (March 23, 2020). Quota-based sampling and weighting were used to achieve a quasi-representative population sample. Participants aged 45–59 years were excluded from services analysis due to low rates of SRH service use. Among individuals aged 18–44 years, we estimated reported SRH service use and inability to access, and calculated age-adjusted odds ratios (aORs) among sexually experienced individuals (those reporting any sexual partner in their lifetime) and sexually active individuals (those reporting any sexual partner in the past year). Unweighted denominators and weighted estimates are presented hereafter.Findings6654 individuals had complete interviews and were included in the analysis. Among 3758 participants aged 18–44 years, 82·0% reported being sexually experienced, and 73·7% reported being sexually active. 20·8% of sexually experienced participants aged 18–44 years reported using SRH services in the 4-month period. Overall, 9·7% of 3108 participants (9·5% of men; 9·9% of women) reported being unable to use a service they needed, although of the participants who reported trying but not being able to use a SRH service at least once, 76·4% of participants also reported an instance of successful use. 5·9% of 1221 sexually active men and 3·6% of 1560 sexually active women reported use of STI-related services and 14·8% of 1728 sexually experienced women reported use of contraceptive services, with SRH service use highest among individuals aged 18–24 years. Sexually active participants reporting condomless sex with new partners since lockdown were much more likely to report using STI-related services than those who did not report condomless sex (aOR 23·8 [95% CI 11·6–48·9]) for men, 10·5 [3·9–28·2] for women) and, among men, were also more likely to have an unsuccessful attempt at STI-service use (aOR 13·3 [5·3–32·9]). Among 106 individuals who reported using STI testing services, 64·4% accessed services remotely (telephone, video, or online). Among 2581 women aged 25–59 years, 2·4% reported cervical screening compared with an estimated 6% in a comparable 4-month period before the pandemic.InterpretationMany people accessed SRH care during the initial lockdown; however, young people and those reporting sexual risk behaviours reported difficulties in accessing services and thus such services might need to address a backlog of need.FundingWellcome Trust, The Economic and Social Research Council, The National Institute for Health Research, Medical Research Council/Chief Scientist Office and Public Health Sciences Unit, and UCL Coronavirus Response Fund.

Improving access to sexual and reproductive health care

Almost every aspect of health care has been affected in some way by the COVID-19 pandemic and associated lockdowns. In The Lancet Public Health, Emily Dema and colleagues1 report the findings of a nationally representative survey about use and attempted use of sexual and reproductive health (SRH) services in Britain in the 4-month period after initial lockdown (confinement) in March, 2020. The findings are to some extent reassuring in that only around 10% of respondents reported being unable to access a service they needed at least once, and 76% of these individuals also reported an instance of successful service use.

Sleeping in a bubble: factors affecting sleep during New Zealand's COVID-19 lockdown.

New Zealand (NZ) enforced a rigorous lockdown in response to the outbreak of COVID-19 in 2020. Infection rates remained remarkably low, yet social and personal routines were affected. Factors associated with reporting worsening sleep were explored using an anonymous online survey launched during New Zealand’s 2020 lockdown. Participants were 723 adults aged 20–85 years (median: 45 years, 82% women). Bed and wake times occurred significantly later compared to pre-lockdown estimates and resulted in shorter social jetlag (15 min). During lockdown, 54.5% were identified as “poor sleepers” [i.e. score > 5 on the Pittsburgh Sleep Quality Index (PSQI)]. Overall, 45% rated their sleep quality to worsen compared to pre-lockdown, 22% reported an improvement. Reports of worsening sleep were significantly related to increased sleep latency, reduced sleep efficiency, and heightened PSQI scores compared to those with better sleep or no change. Subjectively worse sleep was significantly associated with less time engaging in physical activity, less exposure to daylight, and social interactions compared to pre-lockdown estimates (p < .05). Logistic regression models identified significant relationships between having more vivid dreams and worsening sleep. Worse sleepers also had increased likelihoods of reporting poorer mood and they also scored higher for anxiety compared to those with no change or improved sleep during lockdown (p < .05). Pandemic-related restrictions contributed to poorer self-reported sleep which was linked to deterioration of mood. Negative affect was comparatively lower than reported elsewhere. These findings provide unique insights to the psychosocial impact of the initial COVID-19 lockdown in New Zealand, where the disease outbreak remained low.

Assessing changes to adolescent health-promoting behaviors following the onset of the COVID-19 pandemic: A multi-methods exploration of the role of within-person combinations of trait perfectionism

The current work provides a multi-methods exploration of how within-person subtypes of self-oriented perfectionism (SOP) and socially prescribed perfectionism (SPP) were related to shifts in health-promoting behaviors among adolescents following the onset of the COVID-19 pandemic. Study One tested the 2 × 2 and tripartite models of perfectionism through a quantitative test of how such subtypes predicted changes in health behaviors pre-pandemic to intra-pandemic among 202 adolescents (M = 17.86, SD = 1.421). Results indicated that the combination of high SOP/high SPP was linked to the most maladaptive changes to health-promoting behaviors, supporting the tripartite model. Study Two aimed to contextualize these findings by analyzing semi-structured interviews with 31 adolescent self-identified perfectionists (M = 15.97, SD = 1.991) during the initial lockdown mandate. Results indicated that participants experienced a welcome break and found more time to engage in health-promoting behaviors. However, those high in SOP – regardless of their level of SPP – had more difficulty relaxing due to a resistance to relenting their perfectionistic standards. Altogether, these findings support the exacerbating role of SOP when combined with SPP posited by the tripartite model of perfectionism with respect to adolescents' health-promoting behaviors during the COVID-19 pandemic.

The impact of the COVID-19 pandemic on pharmacy personnel in primary care.

The coronavirus (COVID-19) pandemic has impacted healthcare worldwide. It has altered service delivery and posed challenges to practitioners in relation to workload, well-being and support. Within primary care, changes in physicians' activities have been identified and innovative work solutions implemented. However, evidence is lacking regarding the impact of the pandemic on pharmacy personnel who work in primary care. To explore the impact of the pandemic on the working practice (including the type of services provided) and job satisfaction of pharmacists and pharmacy technicians within Scottish general practice. Due to the stressful nature of the pandemic, we hypothesise that job satisfaction will have been negatively affected. An online questionnaire was distributed in May-July 2021, approximately 15 months since initial lockdown measures in the UK. The questionnaire was informed by previous literature and underwent expert review and piloting. Analysis involved descriptive statistics, non-parametric statistical tests and thematic analysis. 180 participants responded (approximated 16.1% response rate): 134 pharmacists (74.4%) and 46 technicians (25.6%). Responses indicated greater involvement with administrative tasks and a reduction in the provision of clinical services, which was negatively perceived by pharmacists. There was an increase in remote working, although most participants continued to have a physical presence within general practices. Face-to-face interactions with patients reduced, which was negatively perceived by participants, and telephone consults were considered efficient yet less effective. Professional development activities were challenged by increased workloads and reduced support available. Although workplace stress was apparent, there was no indication of widespread job dissatisfaction. The pandemic has impacted pharmacists and technicians, but it is unknown if changes will be permanent, and there is a need to understand which changes should continue. Future research should explore the impact of altered service delivery, including remote working, on patient care.

COVID-19 lockdown impact on CERN seismic station ambient noise levels

Abstract Seismic measuring stations do not only record seismic waves. They also pick up tremors caused by other factors: these are known as seismic background noise. In normal conditions, this environmental background is steady over a long time. This article presents the influence of high reduction of human activity due to COVID-19 initial lockdown on ground vibration in the Large Hadron Collider tunnel at the European Organization for Nuclear Research.

Lockdown Experiences of 10-13 Year Olds in New Zealand.

The implementation of lockdowns that include the closure of educational facilities for face to face teaching has been one of the strategies used internationally to contain the spread of the COVID-19 virus. Research suggests lockdowns are associated with negative impacts on children’s psycho-social functioning, Most research, however, has been conducted in countries where extended lockdown periods have been in place and has primarily used parent/child survey to gain insight into lockdown effects. The current study was conducted in the context of New Zealand’s initial 7-week national lockdown which allowed examination of the impact of a relatively short lockdown period. Participants (n = 139) aged 10 to 13 years from one school were interviewed face to face about their experiences during lockdown immediately following the re-opening of schools. Participants’ self-concept was also evaluated to gain an understanding of their psycho-social skills after lockdown. Qualitative analysis identified positive and negative features of lockdown from children’s perspectives. Analysis also focused on changes to children’s relationships with close family members during lockdown. The findings have implications for identifying how to optimise lockdown experiences for children.

Effects of COVID-19 lockdown on lifestyle behaviors in children with obesity: Longitudinal study update.

ObjectiveA previous report from our group identified directionally unfavorable dietary and lifestyle behavior trends in longitudinally monitored children and adolescents with obesity early in the COVID‐19 pandemic lockdown. The current study aimed at extending these previous observations in youths with obesity on the dietary and lifestyle behavioral consequences of the extended COVID‐19 lockdown in Verona, Italy.MethodsThe sample included 32 children and adolescents with obesity participating in the longitudinal OBELIX study. Diet and lifestyle information were collected pre‐pandemic, 3 weeks into the national lockdown, and 9 months later when home confinement continued to be mandatory. Changes in outcomes over the study time points were evaluated for significance using repeated‐measures ANOVA and post‐hoc pairwise t‐tests with Bonferroni corrections.ResultsAs previously reported, meals/day, fried potato intake, and red meat ingestion increased significantly (p < 0.001) during the initial lockdown. Sleep time and screen time increased and sports participation decreased significantly (p < 0.001) during the initial lockdown. These changes in health behaviors remained significantly different from baseline at the second lockdown assessment, with the exception sleep time returned to baseline levels.ConclusionsUnfavorable diet and lifestyle behavioral changes in response to the initial COVID‐19 lockdown in children and adolescents with obesity have largely been sustained over the course of the pandemic. There is an urgent need to intervene on these behaviors to prevent further deleterious effects on long‐term child health; access to weight management care is critically important for these children. In addition to intervening on these behaviors, our findings should help to inform ongoing lockdown policies.

Hotspots of vulnerability and disruption in food value chains during COVID-19 in South Africa: industry- and firm-level “pivoting” in response

ABSTRACT We use a primary data set from a survey of medium and large firms and farms in the beef, citrus, and maize value chains in South Africa during March-June 2020, the early and late phases of the initial COVID-19 lockdowns. We have five main findings. (1) The initial lockdown regulations declared as “essential” the product (vertical) value chains but left as “inessential” the important “lateral” value chains delivering labour, materials, and logistics to the segments of the vertical value chains. This hurt the three vertical value chains as constraints in the laterals choked key segments of the verticals. (2) Vulnerability of the whole value chain emanated from vulnerability to shocks of critical “hotspot” linchpin segments (such as livestock auctions) or infrastructure (such as at ports). (3) Collective, industry-level “pivoting” was crucial both to organize the private sector response and to interact with government to course-correct on COVID-19 policies. (4) Responses to pre-COVID-19 challenges (such as drought and international phytosanitary rule changes) had prepared the beef and citrus value chain actors to respond collectively to the pandemic challenges. (5) Individual firm- and segment-level “pivoting” was also crucial for resilience, such as cattle auctions going on-line with the help of e-commerce firms.

Headspace for parents: qualitative report investigating the use of a mindfulness-based app for managing parents' stress during COVID-19.

Stress can compromise parental well-being and may contribute to harsh and critical parenting styles, which are in turn associated with children's conduct problems. Coronavirus disease 2019 (COVID-19)-related restrictions are likely to have exacerbated parental stress as, for many, UK-based family life was altered considerably. Mindfulness has been demonstrated to improve stress management and emotion regulation when delivered to parents in person, however, more accessible online interventions are under-researched. To provide preliminary data on family well-being and parent-child relationships as well as the acceptability and usability of the Headspace app - a self-delivered mindfulness-based intervention - for parents in low-risk families during the early days of the COVID-19 pandemic. We provided 12 parents with access to Headspace, and collected qualitative data (semi-structured interviews and 5 minute speech samples) immediately following the initial COVID-19 lockdown in the UK. The resulting transcripts were thematically analysed. Most parents reported Headspace to be acceptable and useful - improvements in parents' own sleep were particularly noted - and there was high adherence to the intervention. However, difficulties related to family well-being and parent-child relationships following the lockdown were also reported. As a result of the confounding impact of COVID-19 restrictions, and varied access to app content, we were unable to determine any outcomes to be a result of practising mindfulness specifically. However, COVID-19 has had a profound impact on many UK-based families, including those previously at low risk, and our results demonstrate that Headspace may have beneficial effects for parents. There is a need to more rigorously test this tool with a broader range of families.

More Than a Deadly Virus: COVID-19 and Its Psychological Impact on American and Canadian Dental Practitioners

Objectives: The COVID-19 pandemic has significantly affected dental professionals, thus contributing to adverse psychological outcomes. The aim of this cross-sectional study was to investigate the psychosocial state of American and Canadian dental practitioners, with special emphasis on their affective well-being (both during lockdown and after re-opening), behavioral impact and cognitive responses.&#x0D; Methodology: Dental practitioners in Canada and USA were invited to participate in an online survey after the initial lockdown period. The questions evaluated the pandemic’s effect on affective, behavioral, and cognitive responses.&#x0D; Results: A total of 587 practitioners completed the online survey. The strongest emotions experienced during the lockdown were sadness followed by fear. Female practitioners, those in the 35-44 age group, and those with less work experience reported higher scores on fear. Following lockdown, participants reported higher anticipation. Males expressed higher feelings of disgust and anger during both phases. Canadians were trustful of the situation in both phases of the pandemic, whereas the emotions of Americans were more towards disgust. About 56.7% practitioners provided teledentistry during lockdown, mainly through video calling, with Canadians being significantly more involved than the American participants. The highest scores for participants’ experiences during lockdown were for a lack of social interaction, followed by concern for contracting infection, and stress from distressing media coverage. Most practitioners were very receptive of receiving the COVID-19 vaccine.&#x0D; Conclusions: The emotions and behaviors of dental practitioners varied significantly during and after the initial lockdown, highlighting their psychosocial state during the pandemic. The scarcity of literature focusing on these basic emotions during similar outbreaks calls attention for pursuing more research in these areas as they significantly contribute to the overall psychological health of professionals, especially in times of crises. Given the emotions reported by dental practitioners, it would be of value to develop standardized protocols and provide remote psychological support during such periods of uncertainty.

The response of Polish performance artists to cultural policies during the pandemic: liminality, precarity and resilience

ABSTRACT This article examines performance and theater artists’ reactions to and attitudes toward the decisive measures taken by the government to curb the spread of the coronavirus in Poland. It traces the transformation of these attitudes over the different stages of the pandemic, from the initial complete lockdown (spring 2020) to the temporary relaxation of the restrictions and up to the second lockdown (fall 2020). Our research is based on a series of in-depth interviews conducted with Polish performance artists between November 2020 and January 2021 as part of the larger research project on the pandemic in social sciences and humanities. In this article we place our discussion of the interviews within the conceptual framework of liminality, precarity, vulnerability, and resilience, in order to examine human activities in the face of unplanned and profound structural and functional changes caused by the pandemic, affecting cultural and social hierarchies and reflecting cultural policies before and during the pandemic.

Persistence of racial/ethnic and socioeconomic status disparities among non-institutionalized patients hospitalized with COVID-19 in Connecticut, July to December 2020.

BackgroundCOVID‐19 hospitalizations of non‐institutionalized persons during the first COVID‐19 wave in Connecticut disproportionately affected the elderly, communities of color, and individuals of low socioeconomic status (SES). Whether the magnitude of these disparities changed after the initial lockdown and before vaccine rollout is not well documented.MethodsAll first‐time hospitalizations with laboratory‐confirmed COVID‐19 during July to December 2020, including patients' geocoded residential addresses, were obtained from the Connecticut Department of Public Health. Those living in congregate settings, including nursing homes, were excluded. Community‐dwelling patients were assigned census tract‐level poverty and crowding measures from the 2014–2018 American Community Survey by linking their geocoded addresses to census tracts. Age‐adjusted incidence and relative rates were calculated across demographic and SES measures and compared with those from a similar analysis of hospitalized cases during the initial wave.ResultsDuring July to December 2020, there were 5652 COVID‐19 hospitalizations in community residents in Connecticut. Incidence was highest among those >85 years, non‐Hispanic Blacks and Hispanic/Latinx compared with non‐Hispanic Whites {relative rate (RR) 3.1 (95% confidence interval [CI] 2.83–3.32) and 5.9 (95% CI 5.58–6.28)}, and persons living in high poverty and high crowding census tracts. Although racial/ethnic and SES disparities during the study period were substantial, they were significantly decreased compared with the first wave of COVID‐19.ConclusionsThe finding of persistent, if reduced, large racial/ethnic disparities in COVID‐19 hospitalizations 2–7 months after the initial lockdown was relaxed and before vaccination was widely available is of concern. These disparities cause a challenge to achieving health equity and are relevant for future pandemic planning.

The impact of COVID-19 on clinical care, self-management and mental health of patients with inflammatory arthritis.

ObjectivesThe coronavirus disease 2019 (COVID-19) lockdown and ongoing restrictions in the UK affected access to clinical care, self-management and mental health for many patients with inflammatory arthritis. The aim of this study was to determine the impact of lockdown on inflammatory arthritis clinical care, self-management, disease outcomes and mental health.MethodsIn total, 338 people with inflammatory arthritis participated in a prospective study, completing a series of online questionnaires. The questionnaires assessed demographics, inflammatory arthritis condition and management, clinical care, quality of life and mental health. Visual analogue scales (VASs) were completed at each assessment. Linear regression, controlling for confounders, was conducted to determine factors associated with physical and mental health outcomes.ResultsMore than half of participants reported worsening VAS by >10 points for patient global assessment (PGA), pain, fatigue and emotional distress during the initial lockdown. Changes in clinical care were associated with worse PGA (b = 8.95, P = 0.01), pain (b = 7.13, P = 0.05), fatigue (b = 17.01, P < 0.01) and emotional distress (b = 12.78, P < 0.01). Emotional distress and depression were also associated with worse outcomes in PGA, pain and fatigue, whereas loneliness was not. In contrast, physical activity seemed to mitigate these effects. Loneliness did not show any associations with outcomes. Over time, these effects decreased or disappeared.ConclusionChanges to clinical care owing to lockdown were associated with worse disease outcomes in patients with inflammatory arthritis. There has also been a clear impact on mental health, with possibly complex relationships between mental health and psychosocial factors. Physical activity emerged as a key influence on disease outcomes and mental health.