Social Media Survey Research Articles

Are Italian nurses ready for patient blood management program? A national social media survey.

Blood transfusion is one of the five most overused procedures in healthcare. Patient Blood Management (PBM) is a multimodal and multidisciplinary strategy that aims to properly manage the patient blood. In 2015 the Italian National Blood Centre explicitly mentioned the need for the identification of dedicated nursing staff to implement this approach. The purpose of this study is to investigate if Italian nurses are prepared and willing to implement the PBM. We conducted a social media survey that registered 235 respondents from the whole Italian territory over a one-month period (15th of May-15th of June 2020). The 23 open and closed-ended questions were intended to investigate the views, the inclinations, and intentions of healthcare professionals towards PBM. PBM can still be considered as a niche topic. Therefore, most respondents declared themselves willing to know more about it, to acquire new skills and grow professionally, to determine benefits for the hospital, to improve the quality of nursing care and act evidence based, and to enhance the nursing role in the multidisciplinary team. Conclusions: PBM programs are conducted and implemented effectively worldwide, and Italian nurses recognize its importance and are willing to implement it and be a part of it for what then bedside care, the educational, and the managerial role are concerned. (www.actabiomedica.it) Key words: Patient blood management, blood transfusion, bloodless nurse, bloodless coordinator, nursing education, nursing management.

Social Media Sentiment about COVID-19 Vaccination Predicts Vaccine Acceptance among Peruvian Social Media Users the Next Day.

Drawing upon theories of risk and decision making, we present a theoretical framework for how the emotional attributes of social media content influence risk behaviors. We apply our framework to understanding how COVID-19 vaccination Twitter posts influence acceptance of the vaccine in Peru, the country with the highest relative number of COVID-19 excess deaths. By employing computational methods, topic modeling, and vector autoregressive time series analysis, we show that the prominence of expressed emotions about COVID-19 vaccination in social media content is associated with the daily percentage of Peruvian social media survey respondents who are vaccine-accepting over 231 days. Our findings show that net (positive) sentiment and trust emotions expressed in tweets about COVID-19 are positively associated with vaccine acceptance among survey respondents one day after the post occurs. This study demonstrates that the emotional attributes of social media content, besides veracity or informational attributes, may influence vaccine acceptance for better or worse based on its valence.

Factors Affecting Awareness About E-Health Services in Saudi Arabia.

Aim Telemedicine or using e-health applications was maximized during the COVID-19 pandemic. This study aimed to explore awareness and satisfaction with several e-health services provided by the Ministry of Health (MOH), including Seha, Moed, 937 Services, and Wasfati. Methods A population-based social media survey assessed awareness and satisfaction with these applications.The survey gathered information on demographic and socioeconomic characteristics. Binary logistic regression was used to highlight factors that affect awareness of and satisfaction with these servicesandthus could be a target for future development. Results Overall, 1333 surveys were completed; most (70%) of the participants were female, 44% were between the ages of 18 and 24 years, 83% were of Saudi nationality, and 70% had university degrees or above. Awareness was greatest with the 937 Services, Seha, Moed, and Wasfatiapplications. Satisfaction was the highest with the Moed application. Factors affecting awareness and satisfaction included age, sex, nationality, and education. Conclusion Awareness of and satisfaction with the four major e-health applications were high. This indicates the readiness of the Saudi population to embrace advances in telemedicine in alliance with the Saudi 2030 vision.

Effect of Fear of COVID-19 on Destination Image, Tourist Satisfaction, and Revisit Intention: Protection Motivation Theory Perspective

Purpose – This study examines the effect of fear of COVID-19, tourist satisfaction, and destination image on the revisit intention. Methodology – Data was collected through social media surveys to 370 total domestic tourist respondents. Then, the data was processed with IBM SPSS version 26 to describe demographics and SmartPLS 3.2.9 to test structural equation modelling between variables. Findings – This study showed that the fear of COVID-19 significantly affected destination image, tourist satisfaction and revisit intention. Novelty – This study has presented that health risks (COVID-19) are not a problem for domestic tourists when travelling. Thus, the threat of COVID-19 does not affect tourists' perceptions of destination image, tourist satisfaction, and revisit intention.

Is the use of IVF add-on treatments driven by patients or clinics? Findings from a UK patient survey

There are conflicting narratives over what drives demand for add-ons. We undertook an online survey of IVF patients to determine whether patients perceive that use of IVF add-ons is driven by patients or practitioners. People who underwent IVF in the UK in the previous five years were recruited via social media Survey questions focussed on the roles of clinician offer and patient request, including who first suggested use of add-ons in IVF consultations, where patients first heard about them, and which information sources they trusted. From a total of 261 responses, 224 met the inclusion criteria. Overall, 67% of respondents had used one or more IVF add-ons, most commonly: time-lapse imaging (27%), EmbryoGlue (27%), and endometrial scratching (26%). Overall, 81% of the add-ons used were offered to participants by clinicians (compared to 19% requested by themselves). Half (54%) reported being offered add-ons during consultations, compared to 24% who initiated discussion about add-ons. Higher proportions of private patients reported being offered (90%), requesting (47%) and using (74%) add-ons than those with NHS funding (74%, 29%, 52%, respectively). The main limitations of this study are the small sample size, recruitment via a convenience sample, and the self-reported data capture which is subject to recall bias.

Contraceptive care in the United States during the COVID-19 pandemic: A social media survey of contraceptive access, telehealth use and telehealth quality

ObjectivesTo examine demographic, socioeconomic, and regional differences in contraceptive access, differences between telehealth and in-person contraception visits, and telehealth quality in the United States during the COVID-19 pandemic. Study designWe surveyed reproductive-age women about contraception visits during the COVID-19 pandemic via social media in July 2020 and January 2021. We used multivariable regression to examine relationships between age, racial/ethnic identity, educational attainment, income, insurance type, region, and COVID-19 related hardship, and ability to obtain a contraceptive appointment, telehealth vs in-person visits, and telehealth quality scores. ResultsAmong 2031 respondents seeking a contraception visit, 1490 (73.4%) reported any visit, of which 530 (35.6%) were telehealth. In adjusted analyses, lower odds of any visit was associated with Hispanic/Latinx and Mixed race/Other identity (aOR 0.59 [0.37–0.94], aOR 0.36 [0.22–0.59], respectively), the South, Midwest, Northeast (aOR 0.63 [0.47–0.85], aOR 0.64 [0.46–0.90], aOR 0.52 [CI 0.36–0.75], respectively), no insurance (aOR 0.63 [0.43–0.91]), greater COVID-19 hardship (aOR 0.52 [0.31–0.87]), and earlier pandemic timing (January 2021 vs July 2020 aOR 2.14 [1.69–2.70]). Respondents from the Midwest and South had lower odds of telehealth vs in-person care (aOR 0.63 [0.44–0.88], aOR 0.54 [0.40–0.72], respectively). Hispanic/Latinx respondents and those in the Midwest had lower odds of high telehealth quality (aOR 0.37 [0.17–0.80], aOR 0.58 [0.35–0.95], respectively). ConclusionsWe found inequities in contraceptive care access, less telehealth use for contraception visits in the South and Midwest, and lower telehealth quality among Hispanic/Latinx people during the COVID-19 pandemic. Future research should focus on telehealth access, quality, and patients’ preferences. ImplicationsHistorically marginalized groups have faced disproportionate barriers to contraceptive care, and telehealth for contraceptive care has not been employed equitably during the COVID-19 pandemic. Though telehealth has the potential to improve access to care, inequitable implementation could exacerbate existing disparities.

Are social media data and survey data consistent in measuring park visitation, park satisfaction, and their influencing factors? A case study in Shanghai

Given the importance of urban parks for recreation, it is critical to understand how they are used and perceived. Currently, relatively few studies have examined the public’s activities and preferences at the same time. Social media data are increasingly recognized as a promising data source to study these two aspects. However, little is known regarding the utility and representativeness of social media data for urban parks. In particular, a lack of understanding exists on the comparability of research results measured by bottom-up social media data and top-down official survey data in urban park studies. This research used social media data from Ctrip and Dianping and survey data from the local government agency with park visits statistics and park satisfaction surveys to understand the public’s visitation and satisfaction of 102 urban parks in central Shanghai. We first assessed the similarities between the social media data and survey data by correlation analysis. We then used the negative binomial regression model and beta regression model to examine the matches and mismatches of the different data sources in investigating factors influencing park visitation and park satisfaction. Our correlation results showed that the social media data significantly correlated with the survey data and that social media data performed better in more frequently visited parks. Our regression results showed that the water bodies, recreational facilities, and surrounding commercial facilities were the common influencing factors of park visitation and park satisfaction for all parks. While significant correlations were noticed between these two data sources, we found that the surrounding population density was negatively associated with park visitation measured by social media data but positively associated with park visitation measured by survey data. This study provides a comparative perspective to study park visitation and park satisfaction by combining social media data and official survey data. Clarifying the consistencies and inconsistencies between the social media data and official survey data is important because it could help us to understand the representativeness and potential biases of the social media data when used in visitation monitoring and satisfaction monitoring.

Early cochlear implantation in prelingual profound hearing loss in Italy, analyzed by means of a social media survey.

To assess newborn hearing screening (NHS) impact on timing of cochlear implant (CI) surgery of patients with prelingual bilateral profound hearing impairment (BPHI), in order to evaluate whether the NHS ultimately serves the needs of the target population in Italy. An online questionnaire was created to survey subjects affected by prelingual BPHL born between 1990 and 2018. Questions focused on age at BPHI diagnosis, first and second CI surgery (if performed), and the region in which the surgery was performed. The survey was distributed to potential participants via social media communities used by hearing impaired people or their family members for sharing advice and offering support. Responses were analyzed using descriptive statistics. Among the 318 respondents who completed the questionnaire, 276 (87%) reported having chosen CI surgery, 2/3 of them bilaterally. In the vast majority (97%) of cases the CI is used on a daily basis. Most of the people residing in the center (65%) and southern Italy (71%) had to move from their region of residence to perform the surgery. Late CI surgery was associated with failure to perform NHS (p = 0.007), birth before 2011 (p = 0.009), definitive diagnosis of BPHI after 6months of life (p = 0.002), and progressive hearing impairment (p < 0.001). The worldwide scientific approval of the NHS as the current best opportunity for early diagnosis and CI treatment for prelingual BPHI is confirmed by what patients and families reported via the online questionnaire used for this study. In recent years, early bilateral cochlear implantation has become increasingly available in Italy, but late diagnosis, progressive hearing loss, failure to perform the NHS and lack of follow-up are still open questions. A large proportion of families had to move from the region of residence to have their child undergo CI surgery, revealing inequalities in terms of geographical disparities. Social media has proved to be a valuable, fast and inexpensive tool for gathering information on the effectiveness of health prevention programs, involving a large sample of individuals in a short amount of time.

How Should Software Engineering Secondary Studies Include Grey Material?

<italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Context</i> : Recent papers have proposed the use of <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">grey literature</i> (GL) and multivocal reviews. These papers have raised issues about the practices used for systematic reviews (SRs) in software engineering (SE) and suggested that there should be changes to the current SR guidelines. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Objective</i> : To investigate whether current SR guidelines need to be changed to support GL and multivocal reviews. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Method</i> : We discuss the definitions of GL and the importance of GL and of industry-based field studies in SE SRs. We identify properties of SRs that constrain the material used in SRs: a) the nature of primary studies; b) the requirements of SRs to be auditable, traceable, and reproducible; and explain why these requirements restrict the use of blogs in SRs. <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Results</i> : SR guidelines have always considered GL as a possible source of primary studies and have never supported exclusion of field studies that incorporate the practitioners’ viewpoint. However, the concept of GL, which was meant to refer to documents that were not formally published, is now being extended to information from sources such as blogs/tweets/Q&A posts. Thus, it might seem that SRs do not make full use of GL because they do not include such information. However, the unit of analysis for an SR is the primary study. Thus, it is not the <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">source</i> but the <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">type</i> of information that is important. Any report describing a rigorous empirical evaluation is a candidate primary study. Whether it is actually included in an SR depends on the SR eligibility criteria. However, any study that cannot be guaranteed to be publicly available in the long term should not be used as a primary study in an SR. This does not prevent such information from being aggregated in surveys of social media and used in the context of evidence-based software engineering (EBSE). <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Conclusions</i> : Current guidelines for SRs do not require extensions, but their scope needs to be better defined. SE researchers require guidelines for analysing social media posts (e.g., blogs, tweets, vlogs), but these should be based on qualitative primary (not secondary) study guidelines. SE researchers can use mixed-methods SRs and/or the fourth step of EBSE to incorporate findings from social media surveys with those from SRs and to develop industry-relevant recommendations.

The influence of hedonic values and extraversion on online impulse buying: Empirical evidence from Indonesia

The purpose of this study is to analyze Indonesian consumer hedonic values, extraversion, and online impulse buying, as well as to examine the influence of consumer hedonic values and extraversion personality on impulsive online buying. This study uses a quantitative research method that employs descriptive and associative tools. The primary data were gathered through social media surveys of Indonesian consumers who buy goods through e-commerce. Of the 440 respondents who received questionnaires, only 400 completed them accurately. According to the survey, at least 75% of respondents shop online regularly. The study’s findings describe three types of Indonesian online consumers: those with hedonic values, those with reasonably high extrovert personalities, and those prone to online impulse buying. Path analysis results indicate that both hedonic value and extraversion have a significant influence on online impulse buying. Hedonic consumers enjoy online shopping, and as a result, they discover items they had not previously considered purchasing without careful consideration. On the other hand, extroverted consumers who are outgoing, passionate, and pleasant in social situations are more likely to be interested in impulsive online buying. These results provide online business owners with necessary guidance by demonstrating the importance of developing a website that is not only informative but also visually appealing and engaging to trigger impulse buying. Acknowledgment This study was supported by a research grant from Universitas Padjadjaran, Indonesia.

Assessing Barriers to Implementation of Machine Learning and Artificial Intelligence-Based Tools in Critical Care: Web-Based Survey Study.

Although there is considerable interest in machine learning (ML) and artificial intelligence (AI) in critical care, the implementation of effective algorithms into practice has been limited. We sought to understand physician perspectives of a novel intubation prediction tool. Further, we sought to understand health care provider and nonprovider perspectives on the use of ML in health care. We aim to use the data gathered to elucidate implementation barriers and determinants of this intubation prediction tool, as well as ML/AI-based algorithms in critical care and health care in general. We developed 2 anonymous surveys in Qualtrics, 1 single-center survey distributed to 99 critical care physicians via email, and 1 social media survey distributed via Facebook and Twitter with branching logic to tailor questions for providers and nonproviders. The surveys included a mixture of categorical, Likert scale, and free-text items. Likert scale means with SD were reported from 1 to 5. We used student t tests to examine the differences between groups. In addition, Likert scale responses were converted into 3 categories, and percentage values were reported in order to demonstrate the distribution of responses. Qualitative free-text responses were reviewed by a member of the study team to determine validity, and content analysis was performed to determine common themes in responses. Out of 99 critical care physicians, 47 (48%) completed the single-center survey. Perceived knowledge of ML was low with a mean Likert score of 2.4 out of 5 (SD 0.96), with 7.5% of respondents rating their knowledge as a 4 or 5. The willingness to use the ML-based algorithm was 3.32 out of 5 (SD 0.95), with 75% of respondents answering 3 out of 5. The social media survey had 770 total responses with 605 (79%) providers and 165 (21%) nonproviders. We found no difference in providers' perceived knowledge based on level of experience in either survey. We found that nonproviders had significantly less perceived knowledge of ML (mean 3.04 out of 5, SD 1.53 vs mean 3.43, SD 0.941; P<.001) and comfort with ML (mean 3.28 out of 5, SD 1.02 vs mean 3.53, SD 0.935; P=.004) than providers. Free-text responses revealed multiple shared concerns, including accuracy/reliability, data bias, patient safety, and privacy/security risks. These data suggest that providers and nonproviders have positive perceptions of ML-based tools, and that a tool to predict the need for intubation would be of interest to critical care providers. There were many shared concerns about ML/AI in health care elucidated by the surveys. These results provide a baseline evaluation of implementation barriers and determinants of ML/AI-based tools that will be important in their optimal implementation and adoption in the critical care setting and health care in general.

Impact of sampling and data collection methods on maternity survey response: a randomised controlled trial of paper and push-to-web surveys and a concurrent social media survey

BackgroundNovel survey methods are needed to tackle declining response rates. The 2020 National Maternity Survey included a randomised controlled trial (RCT) and social media survey to compare different combinations of sampling and data collection methods with respect to: response rate, respondent representativeness, prevalence estimates of maternity indicators and cost.MethodsA two-armed parallel RCT and concurrent social media survey were conducted. Women in the RCT were sampled from ONS birth registrations and randomised to either a paper or push-to-web survey. Women in the social media survey self-selected through online adverts. The primary outcome was response rate in the paper and push-to-web surveys. In all surveys, respondent representativeness was assessed by comparing distributions of sociodemographic characteristics in respondents with those of the target population. External validity of prevalence estimates of maternity indicators was assessed by comparing weighted survey estimates with estimates from national routine data. Cost was also compared across surveys.ResultsThe response rate was higher in the paper survey (n = 2,446) compared to the push-to-web survey (n = 2,165)(30.6% versus 27.1%, difference = 3.5%, 95%CI = 2.1–4.9, p < 0.0001). Compared to the target population, respondents in all surveys were less likely to be aged < 25 years, of Black or Minority ethnicity, born outside the UK, living in disadvantaged areas, living without a partner and multiparous. Women in the social media survey (n = 1,316) were less representative of the target population compared to women in the paper and push-to-web surveys. For some maternity indicators, weighted survey estimates were close to estimates from routine data, for other indicators there were discrepancies; no survey demonstrated consistently higher external validity than the other two surveys. Compared to the paper survey, the cost saving per respondent was £5.45 for the push-to-web survey and £22.42 for the social media survey.ConclusionsPush-to-web surveys may cost less than paper surveys but do not necessarily result in higher response rates. Social media surveys cost significantly less than paper and push-to-web surveys, but sample size may be limited by eligibility criteria and recruitment window and respondents may be less representative of the target population. However, reduced representativeness does not necessarily introduce more bias in weighted survey estimates.

PP148 The Impact Of Health Technology Wales Guidance For Autologous Hematopoietic Stem Cell Transplantation: Two Years Post-Publication

IntroductionEvaluating the impact of health technology assessment (HTA) is vital to measure its contribution to health and social care decision-making and improving citizen outcomes. Health Technology Wales (HTW) is a HTA body committed to evaluating the impact of our work. Here we present HTW’s impact evaluation approach with a case study for autologous hematopoietic stem cell transplantation (AHSCT) for highly active relapsing remitting multiple sclerosis (RRMS).MethodsUsing an outcomes-focused approach based on contribution analysis, HTW has worked with an external evaluation organization to develop a framework to measure the impact of our work. Data on impact was collected from both qualitative and quantitative sources, including social media metrics, surveys, and informal feedback from stakeholders. We engaged with various stakeholders, including clinicians, academics, patient organizations and other HTA bodies.ResultsThe technology appraisal and guidance were published in July 2020, recommending AHSCT for routine adoption to treat highly active RRMS. Patient groups welcomed the appraisal findings as an important step forward in recognising the needs of people with RRMS and felt that “people living with MS were listened to throughout the process”. Following publication online, the guidance has had approximately 500 views, and featured on the MS Trust website and in several news articles. The Welsh Health Specialist Services Committee, a commissioning body in Wales, recommended AHSCT for RRMS as a ‘high priority’ for funding in the WHSSC Integrated Commissioning Plan 2021-22.ConclusionsSince its publication, we have been able to prospectively capture the impact of this guidance through various stakeholders groups and sources. Overall, responses have been positive and the guidance has supported decision makers in Wales. Ongoing evidence capture, including through HTW’s adoption audit processes, will add further understanding to the potential impact of our work.

The prevalence of stigma in a UK community survey of people with lived experience of long COVID

BackgroundStigma can be experienced as perceived or actual disqualification from social and institutional acceptance on the basis of one or more physical, health-related, behavioural, or other attributes deemed to be undesirable. Long COVID is a predominantly multisystem condition that occurs in people with a history of SARS-CoV-2 infection, often resulting in functional disability, which limits day-to-day activities. We aimed to quantify the burden of stigma experienced in a community-based sample of people with lived experience of long COVID. MethodsData from the follow-up of a long COVID longitudinal online survey was used. The survey was coproduced with people living with long COVID. 13 questions on stigma were included to develop a Long COVID Stigma Scale capturing three domains: enacted (overt experiences of discrimination due to long COVID), internalised (internalising negative associations with long COVID and accepting them as self-applicable), and anticipated (expectation of bias or poor treatment by others) stigma. Data were collected through a social media survey with convenience non-probability sampling. Findings966 (47·9%) of 2016 participants from the UK completed the follow-up survey and 888 responded to the questions on stigma. The mean age of respondents was 48·3 years (SD 10·7), and 84·6% identified as female. Roughly half (n=460, 50·4%) reported having a formal, clinical, long COVID diagnosis, and of these, 440 responded to the questions on stigma. The prevalence of people experiencing overall stigma at least sometimes was 95·4% (n=847), prevalence of enacted stigma was 62·7% (n=557), internalised stigma was 86·4% (n=767), and anticipated stigma was 90·8% (n=806). Prevalence of stigma was higher in respondents with a formal diagnosis of long COVID (97·5%; n=429) than in those without (93·2%; n=413). InterpretationThis study highlights widespread and multilayered stigmas experienced by people living with long COVID in the UK, which presents a serious public health concern. The broader literature on stigmatised health conditions consistently suggests that stigma drives people away from health services, contributes to psychological distress, and compromises long-term physical outcomes. The higher proportion experiencing stigma in those with clinical diagnosis of long COVID might be indicative of stigma within the health-care system. Findings from this study should be taken into consideration within clinical practice and health care, social care, employment, and education policies. FundingNone.

RF16 | PSUN179 Providing Contraception and Preconception Counseling to Women with Diabetes: Health Care Provider Behaviors and Patient Perception

Abstract Background The Endocrine Society recommends preconception counseling be provided to all women with DM who are considering pregnancy; the ADA recommends counseling women of childbearing age with DM on the importance of tight pregnancy glycemic control and appropriate use of contraception at pubertal onset. However, only 25% of women receive contraception and preconception counseling (PCC). As most studies are retrospective chart reviews, what is cited may not reflect the PCC offered. Methods Physicians and advanced care providers (n=97) at one institution were surveyed on their behaviors in offering and documenting PCC provided to women with T1DM and T2DM. Women with T1DM and T2DM (n=15) receiving care at the same institution were contacted after a recent endocrine visit and surveyed on the PCC they received. A retrospective chart review examined how the women's perception of the PCC provided correlated with documentation. Additionally, similar surveys were distributed to women aged 18 to 50 via diabetes groups on a social media platform (n=202). Results Overall, 37% of providers reported offering PCC &amp;lt; 5% of the time; PCPs and pediatric endocrinologists were least likely to offer PCC (p&amp;lt;0.01 between all groups). The majority of OBGYNs and endocrinologists shared PCC up to 25% of the time (p &amp;gt;0.05). Providers were most likely to educate on or prescribe contraception. Half said they document counseling &amp;gt;75% of the time. Of all the women surveyed (n=217), 89% had T1DM, 91% were White and the average HbA1c was in the 6.6%-6.9% range. 59% of women reported previous pregnancies and 6.9% were pregnant. There was no difference in HbA1cs for those planning or considering pregnancy and those who were not (HbA1c 7% v 6.7%, p &amp;gt;0.05 in chart review survey; HbA1c 6.6-6.9% in both groups in social media survey, p &amp;gt;0.05). 55% reported receiving PCC in the past, most likely from their endocrinologist or OBGYN. The most frequently reported forms of contraception were OCPs (22%) followed by barrier contraception (18%)–generally with other methods—followed by no form of contraception (15%). In the chart review survey (n=15), none were currently pregnant but 13% were planning pregnancy in the next year and 47% were unsure of their plans. Two reported PCC was discussed at their most recent visit; one reported receiving PCC at the penultimate visit. Of these three visits, PCC was documented twice. Topics commonly discussed were glycemic targets, preconception planning, and contraception. Conclusion This study suggests the rates of lifetime PCC are higher than described and lower reported rates may be related to deficiencies in documentation. However, the small size of the chart review survey limits the ability to draw definitive conclusions. This study may also be limited by self-selection bias and over-representation of White patients among survey respondents. Presentation: Sunday, June 12, 2022 12:30 p.m. - 2:30 p.m., Sunday, June 12, 2022 12:48 p.m. - 12:53 p.m.

Social Media as Support Channels in Communication with Society on Sustainable Forest Management

This article deals with the issue of using social media to promote sustainable forest management. Major forest managers see significant value in combining various social media channels and implementing a communication campaign. With the help of social media, it is possible to raise public awareness of rational forest management. The purpose of this research was to conduct an in-depth theoretical and research analysis of the use of increasingly common communication channels such as social media. The research and analysis period was set from 1–26 July 2018. In order to evaluate the effectiveness of communication activities, the social media survey was repeated from 1–21 January 2019 and from 1–21 July 2020. The control analysis focused on the use of the main social media channels. The article assumed the hypothesis of conscious actions in the communication of forest management institutions in social media to communicate the rational use of forest resources. The hypothesis was positively verified on the basis of quantitative and qualitative studies of nonparticipatory observation for selected social media (Facebook, Instagram) and analysis of data contained in social media channels. The pilot study was conducted on 45 forestry entities from Poland. The results of the survey indicate the growing use of social media to communicate with the public about forest management. The dominant share of respondents consider social media as effective channels for forest education. Facebook is the most popular channel for conducting dialogue with the public. The results of the qualitative survey confirm the superiority of a graphic or mixed form of information presentation over the written form alone. This confirms the observed trends of increasing use of infographics, especially in communication with younger generations.

‘Leftover women’: A sociolinguistic study of gender bias in Chinese

Abstract This study is an investigation of a newly-created Chinese lexeme shengnü ‘leftover women’, referring to single women beyond the socially expected marrying age. Data from an online survey of 416 respondents reveals the various aspects of gender bias against women as seen in the coined term. They also provide evidence that gender bias is waning, as younger and female respondents are more likely to view shengnü as more offensive, to see the reasons for being ‘leftover’ as women’s desire for independence and freedom, and to identify society as the source of pressure for women to marry. Our study contributes to the field of sociolinguistics via its investigation of shengnü with other aspects of the Chinese language, by adopting a social media survey data gathering method – which offered us a sizable sample – and by being possibly the first empirical sociolinguistic study of gender bias via a detailed investigation of the various aspects of a particular lexeme in the Chinese language.

Subjective Reasons for COVID-19 Vaccine Hesitancy and Sociodemographic Predictors of Vaccination in Nigeria: An Online Survey

The purpose of this study was to examine the subjective reasons for hesitancy to receive COVID-19 vaccination and the sociodemographic factors associated with vaccination uptake. An online social media survey was conducted among the general Nigerian population using a self-developed questionnaire. Data were analyzed using binary logistic regression with crude and adjusted odds ratios (AOR) at a 95% confidence interval (CI) and a p value of less than 0.05. A total of 576 participants with a mean age of 31.86 years participated in the study. 28% (n = 158) received one or more doses of the COVID-19 vaccine. Teachers were significantly less likely than health professionals to be vaccinated (AOR = 0.33, 95% CI 0.16–0.69). In addition, unemployed people (AOR = 0.37, 95% CI 0.15–0.89) were less likely to be vaccinated than government employees, and those of intermediate socioeconomic status (AOR = 0.47 95% CI 0.26–0.88) were less likely to be vaccinated than were those of high socioeconomic status. Five main themes emerged regarding participants’ subjective reasons for hesitating to receive the COVID-19 vaccine: fear related to vaccine content (e.g., efficacy), negative effects on the body (e.g., blood clots), distrust of the system/government (e.g., politics), psychological concerns (e.g., anxiety), and misconceptions. Sociodemographic variables and vaccine misconceptions were found to play an important role in COVID-19 vaccination coverage in Nigeria.

Observations of juvenile sandbar sharks Carcharhinus plumbeus () around the Bojana River delta (Southern Adriatic Sea).

The sandbar shark (Carcharhinus plumbeus) is considered rare in the Adriatic Sea and the majority of records originate from the northern Adriatic, where a nursery area for this species close to the Po delta system has been repeatedly proposed. This study provides 5 new records and analyses the previously published records of sandbar sharks recorded around the delta of the River Bojana (in Montenegro, in the south-eastern Adriatic). The River Bojana located on the border between Montenegro and Albania, is the second largest river flowing into the Adriatic Sea, where it forms a highly productive ecosystem already known as a local hotspot for smooth-hound sharks (Mustelus spp.). New records of sandbar sharks have emerged as a result of citizen science (a social media survey) and direct reports from fishermen. The total length of C. plumbeus juveniles ranged from approximately 800 mm to 1100 mm, and most (n=5) were caught by set gillnets. The data presented here show that juveniles are consistently present around the estuary and indicate the importance of this fragile estuarine ecosystem for sandbar sharks. Additionally, this study also provides morphometric data collected from a single individual.

대학생의 음주동기가 음주문제에 미치는 영향 : 코로나19 위험 인식, 대처방식의 매개효과를 중심으로

Objectives: The purpose of this study is to provide the theoretical background for alcohol intervention for College/University students by analyzing the relevance between drinking motivation, COVID-19 risk perception, coping method and drinking problem under any pandemic situations like COVID-19 pandemic situation. Methods: An output from the Capstone Design Class of the college in Daegu area has been utilized as a secondary source for this study. The data was collected via a Social media survey in a random sampling method from 20th November 2020 to 6th December 2020 during the second semester of the school. 217 people have answered the survey and all the data of 217 respondents have been used in the statistic. Results: The results were as follows. First, the drinking motivation has a direct effect on the COVID-19 risk perception, while it shows both direct and indirect effects on the coping method and the drinking problem. Second, the COVID-19 risk perception has a direct effect on the coping method and drinking problem. Finally, the coping method has not a direct and indirect effect on the drinking problem. Conclusions: COVID-19 risk perception showed mediation effect between drinking motivation and coping method as well as between drinking motivation and drinking problems.