Can the world become a place where the planet and all people flourish after the pandemic?

Baum, Fran; Paremoer, Lauren; Flavel, Joanne; Musolino, Connie; Labonté, Ronald

doi:10.1136/bmj-2021-067872

Cited by 5 publications

(3 citation statements)

References 18 publications

(29 reference statements)

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“…From a global health perspective, the risk factors identified for low resilience in this study, such as advanced age, female gender, poor financial situation, and the presence of chronic conditions, and the consequences of low resilience levels that spans from food consumption to social engagement were known to be related to globalization-related economic and social inequalities [ 47 ]. The increasing gaps in social protection alongside the widening of inequalities across different socio-economic strata within and between countries have been revealed and exacerbated by the COVID-19 pandemic [ 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Resilience level and its association with maladaptive coping behaviours in the COVID-19 pandemic: a global survey of the general populations

et al. 2023

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Background The coronavirus disease 2019 (COVID-19) pandemic has induced a significant global concern on mental health. However few studies have measured the ability of individuals to “withstand setbacks, adapt positively, and bounce back from adversity” on a global scale. We aimed to examine the level of resilience, its determinants, and its association with maladaptive coping behaviours during the pandemic. Methods The Association of Pacific Rim Universities (APRU) conducted a global survey involving 26 countries by online, self-administered questionnaire (October 2020-December 2021). It was piloted-tested and validated by an expert panel of epidemiologists and primary care professionals. We collected data on socio-demographics, socioeconomic status, clinical information, lifestyle habits, and resilience levels measured by the Brief Resilience Scale (BRS) among adults aged ≥ 18 years. We examined factors associated with low resilience level, and evaluated whether low resilience was correlated with engagement of maladaptive coping behaviours. Results From 1,762 surveys, the prevalence of low resilience level (BRS score 1.00–2.99) was 36.4% (America/Europe) and 24.1% (Asia Pacific). Young age (18–29 years; adjusted odds ratio [aOR] = 0.31–0.58 in older age groups), female gender (aOR = 1.72, 95% C.I. = 1.34–2.20), poorer financial situation in the past 6 months (aOR = 2.32, 95% C.I. = 1.62–3.34), the presence of one (aOR = 1.56, 95% C.I. = 1.19–2.04) and more than two (aOR = 2.32, 95% C.I. = 1.59–3.39) medical conditions were associated with low resilience level. Individuals with low resilience were significantly more likely to consume substantially more alcohol than usual (aOR = 3.84, 95% C.I. = 1.62–9.08), take considerably more drugs (aOR = 12.1, 95% C.I. = 2.72–54.3), buy supplements believed to be good for treating COVID-19 (aOR = 3.34, 95% C.I. = 1.56–7.16), exercise less than before the pandemic (aOR = 1.76, 95% C.I. = 1.09–2.85), consume more unhealthy food than before the pandemic (aOR = 2.84, 95% C.I. = 1.72–4.67), self-isolate to stay away from others to avoid infection (aOR = 1.83, 95% C.I. = 1.09–3.08), have an excessive urge to disinfect hands for avoidance of disease (aOR = 3.08, 95% C.I. = 1.90–4.99) and transmission (aOR = 2.54, 95% C.I. = 1.57–4.10). Conclusions We found an association between low resilience and maladaptive coping behaviours in the COVID-19 pandemic. The risk factors identified for low resilience in this study were also conditions known to be related to globalization-related economic and social inequalities. Our findings could inform design of population-based, resilience-enhancing intervention programmes.

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Section: Discussionmentioning

confidence: 99%

Resilience level and its association with maladaptive coping behaviours in the COVID-19 pandemic: a global survey of the general populations

et al. 2023

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“…Following the pandemic, it is clear that social determinants of health have worsened for many, threatening to stall progress against the spread and impact of the virus, particularly in settings where public health and social measures have not been adequate (Paremoer et al, 2021;WHO, 2021c). Achievement of the SDGs has also been threatened by the pandemic (Baum et al, 2022).…”

Section: The Social Determinants Of Health At the Centre Of Today's H...mentioning

confidence: 99%

Planetary health benefits from strengthening health workforce education on the social determinants of health

Valentine

Ajuebor

Fisher

et al. 2022

Health Promotion International

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Social inequalities are perpetuating unhealthy living and working conditions and behaviours. These causes are commonly called ‘the social determinants of health’. Social inequalities are also impacting climate change and vice-versa, which, is causing profound negative impacts on planetary health. Achieving greater sustainability for human and planetary health demands that the health sector assumes a greater leadership role in addressing social inequalities. This requires equipping health and social care workers to better understand how the social determinants of health impact patients and communities. Integration of the social determinants of health into education and training will prepare the workforce to adjust clinical practice, define appropriate public health programmes and leverage cross-sector policies and mechanisms being put in place to address climate change. Educators should guide health and social workforce learners using competency-based approaches to explore critical pathways of social determinants of health, and what measurements and interventions may apply according to the structural and intermediary determinants of health and health equity. Key institutional and instructional reforms by decision-makers are also needed to ensure that the progressive integration and strengthening of education and training on the social determinants of health is delivered equitably, including by ensuring the leadership and participation of marginalized and minority groups. Training on the social determinants of health should apply broadly to three categories of health and social workforce learners, namely, those acting on global or national policies; those working in districts and communities; and those providing clinical services to individual families and patients.

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“…A starting point would be a global and national focus on policy reform, particularly economic, to help achieve the internationally agreed sustainable development goals (doi:10.1136/bmj-2021-067872). 18…”

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confidence: 99%

Choices that fail health and wellbeing

Abbasi¹

2022

BMJ

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Can the world become a place where the planet and all people flourish after the pandemic?

Abstract: Covid-19 has impeded achievement of the sustainable development goals and a radical rethink of the global economy is required to meet them argue Fran Baum and colleagues

Cited by 5 publications

References 18 publications

Resilience level and its association with maladaptive coping behaviours in the COVID-19 pandemic: a global survey of the general populations

Resilience level and its association with maladaptive coping behaviours in the COVID-19 pandemic: a global survey of the general populations

Planetary health benefits from strengthening health workforce education on the social determinants of health

Choices that fail health and wellbeing

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