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Article ; Online: Risk assessment for COVID-19 pandemic in Taiwan.

Jian, Shu-Wan / Kao, Chien-Tse / Chang, Yi-Chia / Chen, Pi-Fang / Liu, Ding-Ping

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

2021 Volume 104, Page(s) 746–751

Abstract: ... some insights into Taiwan's experiences and corresponding actions for the outbreak.: Results: The COVID-19 ... regular risk assessments to combat the coronavirus disease 2019 (COVID-19). This article aims to provide ... risk level in Taiwan was raised to "moderate-to-high" in mid-January 2020 when neighboring countries ...

Abstract	Background and objectives: Event-based surveillance and rapid risk assessment for acute public health events are essential in emerging infectious disease control. Since detecting the unusual signal in Wuhan in December 2019, Taiwan has been aligning risk management to policy planning via conducting regular risk assessments to combat the coronavirus disease 2019 (COVID-19). This article aims to provide some insights into Taiwan's experiences and corresponding actions for the outbreak. Results: The COVID-19 risk level in Taiwan was raised to "moderate-to-high" in mid-January 2020 when neighboring countries had reported cases and the human-to-human transmission became obvious. The risk level became "high" on 24 January due to China's escalating epidemic situation and imposed a lockdown in Wuhan. We learned that the commander recognized the importance of risk assessments and considered advice from the experts was crucial in making the correct decision at the early stage of the crisis. Conclusions: Given the surge of COVID-19 cases globally, understanding the evidence-driven mobilizations via detailed risk assessments in Taiwan may be an example worth considering for other countries. We believe that strengthening a global epidemic intelligence network and sharing information in a timely and transparent manner are essential for confronting new challenges of COVID-19 and other emerging infectious diseases.
MeSH term(s)	COVID-19/epidemiology ; COVID-19/transmission ; Humans ; Public Health ; Risk Assessment ; SARS-CoV-2 ; Taiwan/epidemiology
Language	English
Publishing date	2021-01-21
Publishing country	Canada
Document type	Journal Article
ZDB-ID	1331197-9
ISSN	1878-3511 ; 1201-9712
ISSN (online)	1878-3511
ISSN	1201-9712
DOI	10.1016/j.ijid.2021.01.042
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Article ; Online: Association between children's home-schooling and parental psychological distress during the COVID-19 pandemic in Taiwan: Risk and protective factors in a multilevel approach.

Wang, Chin-Wan / Lu, Hsin-Hui / Liang, Jao-Shwann / Chen, Duan-Rung / Chen, Chia-Chun

Pediatrics and neonatology

2023 Volume 64, Issue 6, Page(s) 651–658

Abstract: ... of the COVID-19 pandemic in Taiwan.: Methods: This was a prospective cohort study. In total, 902 parents ... by purposive sampling from 17 cities in Taiwan. Data were collected between 19 July and 30 September 2021 ... policy makers must carefully consider parental mental health while home-schooling during the COVID-19 pandemic ...

Abstract	Background: The role home-schooling of children in parental mental health during the COVID-19 pandemic in Taiwan remains unknown. This study aimed to assess the association between parental psychological distress and home-schooling in a socio-ecological context during the peak of the first wave of the COVID-19 pandemic in Taiwan. Methods: This was a prospective cohort study. In total, 902 parents (father: n = 206, mother: n = 696) who home-schooled children under 18 years of age were recruited by purposive sampling from 17 cities in Taiwan. Data were collected between 19 July and 30 September 2021 through a survey. Multilevel regression models were used to examine the association between parents' psychological distress and home-schooling considering the characteristics at the person and city levels. Results: Parental psychological distress was positively associated with difficulty in setting up electronic devices and increased disputes between parents and children, and it was negatively associated with time management and increased time spent bonding with their children during home-schooling (Ps < 0.05). Parents who had a child with health conditions, lived in an extended family, worked from home, lived during the Level 3 alert level, and lived with a median/sporadic level of the COVID-19 community spread by city also reported greater psychological distress (Ps < 0.05). However, parents who had greater household family support reported less psychological distress (P < .05). Conclusions: Clinicians and policy makers must carefully consider parental mental health while home-schooling during the COVID-19 pandemic in a broader socio-ecological context. A focus is advised on the home-schooling experiences of parents and other risk and protective factors for parental psychological distress at the person and city levels, especially for those with children who require medical interventions and have a medical condition.
MeSH term(s)	Child ; Humans ; Adolescent ; COVID-19/epidemiology ; Taiwan/epidemiology ; Protective Factors ; Pandemics ; Prospective Studies ; Parents/psychology
Language	English
Publishing date	2023-05-24
Publishing country	Singapore
Document type	Journal Article
ZDB-ID	2441816-X
ISSN	2212-1692 ; 1875-9572
ISSN (online)	2212-1692
ISSN	1875-9572
DOI	10.1016/j.pedneo.2023.02.007
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Article ; Online: A study of COVID-19 vaccination in the US and Asia: The role of media, personal experiences, and risk perceptions.

Akel, Kaitlyn B / Noppert, Grace A / Rajamoorthy, Yogambigai / Lu, Yihan / Singh, Awnish / Harapan, Harapan / Chang, Hao-Yuan / Zhang, Felicia / Shih, Shu-Fang / Wagner, Abram L

PLOS global public health

2022 Volume 2, Issue 7, Page(s) e0000734

Abstract: The COVID-19 pandemic presents an opportunity to assess the relationship between personal ... experiences with COVID-19 and COVID-19 vaccination status. We administered 28 repeated cross-sectional, online ... surveys between June 2020 and June 2021 in the US and Asia. The main exposure was media showing COVID-19 ...

Abstract	The COVID-19 pandemic presents an opportunity to assess the relationship between personal experiences and vaccine decision-making. The aim of this study was to examine the associations between experiences with COVID-19 and COVID-19 vaccination status. We administered 28 repeated cross-sectional, online surveys between June 2020 and June 2021 in the US and Asia. The main exposure was media showing COVID-19 cases, and we distinguished those with no such experience, those seeing a not severe case of disease, and those seeing a severe case of disease. Logistic regression models estimated the association between experience and acceptance of a hypothetical COVID-19 vaccine (pre-rollout) or actual vaccination (post-rollout). We explored perceived susceptibility as a potential mediator. Intent to vaccinate was lowest in the US and Taiwan, and highest in India, Indonesia, and China. Across all countries, seeing a severe case of COVID-19 in the media was associated with 1.72 times higher odds of vaccination intent in 2020 (95% CI: 1.46, 2.02) and 2.13 times higher odds of vaccination in 2021 (95% CI: 1.70, 2.67), compared to those not seeing a case or a less severe case. Perceived susceptibility was estimated to mediate 25% of the relationship with hypothetical vaccination (95% CI: 18%, 31%, P<0.0001), and 16% of the relationship with actual vaccination 16% (95% CI: 12%, 19%, P<0.0001). Seriousness of experiences could relate to intention to vaccinate against COVID-19. Media exposures are a modifiable experience, and this study highlights how this experience can relate to risk perceptions and eventual vaccination, across a variety of countries where the course of the pandemic differed.
Language	English
Publishing date	2022-07-13
Publishing country	United States
Document type	Journal Article
ISSN	2767-3375
ISSN (online)	2767-3375
DOI	10.1371/journal.pgph.0000734
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Article: Energy-food nexus scarcity risk and the synergic impact of climate policy: a global production network perspective

Xia, Yan / Yan, Bingqian

Environmental science & policy. 2022 Apr. 18,

2022

Abstract: ... events, such as the COVID-19 pandemic, may threaten energy security or food security in a region ... Taiwan, Mexico and the Netherlands. These results imply that international trade transfers energy/food ... that assess the emission intensity and scarcity risk find that implementation of emission control policies ...

Abstract	Carbon neutrality has been a global consensus to navigate away from catastrophic climate change. In particular, such climate changes also generate inevitable influences on economic securities, such as energy security and food security, through energy structure transformation etc. Energy and food are essential elements for human beings, and they are naturally linked to sustainable development. Usually, emergency events, such as the COVID-19 pandemic, may threaten energy security or food security in a region, the risk of which would be amplified due to the energy-food nexus effect. This is no doubt also a challenge and an opportunity for countries to achieve carbon neutrality. To realize the stable pathways to carbon neutrality, it is important to analyze the energy scarcity risk and food scarcity risk of each industry and country as well as the nexus effect between energy and food. In this paper, we combine multi-regional input-output (MRIO) analysis with network control analysis (NCA) to investigate the dependence degree of each country and region on energy and food resources as well as the risk transmission network of the energy-food scarcity nexus. Base on this, the impact of climate policy on energy-food nexus scarcity risk is analyzed. We found some interesting conclusions. First, regarding the risk transmission network of the energy-food scarcity nexus, China, Germany and the US are the main generators, and the main receptors are Taiwan, Mexico and the Netherlands. These results imply that international trade transfers energy/food scarcity to geographically distant regions via the international supply chain. Second, as for the scarcity risk per unit of output, small economies that rely heavily on imported energy or food (such as Cyprus and Luxemburg) have the highest scarcity risk and are among the top receptors of transmitted risks. We suggest collaborative conservation and management of energy and food resources. Third, the analyses that assess the emission intensity and scarcity risk find that implementation of emission control policies could significantly decrease initial energy scarcity risk and energy-food nexus scarcity risk. This implies that besides emission reduction achievement, climate policies bring co-benefits of energy-food nexus security. Moreover, the co-benefit of energy and food nexus security for low income economies associated with climate policy is much higher than that for high income economies.
Keywords	COVID-19 infection ; Cyprus ; carbon ; climate ; climate change ; emissions factor ; energy ; environmental policy ; environmental science ; food security ; humans ; income ; industry ; international trade ; risk ; supply chain ; sustainable development ; Germany ; Mexico ; Netherlands ; Taiwan
Language	English
Dates of publication	2022-0418
Publishing place	Elsevier Ltd
Document type	Article
Note	Pre-press version
ZDB-ID	1454687-5
ISSN	1462-9011
ISSN	1462-9011
DOI	10.1016/j.envsci.2022.04.008
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Mediating Effects of Risk Perception on Association between Social Support and Coping with COVID-19: An Online Survey.

Li, Dian-Jeng / Ko, Nai-Ying / Chang, Yu-Ping / Yen, Cheng-Fang / Chen, Yi-Lung

International journal of environmental research and public health

2021 Volume 18, Issue 4

Abstract: ... Perceived social support, active coping with COVID-19, risk perception and confidence were evaluated using self ... on the association between perceived social support and active coping with the COVID-19 pandemic among people ... during the COVID-19 pandemic. ...

Abstract	Coronavirus disease 2019 (COVID-19) is a novel infectious disease which has had a great impact on the public. Further investigations are, therefore, needed to investigate how the public copes with COVID-19. This study aimed to develop a model to estimate the mediating effects of risk perception and confidence on the association between perceived social support and active coping with the COVID-19 pandemic among people in Taiwan. The data of 1970 participants recruited from a Facebook advertisement were analyzed. Perceived social support, active coping with COVID-19, risk perception and confidence were evaluated using self-administered questionnaires. Structural equation modeling was used to verify the direct and indirect effects between variables. The mediation model demonstrated that lower perceived social support was significantly associated with a higher level of active coping with COVID-19, and this was mediated by a higher level of risk perception. The present study identified the importance of risk perception on the public's coping strategies during the COVID-19 pandemic.
MeSH term(s)	Adaptation, Psychological ; COVID-19/psychology ; Humans ; Pandemics ; Risk Assessment ; Social Support ; Surveys and Questionnaires ; Taiwan/epidemiology
Language	English
Publishing date	2021-02-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph18041550
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Article: Impact of the COVID-19 Pandemic on the Loading and Quality of an Emergency Department in Taiwan: Enlightenment from a Low-Risk Country in a Public Health Crisis.

Chen, Jamie Yu-Hsuan / Chang, Feng-Yee / Lin, Chin-Sheng / Wang, Chih-Hung / Tsai, Shih-Hung / Lee, Chia-Cheng / Chen, Sy-Jou

Journal of clinical medicine

2021 Volume 10, Issue 6

Abstract: ... with chest pain increased the risk of mortality after the pandemic. In conclusion, the COVID-19 pandemic led ... The impact of the coronavirus disease 2019 (COVID-19) pandemic on health-care quality ... of the COVID-19 pandemic on ED loading, quality of care, and patient prognosis. Data were retrospectively ...

Abstract	The impact of the coronavirus disease 2019 (COVID-19) pandemic on health-care quality in the emergency department (ED) in countries with a low risk is unclear. This study aimed to explore the effects of the COVID-19 pandemic on ED loading, quality of care, and patient prognosis. Data were retrospectively collected from 1 January 2018 to 30 September 2020 at the ED of Tri-service general hospital. Analyses included day-based ED loading, quality of care, and patient prognosis. Data on triage assessment, physiological states, disease history, and results of laboratory tests were collected and analyzed. The number of daily visits significantly decreased after the pandemic, leading to a reduction in the time to examination. Admitted patients benefitted from the pandemic with a reduction of 0.80 h in the length of stay in the ED, faster discharge without death, and reduced re-admission. However, non-admitted visits with chest pain increased the risk of mortality after the pandemic. In conclusion, the COVID-19 pandemic led to a significant reduction in low-acuity ED visits and improved prognoses for hospitalized patients. However, clinicians should be alert about patients with chest pain due to their increased risk of mortality in subsequent admission.
Language	English
Publishing date	2021-03-10
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10061150
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: An Overview of the COVID-19 Pandemic and Risk Assessment, July, 2020

Chen, Pi-Fang / Shih, Han-Chun / Lai, Shu-Kuan / Chen, Chiu-Mei / Chueh, Yu-Neng / Kuo, Hung-Wei / Liu, Ding-Ping

Epidemiology Bulletin

Abstract: ... crew members aboard the Panshi fast combat support ship Currently the COVID-19 cases in Taiwan were ... Therefore, the overall risk of COVID-19 is considered high domestically ... In late 2019, the novel coronavirus 2019 (COVID-19) outbreak was first identified in Wuhan, China ...

Abstract	In late 2019, the novel coronavirus 2019 (COVID-19) outbreak was first identified in Wuhan, China, and subsequently spread worldwide By July 11, 2020, the number of confirmed COVID-19 cases reached 12,881,555 (including 599,146 deaths) in 187 countries/ territories The pandemic has not reach its peak yet The situations of epidemics in the United States, Central and South Americas, and South Asia were still serious Some countries faced re-surging epidemic after lifting restrictions In Taiwan, the first imported case and the indigenous case were reported on January 21, and 28, respectively As of July 12, the cumulative number of confirmed cases was 451, including 360 imported cases, 55 indigenous cases, and another 36 cases of naval crew members aboard the Panshi fast combat support ship Currently the COVID-19 cases in Taiwan were still sporadic imported cases No locally-acquired case was found for more than 8 weeks Based on the current epidemic status, the risks of imported cases are still high The high transmissibility of the virus and the potential of community outbreak remained as a threat to Taiwan's health system and society Therefore, the overall risk of COVID-19 is considered high domestically
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #709892
Database	COVID19

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Article ; Online: Global impact of COVID-19 on non-communicable disease management: descriptive analysis of access to FRAX fracture risk online tool for prevention of osteoporotic fractures.

McCloskey, E V / Harvey, N C / Johansson, H / Lorentzon, M / Vandenput, L / Liu, E / Kanis, J A

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

2020 Volume 32, Issue 1, Page(s) 39–46

Abstract: The COVID-19 pandemic, and its management, is markedly impacting the management of osteoporosis ... assessments, offer a partial solution.: Introduction: The COVID-19 pandemic is having a significant detrimental ... Conclusion: This study documents a marked global impact of the COVID-19 pandemic on the management ...

Abstract	The COVID-19 pandemic, and its management, is markedly impacting the management of osteoporosis as judged by access to online FRAX fracture risk assessments. Globally, access was 58% lower in April than in February 2020. Strategies to improve osteoporosis care, with greater use of fracture risk assessments, offer a partial solution. Introduction: The COVID-19 pandemic is having a significant detrimental impact on the management of chronic diseases including osteoporosis. We have quantified the global impact by examining changes in the usage of online FRAX fracture risk assessments before and after the declaration of the pandemic (11 March 2020). Methods: The study comprised a retrospective analysis using GoogleAnalytics data on daily sessions on the FRAX® website ( www.sheffield.ac.uk/FRAX ) from November 2019 to April 2020 (main analysis period February-April 2020), and the geographical source of that activity. Results: Over February-April 2020, the FRAX website recorded 460,495 sessions from 184 countries, with 210,656 sessions in February alone. In March and April, the number of sessions fell by 23.1% and 58.3% respectively, a pattern not observed over the same period in 2019. There were smaller reductions in Asia than elsewhere, partly related to earlier and less-marked nadirs in some countries (China, Taiwan, Hong Kong, South Korea and Vietnam). In Europe, the majority of countries (24/31, 77.4%) reduced usage by at least 50% in April. Seven countries showed smaller reductions (range - 2.85 to - 44.1%) including Poland, Slovakia, Czech Republic, Germany, Norway, Sweden and Finland. There was no significant relationship between the reduction in FRAX usage and measures of disease burden such as COVID-attributed deaths per million of the population. Conclusion: This study documents a marked global impact of the COVID-19 pandemic on the management of osteoporosis as reflected by FRAX online fracture risk assessments. The analysis suggests that impact may relate to the societal and healthcare measures taken to ameliorate the pandemic.
MeSH term(s)	COVID-19 ; Disease Management ; Global Health ; Humans ; Internet/statistics & numerical data ; Osteoporosis/therapy ; Osteoporotic Fractures/prevention & control ; Pandemics ; Retrospective Studies ; Risk Assessment/methods
Keywords	covid19
Language	English
Publishing date	2020-10-14
Publishing country	England
Document type	Journal Article
ZDB-ID	1064892-6
ISSN	1433-2965 ; 0937-941X
ISSN (online)	1433-2965
ISSN	0937-941X
DOI	10.1007/s00198-020-05542-6
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The spatiotemporal estimation of the dynamic risk and the international transmission of 2019 Novel Coronavirus (COVID-19) outbreak: A global perspective

Lin, Yuan-Chien / Chi, Wan-Ju / Lin, Yu-Ting / Lai, Chun-Yeh

Abstract: ... changes in the number of COVID-19 cases and estimate the future worldwide risk. Based on the connectivity ... each country's vulnerability to and the dynamic risk of COVID-19. Countries' vulnerability to the COVID-19 ... An ongoing novel coronavirus SARS-CoV-2 pneumonia infection outbreak called COVID-19 started ...

Abstract	An ongoing novel coronavirus SARS-CoV-2 pneumonia infection outbreak called COVID-19 started in Wuhan, Hubei Province, China, in December 2019. It both spread rapidly to all provinces in China and started spreading around the world quickly through international human movement from January 2020. Currently, the spatiotemporal epidemic transmission patterns, prediction models, and possible risk analysis for the future are insufficient for COVID-19 but we urgently need relevant information, particularly from the global perspective. We have developed a novel two-stage simulation model to simulate the spatiotemporal changes in the number of COVID-19 cases and estimate the future worldwide risk. Based on the connectivity of countries to China and the country's medical and epidemic prevention capabilities, different scenarios are generated to analyze the possible transmission throughout the world and use this information to evaluate each country's vulnerability to and the dynamic risk of COVID-19. Countries' vulnerability to the COVID-19 outbreak from China is calculated for 63 countries around the world. Taiwan, South Korea, Hong Kong, and Japan are the most vulnerable areas. The relationship between each country's vulnerability and days before the first imported case occurred shows a very high exponential decrease. The cumulative number of cases in each country also has a linear relationship with vulnerability, which can compare and quantify the initial epidemic prevention capabilities to various countries' management strategies. In total, 1,000 simulation results of future cases around the world are generated for the spatiotemporal risk assessment. According to the simulation results of this study, if there is no specific medicine for it, it will likely form a global pandemic. This method can be used as a preliminary risk assessment of the spatiotemporal spread for a new global epidemic. * Note: This study was completed on February 15, 2020.
Keywords	covid19
Publisher	MedRxiv; WHO
Document type	Article ; Online
DOI	10.1101/2020.02.29.20029413
Database	COVID19

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Article ; Online: Changes in Sex Life among People in Taiwan during the COVID-19 Pandemic: The Roles of Risk Perception, General Anxiety, and Demographic Characteristics.

Ko, Nai-Ying / Lu, Wei-Hsin / Chen, Yi-Lung / Li, Dian-Jeng / Chang, Yu-Ping / Wu, Chia-Fen / Wang, Peng-Wei / Yen, Cheng-Fang

International journal of environmental research and public health

2020 Volume 17, Issue 16

Abstract: ... of change in sex life with risk perception of COVID-19, general anxiety, gender, age, and sexual orientation ... in Taiwan to examine changes in sex life during the pandemic and the factors affecting such changes ... This study used data collected from an online survey study on coronavirus disease 2019 (COVID-19 ...

Abstract	This study used data collected from an online survey study on coronavirus disease 2019 (COVID-19) in Taiwan to examine changes in sex life during the pandemic and the factors affecting such changes. In total, 1954 respondents were recruited from a Facebook advertisement. The survey inquired changes in sex life during the pandemic, including satisfaction with the individual's sex life, frequency of sexual activity, frequency of sex-seeking activity, and frequency of using protection for sex. The associations of change in sex life with risk perception of COVID-19, general anxiety, gender, age, and sexual orientation were also examined. For each aspect of their sex life, 1.4%-13.5% of respondents reported a decrease in frequency or satisfaction, and 1.6%-2.9% reported an increase in frequency or satisfaction. Risk perception of COVID-19 was significantly and negatively associated with frequencies of sexual and sex-seeking activities. Higher general anxiety was significantly and negatively associated with satisfaction of sex life and frequencies of sexual and sex-seeking activities. Sexual minority respondents were more likely to report decreased satisfaction with sex life and frequencies of sexual activity and sex-seeking activities during COVID-19. Health care providers should consider these factors when developing strategies for sexual wellness amid respiratory infection epidemics.
MeSH term(s)	Adult ; Age Factors ; Aged ; Anxiety/epidemiology ; Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/epidemiology ; Risk Assessment ; SARS-CoV-2 ; Sex Factors ; Sexual Behavior/psychology ; Sexual and Gender Minorities/psychology ; Socioeconomic Factors ; Surveys and Questionnaires ; Taiwan/epidemiology ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-08-11
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph17165822
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