Eman Swaidan

Global vaccine hesitancy, intensified by crises such as the COVID-19 pandemic, represents a significant threat to immunization coverage. This narrative review discusses immunization safety monitoring frameworks and vaccine hesitancy in crisis-affected regions, particularly in Lebanon, Ukraine, and Sudan. By examining and reflecting on these case studies, this review aims to examine challenges, highlight context-specific strategies, and propose solutions for enhancing vaccine uptake and trust in fragile and conflict-affected areas. A structured narrative review was conducted, collecting evidence from global frameworks and region-specific case studies. The review explored factors impacting vaccine hesitancy, the role of adverse events following immunization (AEFI) monitoring systems, and innovative technological interventions. Key sources included peer-reviewed articles, reports from humanitarian organizations, and systematic reviews. The review showed that vaccine hesitancy is affected by interconnected factors, including sociopolitical and cultural conflicts, and misinformation. Lebanon’s persistent economic and political instability, Ukraine’s disruptions caused by the ongoing war, and Sudan’s fragile healthcare infrastructure pose challenges to vaccine coverage. Successful interventions to address hesitancy included transparency in AEFI reporting, integration of real-time monitoring systems, and community-led initiatives. It is critical to mitigate vaccine hesitancy in crisis-affected regions through robust safety monitoring frameworks and tailored communication strategies. Global cooperation and frameworks, technological innovations, and context-specific approaches are imperative for improving the resilience of immunization systems and ensuring health security in fragile settings. Furthermore, these insights are crucial in informing public health communication policies and behavior change interventions to improve public trust and thus reduce vaccine hesitancy.

The Impostor Phenomenon (IP) is a widespread psychological phenomenon impacting the personal and professional experiences of individuals. This study aims to examine the impact of the IP on employee well-being, performance, and job satisfaction within Higher Education Institutions (HEIs) in Lebanon. Moreover, this study explores if these effects vary depending on individuals’ personality types, such as introverted or extroverted, and if perceived organizational support (POS) plays a moderating role in these relationships. The research employed a mono-method quantitative approach to collect data from a sample of 155 faculty and staff employees using an online structured survey. Data were statistically analyzed using SPSS software. The findings obtained indicate that higher impostorism levels were linked to lower employee well-being, job satisfaction, and self-assessed job performance. Introverts showed a negative association between impostorism and well-being, while extroverts had significant negative associations with both job satisfaction and performance. POS only moderately influenced the association between impostorism and job satisfaction. The significance of the IP’s impacts on employee outcomes among different personality types is emphasized in this study. Furthermore, the moderating role played by POS highlighted the importance of organizational efforts in addressing employees’ experiences. This study provided insights to Human Resources (HR) professionals in Lebanon’s Higher Education Institutions to develop targeted interventions addressing IP experiences and personality types and promoting mental wellness and better job satisfaction and performance, and thus better organizational outcomes.

Background: The financial crisis has indirectly affected Lebanese university students, leading to economic distress. Accordingly, this study aimed to assess the substantial negative impact of financial stress on the mental health and well-being of Lebanese college students. Methods: A quantitative research approach was applied and took place from June 13th to July 25th, 2023, targeting 1272 university students aged 17 and above from private and public universities across Lebanon through convenience sampling. The InCharge Financial Distress/Financial Well-Being scale (IFDFW), Pittsburgh Sleep Quality Index (PSQI), Beirut Distress Scale (BDS-10), Perceived Stress Scale (PSS-10), and Well-Being Index (WHO-5) were used to assess the students’ well-being. Descriptive analyses of the data was performed using SPSS software version 25. Results: 1272 university students participated in this study, mostly females, with a mean age of 21.64 (± 4.43) years. Participants reported a lack of financial independence, unemployment, and no income. Positive associations were obtained between the BDS total scale as well as the PSS total and PSQI scores, while there was a significant negative relationship between IFDFW and PSQI scores. Those with a higher GPA, majoring in science/health and medicine, living in rural areas, and graduate students were linked to lower PSQI and BDS-10 scores. Financial aid and financial independence were associated with lower PSQI and BDS-10 scores. PSS-10 scores were higher among students majoring in science/health and medicine. Higher scores on the IFDFW scale correlated with lower BDS-10 and PSS-10 scores. In contrast, females had higher BDS-10 and PSS-10 scores. Scoring higher on the PSS-10 and PSQI scales, living off campus, or majoring in science/health and medicine, were associated with higher on the WHO-5 scale. Conclusions: A significant impact of financial stress on college students in Lebanon was obtained, affecting their well-being and mental health aspects. Marital status, gender, academic major, region of living, and financial independence also influences students’ experiences. Tailored support and further research are needed to address these multifaceted challenges.

Background Diabetes is a major health and economic concern on a global scale. This study focuses on Type 2 Diabetes Mellitus (T2DM) and its association with self-care practices and emotional distress. T2DM is recognized as a priority noncommunicable disease, associated with increased premature death rates. Methodology: The study used a quantitative research methodology, collecting data through an online survey disseminated via social media with a total of 426 participants diagnosed with T2D to investigate the impact of self-care and distress on diabetic patients in Lebanon during a period of multiple crises. The study analyzed the participants' sociodemographic characteristics, diabetes distress, self-care activities, and physical activity levels. Results The results show insufficient self-care practices in different areas, with emotional distress and lack of physician support negatively impacting self-care. There was a positive association between physical activity and self-care practices. Education and family history of diabetes also influenced self-care. Conclusion Given the economic and healthcare challenges in Lebanon, the study highlights the need for tailored interventions to address diabetes distress and encourage self-care activities. Telemedicine, behavioral strategies, and psychosocial interventions are recommended to enhance diabetes management. In summary, this research offers valuable insights into the challenges faced by diabetic patients in times of multiple crises, highlighting the importance of comprehensive support mechanisms and interventions.

Background: The outbreak of coronavirus in 2020 prompted schools to shift their classes from a physical learning environment to an online one to implement measures of social distancing to limit the spread of the pandemic. This disruption negatively influenced the social interaction of children and their well-being. In Lebanon, the situation was further exacerbated due to the severe economic crisis that had and still has obvious negative effects on the well-being of children. This study aims to investigate the impact of the coronavirus pandemic and the economic crisis on the mental health of Lebanese children aged 5 to 14 years old and to assess their well-being in a post-pandemic world. Method: A quantitative research design was adopted, and the validated Strengths and Difficulties Questionnaire (SDQ) was used to collect data. 966 responses were collected, among which 627 parental reports and 339 teacher reports. Descriptive analysis was conducted for categorical variables and continuous measures. Means were compared using the independent-sample t-test and the analysis of variance (ANOVA) test. Pearson correlation test was used to evaluate the association between continuous variables. And a multivariate analysis of covariance (MANCOVA) was conducted to compare the total SDQ difficulties score and sub-scores between the teacher and parents. Results: 34% of the study population are categorized as abnormal and 14.9% as borderline according to the SDQ score, and an expansion of mental health problems among these children is indicated. The study reveals that the most common mental health problems identified among these children are respectively conduct problems, peer, emotional, and hyperactivity problems, and prosocial problems. The main factors impacting the high rates of mental health problems among Lebanese children are gender, parental control, lack of discipline, poor-quality education background, parenting problems, low family income, physical defects among children, and the political situation of the country. Conclusion: This study highlights the necessity of promoting mental health awareness among parents and teachers and adopting intervention and prevention measures to help children in Lebanon deal with mental health challenges caused by the pandemic and the ongoing economic crisis.

The Mediterranean diet (MedDiet) has been associated with many health benefits. Poor adherence to MedDiet has been found among Lebanese adults, while in Syria, little is known about the adherence to MedDiet. A quantitative research approach was used, and data were collected through convenience sampling. The structure of the survey included the socio-economic and demographic data and the validated 14-point MedDiet assessment tool. The target population included 367 Lebanese and Syrian adults respectively residing in Lebanon and Syria. Descriptive statistics were used to explore the characteristics of the sample population. Adequate adherence MedDiet was determined if the Med-Diet score ≥ 9. Significant differences among the variables and the adherence to the MedDiet were examined using the chi-square test. Approximately 47.42% of participants reported adherence to MedDiet higher than 9, with a mean of 7.98. Lebanese participants, men, and those who are aged between 64 and 67, had higher adherence than Syrian participants, women, and other age groups, respectively. Lebanese participants (7.82 ± 2.32) had slightly higher adherence than Syrian participants (7.31 ± 2.04). Wine, sofrito, vegetables, and olive oil were mostly consumed by participants, with differences in consumption between the Lebanese and Syrian adults. The statistical analysis performed using the chi-square test showed no statistical difference (P>.05) between Lebanese and Syrian participants regarding their consumption of 160 red meat, butter/margarine, and sugary drinks. Future studies in the aged population are required to explore furthermore the adherence to MedDiet in Lebanon and Syria and its impact on health.