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Full-Text Articles in Entire DC Network
The Effect Of The Covid-19 Pandemic On How Social Media Use Influences Eating Disorders And Exercise Motivation, Abhilasha Kumar
The Effect Of The Covid-19 Pandemic On How Social Media Use Influences Eating Disorders And Exercise Motivation, Abhilasha Kumar
UNF Graduate Theses and Dissertations
The COVID-19 pandemic has drastically impacted the life of every individual. Stay-at-home orders imposed to control the spread of the virus have only led to an increase in social media use to stay connected with others. College students were particularly affected by the measures put in place to control the spread of COVID-19 due to geographical, social, and economic changes (Aristovnik et al., 2020). The stress caused by these changes can increase eating disorder symptoms (Lacey et al., 1986) and exercise behaviors (Kim & McKenzie, 2014). The aim of the study is to observe the impact of the COVID-19 pandemic …
Exploring The Special Education Classroom Context And Experiences Before And During Covid-19, Claire E. Smith
Exploring The Special Education Classroom Context And Experiences Before And During Covid-19, Claire E. Smith
Masters Theses
During the last two and half years, school districts and special education programs have experienced a situation that turned the world of education upside down: the COVID-19 pandemic. Due to the pandemic, teachers, administration, families, and students had to maneuver a new way of education and achieving student success with different learning modalities, such as remote learning. This thesis focuses on a functional life skills classroom and how the context of the classroom changed after the start of the COVID-19 pandemic using autoethnographic methods. This paper was written to display how students in special education and their teachers adapted to …
Coping With Adverse Childhood Experiences During The Covid-19 Pandemic: Perceptions Of Mental Health Service Providers, Sumaita Choudhury, Paul G Yeh, Christine M Markham
Coping With Adverse Childhood Experiences During The Covid-19 Pandemic: Perceptions Of Mental Health Service Providers, Sumaita Choudhury, Paul G Yeh, Christine M Markham
Faculty, Staff and Student Publications
BACKGROUND: Adverse Childhood Experiences (ACEs) have been associated with long-term physical and mental health conditions, toxic stress levels, developing unstable interpersonal relationships, and substance use disorders due to unresolved childhood adversities.
AIMS: This study assessed the perspectives of mental health providers (MHPs) regarding their adult patients' coping with ACEs during COVID-19 in Houston, Texas. Specifically, we explored how individuals with ACEs are coping with the increased stresses of the pandemic, how MHPs may provide therapeutic support for individuals with ACEs during this pandemic, pandemic-related challenges of accessing and utilizing mental health services for individuals with ACEs, and the awareness and …
Determinants Of Social Distancing Adherence, Philip Gerretsen, Julia Kim, Eric E Brown, Lena C Quilty, Samantha Wells, Fernando Caravaggio, Jianmeng Song, Marcos Sanches, Branka Agic, Bruce G Pollock, Ariel Graff-Guerrero
Determinants Of Social Distancing Adherence, Philip Gerretsen, Julia Kim, Eric E Brown, Lena C Quilty, Samantha Wells, Fernando Caravaggio, Jianmeng Song, Marcos Sanches, Branka Agic, Bruce G Pollock, Ariel Graff-Guerrero
Faculty, Staff and Student Publications
Introduction: Governments and public health authorities across many jurisdictions implemented social (physical) distancing measures to contain the spread of the 2019 novel coronavirus disease (COVID-19). Adherence to these measures is variable and likely influenced by various factors. This study aimed to 1) identify the individual sociodemographic, COVID-19 and social distancing related, and psychological determinants of social distancing adherence, and 2) explore regional differences in social distancing adherence in the United States (U.S.) and English-speaking Canada based on each region's discrepant response to social distancing restrictions.
Methods: A web-based repeated cross-sectional survey was conducted in 4,942 English-speaking participants from the four …
The Chemistry Laboratory Experience Of El Camino Students While In Emergency Remote Teaching Due To The Covid-19 Pandemic, Shaun A. Cook
The Chemistry Laboratory Experience Of El Camino Students While In Emergency Remote Teaching Due To The Covid-19 Pandemic, Shaun A. Cook
Theses and Dissertations
Future college environments, including those in chemistry, will entail flexible formats. The pandemic spurred appreciation of the need, and though it has largely passed, adaptability to multiple formats in the future has been a critical part of planning for a rapidly changing future. Experiences during the pandemic will guide pedagogical changes and practices in the future. At El Camino College in Southern California, the chemistry department provided varied laboratory instruction to students during Emergency Remote Teaching. Understanding the experience students had during this extraordinary time is essential. Students who took courses that had an online laboratory course completed a mixed-methods …
Essential But Ignored: Covid-19 Litigation And The Meatpacking Industry, Alexia Brunet Marks
Essential But Ignored: Covid-19 Litigation And The Meatpacking Industry, Alexia Brunet Marks
Publications
The spread of the novel coronavirus SARS-CoV-2 (COVID-19) among meatpacking employees forced closures and slowdowns at many plants across the United States. As the meatpacking giants JBS, Smithfield, and Tyson became hotbeds for COVID-19, national meat production plummeted. To forestall further supply chain disruptions, former President Trump passed an Executive Order compelling plants to continue operating as “essential businesses.” As work continued, employees reported that social distancing and mask-wearing were not being enforced, managers were pressuring sick employees to work and not revealing co-worker’s infections, and an overall lack of Personal Protective Equipment (PPE) or training to reduce the risk …
Modeling And Visualization Of Long-Term Public Opinion On Covid-19 Vaccine, Ashiqur Rahman
Modeling And Visualization Of Long-Term Public Opinion On Covid-19 Vaccine, Ashiqur Rahman
Graduate Research Theses & Dissertations
The coronavirus pandemic created significant dependence on social media. While the social web was crucial in spreading timely information and informing the public, misinformation has also spread with little to no oversight. Several works have focused on identifying misinformation and topic analysis in COVID-19 (SARS-COV-2) tweets. While most of the previous studies focus on a shorter time frame, we analyzed a larger dataset starting from the beginning of the pandemic until the end of December 2021. Our work focuses on a novel area that identifies the motivating and demotivating topics of COVID-19 vaccination and analyzes these topics based on time, …
Quarantine And Isolation Experiences Of College Students: A Narrative, Brooke Gibson
Quarantine And Isolation Experiences Of College Students: A Narrative, Brooke Gibson
Masters Theses
The COVID-19 pandemic was an unanticipated phenomenon, with a lack of information surrounding quarantine and isolation experiences in college students and how this impacts their sense of belonging. This qualitative narrative study utilized semi-structured interviews to understand the participants’ experience of isolation at a rural mid-sized university in the Midwest. The research shared the students experiences and showed that participants lacked some sense of belonging whether it was with friends, family, or their institution.
Incidence Rate Of Psychiatric Disorders In 2020: The Pivotal Role Played By Sars-Cov-2 Infection, Antonio L Teixeira, Regina M Hansen, Joseph S Wozny, Caroline M Schaefer, Rodrigo Machado-Vieira, Lokesh Shahani, Scott D Lane, Jair C Soares, Trudy M Krause
Incidence Rate Of Psychiatric Disorders In 2020: The Pivotal Role Played By Sars-Cov-2 Infection, Antonio L Teixeira, Regina M Hansen, Joseph S Wozny, Caroline M Schaefer, Rodrigo Machado-Vieira, Lokesh Shahani, Scott D Lane, Jair C Soares, Trudy M Krause
Faculty, Staff and Student Publications
IMPORTANCE: The Coronavirus Disease (COVID-19) pandemic has significantly impacted mental health outcomes. While the frequency of anxiety and depressive symptoms has increased in the whole population, the relationship between COVID-19 and new psychiatric diagnoses remains unclear.
OBJECTIVE: to compare the population incidence rate of emergence of de novo psychiatric disorders in 2020 compared to the previous years, and to compare the incidence rate of new psychiatric disorder diagnoses between people with vs without COVID-19.
DESIGN, SETTING, AND PARTICIPANTS: This study utilized administrative claims data from the Clinformatics® Data Mart database, licensed from Optum®. The study is a cross-sectional analysis that …
Knowledge, Attitude And Practice Related To Covid-19 Among People- A Descriptive Survey, Pramilaa R
Knowledge, Attitude And Practice Related To Covid-19 Among People- A Descriptive Survey, Pramilaa R
Manipal Journal of Nursing and Health Sciences
Introduction: Corona virus can be deemed as one of the rapidly spreading viral infections. More than 200 countries in less than four months were infected. Findings of a study proved that insight of people in the community is remarkable to render care during pandemics. Characteristics that influence the people to adhere with sound healthy practices and desirable behaviors can be acquired by examining the level of awareness related to COVID-19 among people. Objectives: The objectives of the study were to assess knowledge, attitude and practice related to COVID-19 among people; correlate the knowledge, attitude and practice scores related to COVID-19 …
Responding To Parents’ Well-Being Needs Throughout The Covid-19 Pandemic – A Critical Reflection On The Experiences Of Vulnerable Parents And Frontline Service Providers, Lauren Maguire, Niamh Mccarthy, Hannah Stynes, Grainne Hickey, Siobhan Greene
Responding To Parents’ Well-Being Needs Throughout The Covid-19 Pandemic – A Critical Reflection On The Experiences Of Vulnerable Parents And Frontline Service Providers, Lauren Maguire, Niamh Mccarthy, Hannah Stynes, Grainne Hickey, Siobhan Greene
Irish Journal of Applied Social Studies
In March 2020, a range of public health measures were introduced to curb the spread of COVID-19 in Ireland, including the closure of non-essential services and schools, and restricting the movements and social interactions of the majority of the population. The social and economic upheaval caused by these measures led to increased stress, strain and worry for parents, significantly heightening the risk for detrimental effects on well-being. Barnardos, Irelands leading children’s charity, responded quickly to the crisis by adapting its existing therapeutic services and creating a range of new services to support the needs of parents and families. This paper …
Between Activism And Academia: Zine-Making As A Feminist Response To Covid-19, Emily M. Gray, Joanna Pollitt, Mindy Blaise
Between Activism And Academia: Zine-Making As A Feminist Response To Covid-19, Emily M. Gray, Joanna Pollitt, Mindy Blaise
Research outputs 2014 to 2021
This paper gives an account of a series of three Zoom zine-making workshops run between March and July 2020 that were themed the political, the personal and the practical. A micro-reading of the zines is offered as data that mirror the aims of the workshops, to queer time by slowing down and creating a pause. The process of zine-making as feminist praxis is examined, and the zines themselves are discussed as data that reflect specific moments in time during the early phases of the pandemic. By inviting everyday feminist academic workers, from PhD candidates to professors to participate in a …
The Impact Of The Covid-19 Pandemic On College Students With Disabilities Or Pre-Existing Conditions: A Qualitative Dissertation, Caro Celestine Holmes Wolfner
The Impact Of The Covid-19 Pandemic On College Students With Disabilities Or Pre-Existing Conditions: A Qualitative Dissertation, Caro Celestine Holmes Wolfner
All ETDs from UAB
The COVID-19 pandemic continues to have a global and multifaceted impact on public health. The onset of the pandemic has resulted in widespread campus closures and transitions from in-person classes to online learning, further exacerbating the mental health crisis brought about by the pandemic. The effects of federal and state regulations have influenced the psychological well-being and mental health of many, more notably for college students with disabilities or pre-existing conditions. However, COVID-19 research on college students with disabilities or pre-existing conditions is limited and mostly international, thus it is of great importance to address these limitations. This phenomenological study …
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Walden Dissertations and Doctoral Studies
Haiti has a history of natural disasters that have played a part in the country’s weak infrastructure, poor quality health care, and short life expectancy. The purpose of this qualitative case study was to understand the experiences of health care professionals providing prenatal, perinatal, and postpartum health care services before and during the COVID-19 pandemic in Haiti to gain an understanding of the gaps in disaster response in reproductive health care. The theoretical bases for this study were community resilience theory and reproductive justice theory. Data were collected from interviews with 10 health care professionals working in Haiti providing reproductive …
Relationship Between Nursing Staffing Hours (Rns & Lpns) And Covid-19 Mortality In Indiana Nursing Homes, Chirag Chandrakant Patel
Relationship Between Nursing Staffing Hours (Rns & Lpns) And Covid-19 Mortality In Indiana Nursing Homes, Chirag Chandrakant Patel
Walden Dissertations and Doctoral Studies
During the COVID-19 pandemic, many nursing homes struggled to meet the needed staffing levels, compromising service delivery in health institutions across the United States. The disproportionate effect of COVID-19 on various health care institutions and staff-patient ratios rejuvenated discussions on the longstanding workforce challenges on quality care and outcomes. The purpose of this quantitative study was to evaluate the relationship between registered nurse (RN) staffing hours and COVID-19 deaths in Indiana private and public nursing home residents based on the data obtained in the Care Compare database and Indiana Department of health COVID-19 portals. The independent study variables were RN …
Factors Influencing Burnout Rates Among Mental Health Professionals, Vanessa Ann Smith
Factors Influencing Burnout Rates Among Mental Health Professionals, Vanessa Ann Smith
Walden Dissertations and Doctoral Studies
AbstractThe responsibility of mental health providers to care for the sick and their families throughout the COVID-19 pandemic placed mental health providers at a considerably higher risk for burnout than the general population. Despite the increasing burnout rates among mental health providers during the pandemic, no scholars have yet examined how the COVID-19 pandemic affected burnout among mental health providers. Therefore, the purpose of this quantitative, correlational survey study was to examine the factors that contributed to burnout among psychologists during the COVID-19 pandemic in the United States. Maslach’s theory of burnout was used as the theoretical framework to explore …
Telecommuting Adaptation Of A Nonprofit Organization Due To The Covid-19 Pandemic, Walter Lynn Washington
Telecommuting Adaptation Of A Nonprofit Organization Due To The Covid-19 Pandemic, Walter Lynn Washington
Walden Dissertations and Doctoral Studies
AbstractIn response to the COVID-19 pandemic, which has disrupted lives around the globe, organizations have transitioned to telecommuting. Further research is required to address gaps in the literature regarding the perspectives of employees and organization leaders of these telecommuting policies. This study examined how leaders and employees of a nonprofit organization in southeast Florida perceived implementation of and adaptation to telecommuting policies in response to COVID-19. The study specifically assessed behavioral and utilitarian variables associated with social exchange theory, such as individual engagement and social settings and effects in the workplace, which related to social distancing and telecommuting policies. The …
Lived Experiences Of Support Among Parents Of Children With Acute Lymphoblastic Leukemia During The Covid-19 Pandemic, Laxmi Seth
Walden Dissertations and Doctoral Studies
AbstractReceiving a cancer diagnosis for one’s child is a traumatic experience for any parent. Acute lymphoblastic leukemia (ALL) is the most prevalent form of leukemia in children. Treatment-related issues can negatively affect quality of life and cause long-term emotional, social, and financial stress for the parents. The world faced the COVID-19 pandemic in 2020. While professional support was available for the parents caring for their children undergoing ALL treatment during the pandemic, how these parents experienced support, including through social media, was unknown. Investigating parents’ lived experiences of support, including social media support, during COVID-19 pandemic, was the focus of …
The Lived Experience Of Expectant Mothers During The Covid-19 Pandemic, Bridgette Schulman
The Lived Experience Of Expectant Mothers During The Covid-19 Pandemic, Bridgette Schulman
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has resulted in many changes to obstetric care practices. While the changes aimed to decrease transmission and protect mothers and infants, the study revealed unintended consequences of the changes put in place during COVID-19. Currently, there is a gap in knowledge and understanding of how the changes in obstetric care practices affect women’s perceptions of the birth experience. The purpose of the study was to explore the lived experience of mothers who gave birth in the health care setting during the COVID-19 pandemic through the eyes of those who experienced it. The research question was: What is …
Effect Of Covid-19 On Comprehensive Predictor Exam Scores And Nursing Program Scores And First Generation College Students, Heather Marie Austin
Effect Of Covid-19 On Comprehensive Predictor Exam Scores And Nursing Program Scores And First Generation College Students, Heather Marie Austin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic forced nursing education programs to change traditional face-to-face teaching to virtual education and simulated experiences. Therefore, research is needed to determine how this change affected nursing students’ academic performance and their performance on standardized exams. The purpose of this three-part study, guided by Knowles’s adult learning theory, was to determine if there was a difference in Associate of Science in Nursing (ASN) students’ performance on: (a) Assessment Technology Institute (ATI) Comprehensive Predictor (CP) scores, (b) end of program scores, and for (c) CP scores for first generation students before the COVID-19 pandemic compared with nursing students’ scores …
Human Service Professionals’ Perceived Ability To Support Title I Schools During The Covid-19 Pandemic, Michael Dewayne Brown
Human Service Professionals’ Perceived Ability To Support Title I Schools During The Covid-19 Pandemic, Michael Dewayne Brown
Walden Dissertations and Doctoral Studies
Human service professional practitioners (HSPPs) who work in Title I schools help students overcome challenges including absenteeism and behavioral problems and serve as liaisons between the school, family, and student. The pivot to online education during the COVID-19 school shutdowns meant that HSPP services also pivoted. The purpose of this generic qualitative study was to understand how HSPPs perceived their ability to serve Title I students during the pandemic through the lens of Bandura’s self-efficacy theory. Semistructured interviews were conducted with 15 HSPPs who delivered services to Title I students before and during the pandemic. Participants reported their service delivery …
Nutrition And Physical Exercise Prevention Strategies To Reduce Obesity During The Covid-19 Pandemic, Carmesha Vajill Carter
Nutrition And Physical Exercise Prevention Strategies To Reduce Obesity During The Covid-19 Pandemic, Carmesha Vajill Carter
Walden Dissertations and Doctoral Studies
Obesity has reached an epidemic level of 75 million obese adults and 15 million obese children in the United States. The research problem addressed in this study is the lack of information on how obese people manage their weight-loss strategies to prevent or reduce obesity during shut-in place restrictions for the COVID-19 Pandemic. This study included the Prochaska and DiClemente Trans-Theoretical Model of Behavioral Change and the Stage of Change Theory. The phenomenon approach using phenomenology described participants' lived experiences of being obese. The researcher completed data collection and evaluation among sixteen participants using email questionnaires to analyze participant's responses …
Student Perspectives On Mandatory Conversion To Online Classes: A Qualitative Study, Anita Whiting, Joie S. Hain
Student Perspectives On Mandatory Conversion To Online Classes: A Qualitative Study, Anita Whiting, Joie S. Hain
Atlantic Marketing Journal
This qualitative research study investigates students’ perspectives on the mandatory conversion to online classes due to COVID-19. In particular, this study explores (1) students’ struggles with conversion of class to online, (2) students’ likes of converted online class, (3) students’ dislikes of converted online class, 4) students’ happiness toward converted online classes, and (5) students’ recommendations on ways to improve online classes. The study was conducted at three universities in the southeastern region of the United States. The major findings of the study are (1) almost 80 percent of students reported struggles when class was converted to online, (2) 88 …
Experiences Of Queer Women And Nonbinary Individuals With Mental Health Care Services During The Covid-19 Pandemic, Elizabeth Claire Simpson
Experiences Of Queer Women And Nonbinary Individuals With Mental Health Care Services During The Covid-19 Pandemic, Elizabeth Claire Simpson
Antioch University Dissertations & Theses
Background: The COVID-19 pandemic has had a negative effect on mental health. Queer women and nonbinary individuals disproportionately experience mental health issues when compared to heterosexuals, often facing challenges in receiving care from providers who are sensitive to their concerns and competent in their care. Objective: To report experience of queer women and nonbinary individuals in the United States with mental health care services before and during the pandemic. Methods: Data were gathered via a 43-item survey about experiences with mental health care services before and during the pandemic that was posted on four social media sites, and flyers hung …
Viruses, Vaccines, And The Erotics Of Risk In Latinx Hiv Stories And Covid-19, Dr. Suzanne Bost
Viruses, Vaccines, And The Erotics Of Risk In Latinx Hiv Stories And Covid-19, Dr. Suzanne Bost
English: Faculty Publications and Other Works
In 2019, I published Shared Selves: Latinx Memoir and Ethical Alternatives to Humanism (University of Illinois Press), in which I discuss contagion as a metaphor for embracing our shared materiality with others. Six months later, during the Covid-19 pandemic, neighbors were crossing streets to avoid each other. Social distancing is, counterintuitively, asking us to view separation and seclusion as forms of solidarity. But how can we be solid if we are oriented against each other? Isolation itself has become contagious: sharing repulsion and rejection, measuring six feet of “social” distance from others. These spaces are made up of a variety …
The World Health Organization, The Trump Administration, American Public Opinion, And China: A Principal-Agent Problem, Megan Patrice Larson
The World Health Organization, The Trump Administration, American Public Opinion, And China: A Principal-Agent Problem, Megan Patrice Larson
Master's Theses
Why did the United States perceive the World Health Organization as ineffective during the COVID-19 pandemic? To answer this question, this research delves into current principal-agent model literature to reproduce mechanisms present by the WHO and the United States. Current research fails to explain the WHO's effectiveness. By borrowing from realist theory and political psychology and analyzing various declarations made by the United States, this analysis found preliminary evidence that the idea of WHO's ineffectiveness was primarily shaped by the Trump Administration and American public opinion. Moreover, because of the disinformation and misinformation spread by the Trump Administration, the WHO …
Coping Strategies And Life Satisfaction Among Romanian Emerging Adults During The Covid-19 Pandemic, Delia Ștefenel, Jose-Michael Gonzalez, Silviu Rogobete, Raluca Sassu
Coping Strategies And Life Satisfaction Among Romanian Emerging Adults During The Covid-19 Pandemic, Delia Ștefenel, Jose-Michael Gonzalez, Silviu Rogobete, Raluca Sassu
Psychology Faculty Publications
The aim of the present study was to understand coping mechanisms among Romanian youth in their response to institutional COVID-19 pandemic restrictions. Data were collected from emerging adults (N = 214), aged 18–29, enrolled in various fields of study throughout a public university in Romania. Adopted versions of the Coping Orientation for Problem Experiences Scale (Brief-COPE, Carver, 1997) and Satisfaction with Life Scales (SLWS, Diener et al., 1985) were administered to explore the impact of the specific social distancing and isolation enforced pandemic restrictions. Findings elucidate the response styles, impact of coping skills, and strategies employed by students toward their …
Impact Of The Covid-19 Pandemic On Child Anxiety Symptoms: The Influence Of The Caregiver-Child Relationship, Rebecca Hoppe
Impact Of The Covid-19 Pandemic On Child Anxiety Symptoms: The Influence Of The Caregiver-Child Relationship, Rebecca Hoppe
Theses and Dissertations
Research suggests that youth are dealing with a myriad of worries during the COVID-19 pandemic (Ellis et al., 2020), which highlights the need for investigations focused on child anxiety. However, to date little research has examined children’s anxiety in the COVID-19 pandemic nor the potential protective effects of the caregiver-child relationship. Therefore, this research aimed to contribute to the literature by investigating the influence of COVID-19 related stressors in younger children and leveraging children’s report of their own attachment security within their relationship with their caregiver and mental health. The current study used a national, quantitative survey of young children …
Secondary English Teachers’ Experiences Of Agency: Connections To Shifting Educational Contexts During Covid-19, Kristina Lee
Secondary English Teachers’ Experiences Of Agency: Connections To Shifting Educational Contexts During Covid-19, Kristina Lee
Theses and Dissertations
The COVID-19 pandemic caused schools around the world to enter uncharted territory. Due to the unprecedented nature of the educational crisis, it was important to examine how teacher agency may have been affected. Teacher agency can have important implications for school climate, policy, and the experience of stakeholders. The main focus of this study was to cultivate an understanding of secondary English teachers’ perceptions of agency as they navigated teaching throughout the COVID-19 pandemic. An ecological framework was used to examine teachers’ experiences of agency in the context of COVID-19. The study utilized a basic qualitative design with in-depth interviews …
Assessing Medical Discrimination, Mistrust, And Healthcare Engagement As Predictors Of Covid-19 Vaccination Among Transgender And Gender Diverse Individuals, Shelby A. Smout
Theses and Dissertations
As of March 11th 2020, the World Health Organization (WHO) declared COVID-19 a global pandemic. Early studies conducted among LGBT+ communities indicated that individuals of color and transgender individuals were more likely to express hesitation towards a possible COVID-19 vaccine. Such hesitation can be explained by historical medical mistreatment of people of color and LGBT+ communities which contributes to higher medical mistrust within these populations. The present study assessed vaccination behaviors among a sample of transgender and gender diverse individuals (N=385) and results indicated an association amongst experiences of discrimination in healthcare, medical mistrust, COVID-19 mistrust, barriers to vaccination, …