Document Type : Original Article

Authors

1 Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

2 Faculty of social sciences, Allameh Tabataba’i University, Tehran, Iran

3 Department of Medical-Surgical Nursing, School of Nursing, Fasa University of Medical Sciences, Fasa, Iran

4 Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran

Abstract

Background: COVID-19 epidemic in Iran has imposed a heavy social, economic, political, and psychosocial burden and caused devastating social problems. On the other hand, it has also led to promising social cohesion. This study aimed to explore the community-wide changes following the COVID-19 pandemic and to understand how these changes may affect the Iranian community.
Methods: This qualitative study used the grounded theory approach and conducted from May 2020 to March 2021 at Shiraz University of Medical Sciences, Shiraz, Iran. Adopting a purposive sampling approach, 15 faculty members in different fields participated in this study, and 17 interviews were performed.
Results: This study indicated that the core phenomenon in the social change process was “struggling for survival and livelihood”. Therefore, people tried to identify and choose strategies to deal with or repel COVID-19 disease as a life-threatening situation. A set of contextual factors influenced their choice. The media and the performance of organizations as intervening conditions also played an important role in this process. Finally, this complex process led to constructive and destructive outcomes in society.
Conclusion: The COVID-19 epidemic caused various multifaceted social changes in the Iranian community. Some social consequences were constructive and contributed to community development, while others jeopardized community development goals. Therefore, the paradigm model developed in this study can help policymakers and social planners develop programs to promote community health.

Keywords

  1. Guan W-j, Ni Z-y, Hu Y, Liang W-h, Ou C-q, He J-x, et al. Clinical characteristics of coronavirus disease 2019 in China. New England journal of medicine. 2020;382(18):1708-20. doi: 10.1056/NEJMoa2002032.
  2. Banerjee D, Rai M. Social isolation in Covid-19: The impact of loneliness International Journal of Social Psychiatry. 2020; 66(6):525-527. doi: 10.1177/0020764020922269. PMID: 32349580.
  3. Yoosefi Lebni J, Abbas J, Moradi F, Salahshoor MR, Chaboksavar F, Irandoost SF, et al. How the COVID-19 pandemic effected economic, social, political, and cultural factors: A lesson from Iran. International Journal of Social Psychiatry. 2021; 67(3):298-300. doi: 10.1177/0020764020939984. PMID: 32615838.
  4. Gros C, Valenti R, Valenti K, Gros D. Strategies for controlling the medical and socio-economic costs of the Corona pandemic. arXiv preprint arXiv:200400493. 2020.
  5. Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International journal of surgery (London, England). 2020;78:185. doi: 10.1016/j.ijsu.2020.04.018. PMID: 32305533.
  6. Ahani A, Nilashi M. Coronavirus Outbreak and its Impacts on Global Economy: The Role of Social Network Sites. Journal of Soft Computing and Decision Support Systems. 2020;7(2):19-22.
  7. Wu B. Social isolation and loneliness among older adults in the context of COVID-19: a global challenge. Global Health Research and Policy. 2020;5(1):1-3. doi: 10.1186/s41256-020-00154-3. PMID: 32514427.
  8. Van Bavel J, Boggio P, Capraro V, Cichocka A, Cikara M, Crockett M. & Ellemers, N.(2020). Using social and behavioural science to support COVID-19 pandemic response.  Nature Human Behaviour. 2020; 4(5):460-471. doi: 10.1038/s41562-020-0884-z. PMID: 32355299.
  9. He H, Harris L. The impact of Covid-19 pandemic on corporate social responsibility and marketing philosophy. Journal of Business Research. 2020;116:176-82. doi: 10.1016/j.jbusres.2020.05.030. PMID: 32457556.
  10. Gatiso TT, Ordaz-Németh I, Grimes T, Lormie M, Tweh C, Kühl HS, et al. The impact of the Ebola virus disease (EVD) epidemic on agricultural production and livelihoods in Liberia. PLoS neglected tropical diseases. 2018;12(8):e0006580. doi: 10.1371/journal.pntd.0006580. PMID: 30071016.
  11. Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory: Sage publications; 2014.
  12. Lincoln YS. Emerging criteria for quality in qualitative and interpretive research. Qualitative inquiry. 1995;1(3):275-89.
  13. DiClemente RJ, Salazar LF, Crosby RA. Health behavior theory for public health: Principles, foundations, and applications: Jones & Bartlett Publishers; 2013.
  14. Aerts C, Revilla M, Duval L, Paaijmans K, Chandrabose J, Cox H, et al. Understanding the role of disease knowledge and risk perception in shaping preventive behavior for selected vector-borne diseases in Guyana. PLoS neglected tropical diseases. 2020;14(4):e0008149. doi: 10.1371/journal.pntd.0008149. PMID: 32251455.
  15. Nikjoo RG, Partovi Y, Joudyian N. Involvement of charities in Iran’s health care system: a qualitative study on problems and executive/legal/supportive requirements. BMC Health Services Research. 2021; 21(1):181. doi: 10.1186/s12913-021-06187-9. PMID: 33632197.
  16. Hyndman N. UK charities and the pandemic: navigating the perfect storm. Journal of Accounting & Organizational Change. 2020; 16(4), 587-592. doi: 10.1108/JAOC-08-2020-0114.
  17. Moore KA, March E. Socially Connected during COVID-19: Online social connections mediate the relationship between loneliness and positive coping strategies. 2020.
  18. Watanabe T, Omori Y. Online consumption during the covid-19 crisis: Evidence from Japan. Covid Economics. 2020;32:208-41.
  19. Chen Y, Rajabifard A, Sabri S, Potts KE, Laylavi F, Xie Y, et al. A discussion of irrational stockpiling behaviour during crisis. Journal of Safety Science and Resilience. 2020;1(1):57-8. doi: 10.1016/j.jnlssr.2020.06.003. PMCID: PMC7321775.
  20. Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical medicine & research. 2016;14(1):7-14. doi: 10.3121/cmr.2016.1303. PMID: 26847480, PMCID: PMC4851451.
  21. Asadzandi M, Abolghasemi H, Javadi M, Sarhangi F. A Comparative Assessment of the Spiritual Health Behaviors of the Iranian Muslim in the COVID-19 Pandemic with Religious Evidence. Journal of Military Medicine. 2020;22(8):864-72.
  22. Fardin MA. COVID-19 epidemic and spirituality: A Review of the benefits of religion in times of crisis. Jundishapur Journal of Chronic Disease Care. 2020;9(2).In Persian)
  23. Soliman HH. Social work in the Middle East: Routledge; 2013.
  24. Yeary KH, Alcaraz KI, Ashing KT, Chiu C, Christy SM, Felsted KF, et al. Considering religion and spirituality in precision medicine. Translational behavioral medicine. 2020;10(1):195-203. doi: 10.1093/tbm/ibz105.PMID: 31294809, PMCID: PMC7529032.
  25. Visagie S, Schneider M, Scheffler E, Schneider M. The impact of health service variables on healthcare access in a low resourced urban setting in the Western Cape, South Africa. African Journal of Primary Health Care and Family Medicine. 2015;7(1):1-11. doi: 10.4102/phcfm.v7i1.820. PMID: 26245611, PMCID:  PMC4656938.
  26. Nobles J, Martin F, Dawson S, Moran P, Savovic J. The potential impact of COVID-19 on mental health outcomes and the implications for service solutions. National Institute for Health Research: University of Bristol https://arc-w nihr ac uk/research-and-implementation/covid-19-response/reports/potential-impact-of-covid-19-on-mental-health-outcomes-and-the-implications-for-service-solutions. 2020.
  27. Anwar A, Malik M, Raees V, Anwar A. Role of mass media and public health communications in the COVID-19 pandemic. Cureus. 2020; 12(9):e10453. doi: 10.7759/cureus.10453. PMID: 33072461, PMCID PMC7557800.
  28. Mauroner O, Heudorfer A. Social media in disaster management: How social media impact the work of volunteer groups and aid organisations in disaster preparation and response. International Journal of Emergency Management. 2016;12(2):196-217.
  29. Rose J. The mortal coil of Covid-19, fake news, and negative epistemic postdigital inculcation. Postdigital Science and Education. 2020;2(3):812-29. doi: 10.1007/s42438-020-00192-7. PMCID: PMC7527670.
  30. Eysenbach G. How to fight an infodemic: the four pillars of infodemic management. Journal of medical Internet research. 2020;22(6):e21820. doi: 10.2196/21820. PMID: 32589589, PMCID: PMC7332253.
  31. Rosário R, O Martins MR, Augusto C, Silva MJ, Martins S, Duarte A, et al. Associations between COVID-19-related digital health literacy and online information-seeking behavior among Portuguese university students. International journal of environmental research and public health. 2020;17(23):8987. doi:10.3390/ijerph17238987.
  32. Organization WH. Pandemic influenza preparedness and response: a WHO guidance document: World Health Organization; 2009.
  33. Efuribe C, Barre-Hemingway M, Vaghefi E, Suleiman AB. Coping with the COVID-19 crisis: A call for youth engagement and the inclusion of young people in matters that affect their lives. Journal of Adolescent Health. 2020: 67(1): 16–17. doi: 10.1016/j.jadohealth.2020.04.009. PMID: 32402796, PMCID: PMC7177075.
  34. Wynn A, Moore KM. Integration of primary health care and public health during a public health emergency. American journal of public health. 2012;102(11):e9-e12. doi: 10.2105/AJPH.2012.300957. PMID:  22994249, PMCID: PMC3477968.
  35. Mehta S, Saxena T, Purohit N. The New Consumer Behaviour Paradigm amid COVID-19: Permanent or Transient? Journal of Health Management. 2020;22(2):291-301.
  36. Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al. Psychosocial impact of COVID-19. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(5):779-88. doi: 10.1016/j.dsx.2020.05.035. PMID: 32526627, PMCID: PMC7255207
  37. Pantell M, Rehkopf D, Jutte D, Syme SL, Balmes J, Adler N. Social isolation: a predictor of mortality comparable to traditional clinical risk factors. American journal of public health. 2013;103(11):2056-62. doi: 10.2105/AJPH.2013.301261. PMID: 24028260, PMCID:  PMC3871270
  38. Peprah P, Gyasi RM. Stigma and COVID‐19 crisis: A wake‐up call. The International Journal of Health Planning and Management. 2021;36(1):215-218. doi: 10.1002/hpm.3065. PMID: 32845533, PMCID: PMC7461307.
  39. Shahzad A, Hassan R, Aremu AY, Hussain A, Lodhi RN. Effects of COVID-19 in E-learning on higher education institution students: the group comparison between male and female. Quality & quantity. 2021;55(3):805-826. doi: 10.1007/s11135-020-01028-z PMID: 32836471, PMCID: PMC7402545.
  40. Wan K-M, Ho LK-k, Wong NW, Chiu A. Fighting COVID-19 in Hong Kong: The effects of community and social mobilization. World Development. 2020;134:105055.  doi: 10.1016/j.worlddev.2020.105055. PMID:  32834373, PMCID: PMC7315977.
  41. Radha R, Mahalakshmi K, Kumar VS, Saravanakumar A. E-Learning during lockdown of Covid-19 pandemic: A global perspective. International journal of control and automation. 2020;13(4):1088-99.
  42. Hasanat MW, Hoque A, Shikha FA, Anwar M, Hamid ABA, Tat HH. The Impact of Coronavirus (Covid-19) on E-Business in Malaysia. Asian Journal of Multidisciplinary Studies. 2020;3(1):85-90.
  43. Carlsen HB, Toubøl J, Brincker B. On solidarity and volunteering during the COVID-19 crisis in Denmark: the impact of social networks and social media groups on the distribution of support. European Societies. 2020:1-19. doi:10.1080/14616696.2020.1818270