Introduction: Repatriated Indonesian migrant workers are vulnerable to developing serious mental health problems during the COVID-19 pandemic. This study aimed to assess the prevalence and associated factors of depression, anxiety, and stress among these populations during the COVID-19 pandemic.Methods: Guided by the health belief model, a cross-sectional study design was employed among 335 participants, and primary data were collected through an online survey. Measured using DASS-21, anxiety, depression, and stress were the dependent variables. We performed descriptive and inferential statistical analyses—logistic regression was used to predict independently associated variables. STATA was used to execute all data analyses.Results: The prevalence of depression, anxiety, and stress among repatriated Indonesian migrant workers were 10.15, 9.25, and 2.39%, respectively. The risk of anxiety and depression was low among those aged 21–30 years old, who had completed a university degree, were married, and had quarantined for 14 days. Conversely, the risk of anxiety and depression was high among those who had bad perceived health status, high perceived susceptibility, and negative stigma perception.Conclusion: The prevalence of depression, anxiety, and stress among repatriated Indonesian migrant workers was relatively low compared to the general population. The risk of anxiety and depression was low among young people, educated people, and those under effective quarantine, but the risk was high among those who had negative perceptions about their health, stigma, and susceptibility to the disease.

Introduction: Before the widespread availability of an effective COVID-19 vaccine, it is crucial to control the rate of transmission by ensuring adherence to behavioral modifications, such as wearing masks, physical distancing, and washing hands, all of which can be implemented as public health measures. Focusing on the conditions in Bali, this study explored the level of compliance to public health measures targeted at COVID-19 and identified the determinants of compliance via the values, rules, and knowledge approach.Materials and Methods: This cross-sectional study conducted an online survey using the Google Form application from June 29 to July 5, 2020. The minimum required sample size was 664. Inclusion criteria were set as follows: 18 years of age or older and residing in Bali during the data collection period. Adherence was measured based on nine protocol indicators that were rated using a four-point Likert scale. A multiple linear regression analysis was then conducted to determine the associated factors of adherence to public health measures.Results: Of the 954 survey respondents, data from 743 were included for analysis. The average level of adherence to public health measures was 32.59 (range of 20–36). The linear regression analysis showed that perceived health benefits from public health measures, being female, and having COVID-19 test histories were significantly associated with adherence to public health measures.Conclusions: For public health measures targeted at COVID-19, adherence was strongly associated with perceived social norms, in which individuals played social community roles by adapting to standardized public health measures. It is thus imperative for governments to support and monitor public health measures during the COVID-19 pandemic.

The aim of the present study was two-fold: Firstly, to estimate the prevalence of psychological distress among international students at a Hungarian university two years after the COVID-19 outbreak; and secondly, to identify its demographic and socioeconomic factors, with special regard to the students’ food-security status. A cross-sectional study using a self-administered questionnaire was carried out from 27 March to 3 July 2022 among international students at the University of Debrecen. The questionnaire included information on demographic and socioeconomic characteristics, food-security status (six-item United States Department of Agriculture Food Security Survey Module (USDA-FSSM)), and psychological distress (Depression, Anxiety and Stress Scale (DASS-21)). Bivariate analysis was conducted to examine the potential associations between demographic/socioeconomic factors and psychological distress. Additionally, multiple logistic regression was employed to further analyze these associations. Of 398 participants, 42.2%, 48.7%, and 29.4% reported mild to extremely severe depression, anxiety, and stress, respectively. The ages 18–24 (AOR = 2.619; 95% CI: 1.206–5.689) and 25–29 (AOR = 2.663; 95% CI: 1.159–6.119), reporting a low perception of health status (AOR = 1.726; 95% CI: 1.081–2.755), and being food insecure (AOR = 1.984; 95% CI: 1.274–3.090) were significantly associated with depressive symptoms. Being female (AOR = 1.674; 95% CI: 1.090–2.571), reporting a low perception of health status (AOR = 1.736; 95% CI: 1.098–2.744), and being food insecure (AOR = 2.047; 95% CI: 1.327–3.157) were significantly associated with anxiety symptoms. Furthermore, being female (AOR = 1.702; 95% CI: 1.026–2.824)), living with roommates (AOR = 1.977; 95% CI: 1.075–3.635), reporting a low perception of health status (AOR = 2.840; 95% CI: 1.678–4.807), and being food insecure (AOR = 2.295; 95% CI:1.398–3.767) were significantly associated with symptoms of stress. Psychosocial programs combined with strategies to alleviate food insecurity are required to enhance international students’ mental health and well-being.

Purpose: Studying abroad represents a significant risk factor for diminished health and well-being due to cultural, environmental, and psychosocial challenges. This study aimed to explore international students’ perceptions of well-being and examine the factors contributing to their well-being while living and studying abroad. Methods: We used an exploratory sequential mixed-methods study design. The first part of the research involved a qualitative study conducted through in-depth interviews and focus group discussions. We analyzed the data using thematic analysis. We used the results from the first stage to develop the quantitative part of the study. Multiple regression was used to analyze the factors contributing to international students’ perceived well-being. Results: The qualitative study identified four main factors: academic life, health, social connectedness, and environmental factors. The quantitative study found that faculty and student status significantly affected well-being. Conclusion: Universities and those managing international student affairs should develop pre-arrival plans for incoming students, considering their diverse backgrounds and perspectives on well-being. Student well-being positively influences academic results by enhancing cognitive function, motivation, social engagement, and resilience while reducing risks of stress, burnout, and dropout rates.

Background/Objectives: Recent research suggests that international students are particularly susceptible to food insecurity (FI). Yet very few studies have qualitatively examined their experiences with FI and its impacts on their health and well-being. Therefore, our study sought to address this research gap by exploring the psychosocial and academic challenges linked to FI among international students in Hungary. Methods: A qualitative approach using semi-structured, in-depth, one-on-one interviews was carried out from 31 July to 15 November 2024 with 15 international students studying at the University of Debrecen, Hungary. Qualitative data were analyzed using a general inductive approach with the aid of NVivo 11 software. Results: International students discussed five themes regarding the psychosocial implications of FI: stress and anxiety, sadness and depression, anger and frustration, guilt over financial burden, and social isolation. In terms of academic impact, four themes were mentioned: difficulty concentrating, sacrificing studies for work, diminished academic performance, and a loss of motivation and interest in their studies. Conclusions: This study enriches our understanding of the lived experiences of FI among international students. The findings may help shape targeted interventions that align with their needs.

Background and purpose: Due to COVID-19 pandemic, demand for technology in daily interaction has rapidly grown to ease communication while maintaining physical distance. This study examines the determinants of the intention to use telemedicine using the Unified Theory of Acceptance and Use of Technology (UTAUT) Model. Methods: This cross-sectional study was an online survey using Google Form application conducted from March 11 to May 3, 2021. The inclusion criteria of samples were aged 18 years or older, residing in Bali during the data collection period and knowing telemedicine health services. Variables collected include intention to use telemedicine, demographic characteristics of respondents and UTAUT variables, namely performance expectancy, business expectancy, social influences, and facilitation conditions. The statistical test used is simple and multiple logistic regression analysis. Results: Of 458 survey respondents, 287 were included for analysis due to incomplete data. Almost half of the respondents (48.8%) was aged <25 years old, the majority were female (80.51%) and around two-thirds, were studying in university, being employed and earning income. We found most respondents (57.14%) were highly interested in telemedicine services. The logistic regression analysis showed that performance expectations, business expectations, social influence, and facilitating conditions were significantly associated with people's interest in telemedicine in Bali. Conclusion: Telemedicine is relatively popular in Bali, Indonesia. Performance expectancy, effort expectancy, and social influence are the predominant factors influencing the intention to use telemedicine. It shows the potential to employ telemedicine service to cover the inadequate distribution of health professionals and healthcare in Indonesia.