Evidence map›Paper›PMID 39950570›Full record

ArticleJournal of global health2025

Individuals' positive gains from the COVID-19 pandemic: a qualitative study across 30 countries.

Jiaying Li, Patricia M Davidson, Daniel Yee Tak Fong, Yaqin Li, Kris Yuet Wan Lok, Janet Yuen Ha Wong, Mandy Man Ho, Edmond Pui Hang Choi, Vinciya Pandian, Wenjie Duan and 59 more

Abstract read
In one paragraph

Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

69 authors.

Jiaying Li *School of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Patricia M Davidson *Vice-Chancellor and Principal, University of Wollongong, Wollongong, Australia.
Daniel Yee Tak FongSchool of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Yaqin LiSchool of nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Kris Yuet Wan LokSchool of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Janet Yuen Ha WongSchool of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong SAR, China.
Mandy Man HoSchool of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Edmond Pui Hang ChoiSchool of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Vinciya PandianSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Wenjie DuanDepartment of Social Work, East China University of Science and Technology, Shanghai, China.
Marie TarrantSchool of Nursing, The University of British Columbia, Kelowna British Columbia, Canada.
Jung Jae LeeSchool of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Chia-Chin LinSchool of Nursing, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong SAR, China.
Oluwadamilare AkingbadeThe Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong.
Khalid M AlabdulwahhabCollege of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.
Mohammad Shakil AhmadDepartment of Family & Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.
Mohamed AlboraieDepartment of Internal Medicine, Al-Azhar University, Cairo, Egypt.
Meshari A AlzahraniDepartment of Urology, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia.
Anil S BilimaleSchool of Public Health, JSS Medical College, JSS AHER, Mysuru, India.
Sawitree BoonpatcharanonDepartment of Statistics, Chulalongkorn Business School, Bangkok, Thailand.
Samuel ByiringiroSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Muhammad Kamil Che HasanKulliyyah of Nursing, International Islamic University, Kuantan, Malaysia.
Luisa Clausi SchettiniItalian Association against Leukemia, Lymphoma and Myeloma, Rome Section, Rome, Italy.
Walter CorzoDiálogos Guatemala, Guatemala, Guatemala.
Josephine M De LeonSchool of Nursing, Centro Escolar University, Manila, Philippines.
Anjanette S De LeonSchool of Nursing, Centro Escolar University, Manila, Philippines.
Hiba DeekNursing Department, Faculty of Health Science, Beirut Arab University, Beirut, Lebanon.
Fabio EfficaceItalian Group for Adult Hematologic Disease, Data Center and Health Outcomes Research Unit, Rome, Italy.
Mayssah A El NayalDepartment of Psychology, Beirut Arab University, Beirut, Lebanon.
Fathiya El-RaeyDepartment of hepatogastroenterology and infectious diseases, Damietta faculty of medicine, Al-Azher University, Cairo, Egypt.
Eduardo Ensaldo-CarrascoErgonomics Research Center, University of Guadalajara, Jalisco, Mexico.
Pilar EscotorinLaboratory of Applied Prosocial Research, Department of Basic, Developmental and Educational Psychology, Autonomous University of Barcelona, Barcelona, Spain.
Oluwadamilola Agnes FadodunFaculty of Health Sciences, University of Lethbridge, Alberta, Canada.
Israel Opeyemi FawoleFaculty of Nursing, Ladoke Akintola University of Technology, Ogbomosho, Nigeria.
Yong-Shian Shawn GohAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
Devi IrawanSchool of Nursing, Wijaya Husada Health Institute, Bogor, Indonesia.
Naimah Ebrahim KhanDepartment of Optometry, University of Kwazulu-Natal, Durban, South Africa.
Binu KoiralaSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Ashish KrishnaEcove, Ghaziabad, India.
Cannas KwokSchool of Nursing, Paramedicine and Health Care Science, Charles Sturt University, New South Wales, Australia.
Tung Thanh LeNam Dinh University of Nursing, Nam Dinh, Vietnam.
Daniela Giambruno LealPontificia Universidad Católica de Valparaíso, School of Social Work, Valparaíso, Chile.
Miguel Ángel Lezana-FernándezResearch Department, National Commission for Medical Arbitration, Mexico City, Mexico.
Emery ManirambonaCollege of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Leandro Cruz MantoaniDepartment of Physiotherapy, Faculty of Science and Technology, São Paulo State University (UNESP), Presidente Prudente, Brazil.
Fernando Meneses-GonzálezResearch Department, National Commission for Medical Arbitration, Mexico City, Mexico.
Iman Elmahdi MohamedPharmacology and Toxicology Department, Faculty of Pharmacy, Benghazi University, Benghazi, Libya.
Madeleine MukeshimanaSchool of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Chinh Thi Minh NguyenNam Dinh University of Nursing, Nam Dinh, Vietnam.
Huong Thi Thanh NguyenNam Dinh University of Nursing, Nam Dinh, Vietnam.
Khanh Thi NguyenNam Dinh University of Nursing, Nam Dinh, Vietnam.
Son Truong NguyenNam Dinh University of Nursing, Nam Dinh, Vietnam.
Mohd Said NurumalKulliyyah of Nursing, International Islamic University, Kuantan, Malaysia.
Aimable NzabonimanaCenter for Language Enhancement, College of Arts and Social Sciences, University of Rwanda, Huye, Rwanda.
Nagla Abdelrahim Mohamed Ahmed OmerFaculty of Medicine, Alzaiem Alazhari University, Khartoum North, Sudan.
Oluwabunmi OgungbeSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Angela Chiu Yin PoonFaculty of Health Sciences and Sports, Macao Polytechnic University, Macao, China.
Areli Reséndiz-RodriguezNational Autonomous University of Mexico, Mexico City, Mexico.
Busayasachee Puang-NgernDepartment of Statistics, Chulalongkorn Business School, Bangkok, Thailand.
Ceryl G SagunSchool of Nursing, Centro Escolar University, Manila, Philippines.
Riyaz Ahmed ShaikDepartment of Family & Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.
Nikhil Gauri ShankarMental Health and Learning division, Wrexham Maelor Hospital, Wrexham, UK.
Kathrin SommerItalian Group for Adult Hematologic Disease, Data Center and Health Outcomes Research Unit, Rome, Italy.
Edgardo ToroPontificia Universidad Católica de Valparaíso, School of Social Work, Valparaíso, Chile.
Hanh Thi Hong TranNam Dinh University of Nursing, Nam Dinh, Vietnam.
Elvira L UrgelSchool of Nursing, Centro Escolar University, Manila, Philippines.
Emmanuel UwiringiyimanaCollege of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Tita VanichbunchaDepartment of Statistics, Chulalongkorn Business School, Bangkok, Thailand.
Naglaa YoussefMedical-surgical Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Given the limited understanding of individuals' positive gains, this study aimed to identify these gains that could be leveraged by policymakers to enhance future health and societal resilience. Methods: We used a global qualitative approach to survey adults over 18 from 30 countries across six World Health Organization (WHO) regions, who detailed up to three personal positive gains from COVID-19 pandemic via an open-ended question. Inductive thematic analysis was employed to identify main themes, and quantitative methods were used for demographic and regional comparisons based on the percentage of responses for each theme. Results: From 35 911 valid responses provided by 13 853 participants, six main themes (one negative theme), 39 subthemes, and 673 codes were identified. Five positive gain themes emerged, ordered by response frequency: 1) improved health awareness and practices; 2) strengthened social bonds and trust; 3) multi-dimensional personal growth; 4) resilience and preparedness building; 5) accelerated digital transformation. The percentage of responses under these themes consistently appeared in the same order across various demographic groups and economic development levels. However, there were variations in the predominant theme across WHO regions and countries, with either Theme 1, Theme 2, or Theme 3 having the highest percentage of responses. Although our study primarily focused on positive gains, unexpectedly, 12% of responses (4304) revealed 'negative gains', leading to an unforeseen theme: 'Distrust and emerging vulnerabilities.' While this deviates from our main topic, we retained it as it provides valuable insights. Notably, these 'negative gains' had a higher percentage of responses in areas like Burundi (94.1%), Rwanda (31.8%), Canada (26.9%), and in the African Region (37.7%) and low-income (43.9%) countries, as well as among non-binary individuals, those with lower education, and those facing employment challenges. Conclusions: Globally, the identified diverse positive gains guide the domains in which health policies and practices can transform these transient benefits into enduring improvements for a healthier, more resilient society. However, variations in thematic responses across demographics, countries, and regions highlights need for tailored health strategies.

Indexed as

COVID-19Global HealthResilience, PsychologicalAdolescentAdultAgedFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPandemicsQualitative ResearchSARS-CoV-2Surveys and QuestionnairesYoung Adult

Identifiers

PMID39950570
PMCPMC11827041

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.