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10.2196/26073

http://scihub22266oqcxt.onion/10.2196/26073
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suck abstract from ncbi


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pmid33827046      JMIR+Public+Health+Surveill 2021 ; 7 (5): e26073
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  • Protective Behaviors and Secondary Harms Resulting From Nonpharmaceutical Interventions During the COVID-19 Epidemic in South Africa: Multisite, Prospective Longitudinal Study #MMPMID33827046
  • Harling G; Gomez-Olive FX; Tlouyamma J; Mutevedzi T; Kabudula CW; Mahlako R; Singh U; Ohene-Kwofie D; Buckland R; Ndagurwa P; Gareta D; Gunda R; Mngomezulu T; Nxumalo S; Wong EB; Kahn K; Siedner MJ; Maimela E; Tollman S; Collinson M; Herbst K
  • JMIR Public Health Surveill 2021[May]; 7 (5): e26073 PMID33827046show ga
  • BACKGROUND: In March 2020, South Africa implemented strict nonpharmaceutical interventions (NPIs) to contain the spread of COVID-19. Over the subsequent 5 months, NPI policies were eased in stages according to a national strategy. COVID-19 spread throughout the country heterogeneously; the disease reached rural areas by July and case numbers peaked from July to August. A second COVID-19 wave began in late 2020. Data on the impact of NPI policies on social and economic well-being and access to health care are limited. OBJECTIVE: We aimed to determine how rural residents in three South African provinces changed their behaviors during the first COVID-19 epidemic wave. METHODS: The South African Population Research Infrastructure Network nodes in the Mpumalanga (Agincourt), KwaZulu-Natal, (Africa Health Research Institute) and Limpopo (Dikgale-Mamabolo-Mothiba) provinces conducted up to 14 rounds of longitudinal telephone surveys among randomly sampled households from rural and periurban surveillance populations every 2-3 weeks. Interviews included questions on the following topics: COVID-19-related knowledge and behaviors, the health and economic impacts of NPIs, and mental health. We analyzed how responses varied based on NPI stringency and household sociodemographics. RESULTS: In total, 5120 households completed 23,095 interviews between April and December 2020. Respondents' self-reported satisfaction with their COVID-19-related knowledge and face mask use rapidly rose to 85% and 95%, respectively, by August. As selected NPIs were eased, the amount of travel increased, economic losses were reduced, and the prevalence of anxiety and depression symptoms fell. When the number of COVID-19 cases spiked at one node in July, the amount of travel dropped rapidly and the rate of missed daily medications doubled. Households where more adults received government-funded old-age pensions reported concerns about economic matters and medication access less often. CONCLUSIONS: South Africans complied with stringent, COVID-19-related NPIs despite the threat of substantial social, economic, and health repercussions. Government-supported social welfare programs appeared to buffer interruptions in income and health care access during local outbreaks. Epidemic control policies must be balanced against the broader well-being of people in resource-limited settings and designed with parallel support systems when such policies threaten peoples' income and access to basic services.
  • |*Health Behavior[MESH]
  • |*Public Policy[MESH]
  • |Adult[MESH]
  • |COVID-19/epidemiology/*prevention & control[MESH]
  • |Epidemics/*prevention & control[MESH]
  • |Female[MESH]
  • |Health Services Accessibility/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Income/*statistics & numerical data[MESH]
  • |Longitudinal Studies[MESH]
  • |Male[MESH]
  • |Prospective Studies[MESH]
  • |Rural Population/statistics & numerical data[MESH]
  • |South Africa/epidemiology[MESH]


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