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10.1186/s12889-021-10708-w

http://scihub22266oqcxt.onion/10.1186/s12889-021-10708-w
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suck abstract from ncbi


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pmid33832478      BMC+Public+Health 2021 ; 21 (1): 685
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  • Health, psychosocial, and economic impacts of the COVID-19 pandemic on people with chronic conditions in India: a mixed methods study #MMPMID33832478
  • Singh K; Kondal D; Mohan S; Jaganathan S; Deepa M; Venkateshmurthy NS; Jarhyan P; Anjana RM; Narayan KMV; Mohan V; Tandon N; Ali MK; Prabhakaran D; Eggleston K
  • BMC Public Health 2021[Apr]; 21 (1): 685 PMID33832478show ga
  • BACKGROUND: People with chronic conditions are disproportionately prone to be affected by the COVID-19 pandemic but there are limited data documenting this. We aimed to assess the health, psychosocial and economic impacts of the COVID-19 pandemic on people with chronic conditions in India. METHODS: Between July 29, to September 12, 2020, we telephonically surveyed adults (n = 2335) with chronic conditions across four sites in India. Data on participants' demographic, socio-economic status, comorbidities, access to health care, treatment satisfaction, self-care behaviors, employment, and income were collected using pre-tested questionnaires. We performed multivariable logistic regression analysis to examine the factors associated with difficulty in accessing medicines and worsening of diabetes or hypertension symptoms. Further, a diverse sample of 40 participants completed qualitative interviews that focused on eliciting patient's experiences during the COVID-19 lockdowns and data analyzed using thematic analysis. RESULTS: One thousand seven hundred thirty-four individuals completed the survey (response rate = 74%). The mean (SD) age of respondents was 57.8 years (11.3) and 50% were men. During the COVID-19 lockdowns in India, 83% of participants reported difficulty in accessing healthcare, 17% faced difficulties in accessing medicines, 59% reported loss of income, 38% lost jobs, and 28% reduced fruit and vegetable consumption. In the final-adjusted regression model, rural residence (OR, 95%CI: 4.01,2.90-5.53), having diabetes (2.42, 1.81-3.25) and hypertension (1.70,1.27-2.27), and loss of income (2.30,1.62-3.26) were significantly associated with difficulty in accessing medicines. Further, difficulties in accessing medicines (3.67,2.52-5.35), and job loss (1.90,1.25-2.89) were associated with worsening of diabetes or hypertension symptoms. Qualitative data suggest most participants experienced psychosocial distress due to loss of job or income and had difficulties in accessing in-patient services. CONCLUSION: People with chronic conditions, particularly among poor, rural, and marginalized populations, have experienced difficulties in accessing healthcare and been severely affected both socially and financially by the COVID-19 pandemic.
  • |*COVID-19/economics/epidemiology/psychology[MESH]
  • |*Chronic Disease/epidemiology/therapy[MESH]
  • |*Pandemics[MESH]
  • |Aged[MESH]
  • |Female[MESH]
  • |Health Services Accessibility/statistics & numerical data[MESH]
  • |Health Status[MESH]
  • |Humans[MESH]
  • |India/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Qualitative Research[MESH]
  • |Quarantine[MESH]
  • |Socioeconomic Factors[MESH]


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