Structural barriers to adhering to health behaviours in the context of the COVID-19 crisis: Considerations for low- and middle-income countries
Structural barriers to adhering to health behaviours in the context of the COVID-19 crisis: Considerations for low- and middle-income countries
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DOI：
10.1080/17441692.2020.1779331
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发表时间：
2020-06-10
影响因子：
3.3
通讯作者：
Kagee, Ashraf
中科院分区：
文献类型：
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作者：
Coetzee, Bronwyne Jo'sean;Kagee, Ashraf
为限制COVID-19新增感染人数，世界各国政府已实施全国封城及安全行为指引。封锁要求人们呆在家里，只有在必要的时候才离开，比如购买食品杂货和药物。在低收入和中等收入国家，其中许多国家有很大比例的人口生活在不稳定的环境中，封锁迫使数百万人在资源有限的情况下，长时间地在一起生活。在许多方面，在人口稠密、食物、水和卫生设施有限的社区遏制COVID-19传播的努力似乎有悖直觉，在不稳定的条件下甚至是不可能的。在本文中，我们探讨了在不稳定的条件下实施封锁规则的障碍。我们通过借鉴理论领域框架来解释这些障碍如何影响对封锁规则的遵守，从而将结构性障碍概念化。我们认为，如果没有足够的支持或干预来帮助贫困社区缓解这些结构性障碍，遵守封锁规则是困难的，导致COVID-19感染持续。
In seeking to limit the number of new infections of COVID-19, governments around the world have implemented national lockdowns and guidelines about safe behaviours. Lockdown requires people to stay home and only leave when essential such as to purchase groceries and medication. In low- and middle-income countries, many of which have large proportions of the population living in precarity, lockdown forces millions of people to spend prolonged periods of time together in close proximity to one another and with limited resources. In many ways, efforts to contain the spread of COVID-19 in densely populated communities with limited access to food, water and sanitation may seem counter-intuitive and even impossible under conditions of precarity. In this paper, we explore the barriers to implementation of lockdown rules in conditions of precarity. We conceptualise the structural barriers by drawing on the Theoretical Domains Framework to explain how these barriers influence adherence to lockdown rules. We argue that without sufficient support or intervention to help poor communities mitigate these structural barriers, adhering to lockdown rules is difficult, resulting in continued COVID-19 infections.