Protective Behaviors and Secondary Harms Resulting From Nonpharmaceutical Interventions During the COVID-19 Epidemic in South Africa: Multisite, Prospective Longitudinal Study.
Protective Behaviors and Secondary Harms Resulting From Nonpharmaceutical Interventions During the COVID-19 Epidemic in South Africa: Multisite, Prospective Longitudinal Study.
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DOI：
10.2196/26073
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发表时间：
2021-05-13
影响因子：
8.5
通讯作者：
Herbst K
中科院分区：
文献类型：
--
作者：
Harling G;Gómez-Olivé 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
2020 年 3 月，南非实施了严格的非药物干预措施 (NPI)，以遏制 COVID-19 的传播。随后5个月，NPI政策按照国家战略逐步放松。 COVID-19 在全国各地的传播情况不一；这种疾病在七月蔓延到农村地区，病例数在七月至八月达到顶峰。第二波 COVID-19 浪潮于 2020 年底开始。有关 NPI 政策对社会和经济福祉以及获得医疗保健的影响的数据有限。我们的目的是确定南非三个省份的农村居民在第一波 COVID-19 疫情期间如何改变他们的行为。位于姆普马兰加省（阿金库尔）、夸祖鲁-纳塔尔省（非洲健康研究所）和林波波省（迪克盖尔-马马博洛-莫蒂巴）的南非人口研究基础设施网络节点每 2-3 周对农村和城郊监测人群中随机抽样的家庭进行多达 14 轮纵向电话调查。访谈包括有关以下主题的问题：与 COVID-19 相关的知识和行为、非营利机构对健康和经济的影响以及心理健康。我们分析了响应如何根据 NPI 严格程度和家庭社会人口统计数据而变化。 2020 年 4 月至 12 月期间，共有 5120 个家庭完成了 23,095 次访谈。截至 8 月，受访者自我报告的对其 COVID-19 相关知识和口罩使用的满意度分别迅速升至 85% 和 95%。随着特定非营利机构的放宽，出行量增加，经济损失减少，焦虑和抑郁症状的患病率下降。当 7 月份的一个节点上 COVID-19 病例数量激增时，出行量迅速下降，每日错过用药的比率翻了一番。领取政府资助养老金的成年人较多的家庭对经济问题和药物获取的担忧较少。尽管面临重大社会、经济和健康影响的威胁，南非人仍然遵守了与 COVID-19 相关的严格 NPI。政府支持的社会福利计划似乎可以缓冲当地疫情爆发期间收入和医疗保健服务的中断。流行病控制政策必须与资源有限环境中人民的更广泛福祉相平衡，并在此类政策威胁到人们的收入和获得基本服务时制定并行支持系统。
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. We aimed to determine how rural residents in three South African provinces changed their behaviors during the first COVID-19 epidemic wave. 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. 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. 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.
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影响因子：
10.7
作者：
Duflo, E
通讯作者：
Duflo, E
影响因子：
2.1
作者：
Banda, Jethro;Dube, Albert N.;Helleringer, Stephane
通讯作者：
Helleringer, Stephane
影响因子：
7.7
作者：
Kahn K;Collinson MA;Gómez-Olivé FX;Mokoena O;Twine R;Mee P;Afolabi SA;Clark BD;Kabudula CW;Khosa A;Khoza S;Shabangu MG;Silaule B;Tibane JB;Wagner RG;Garenne ML;Clark SJ;Tollman SM
通讯作者：
Tollman SM
影响因子：
7.7
作者：
Gareta D;Baisley K;Mngomezulu T;Smit T;Khoza T;Nxumalo S;Dreyer J;Dube S;Majozi N;Ording-Jesperson G;Ehlers E;Harling G;Shahmanesh M;Siedner M;Hanekom W;Herbst K
通讯作者：
Herbst K
DOI：
10.7196/samj.2019.v109i4.13664
发表时间：
2019-04-01
期刊：
SAMJ: South African Medical Journal
影响因子：
--
作者：
Bhana, A;Mntambo, N;Petersen, I
通讯作者：
Petersen, I