Epidemics, Lockdown Measures and Vulnerable Populations: A Mixed-Methods Systematic Review of the Evidence of Impacts on Mother and Child Health in Low-and Lower-Middle-Income Countries.
Epidemics, Lockdown Measures and Vulnerable Populations: A Mixed-Methods Systematic Review of the Evidence of Impacts on Mother and Child Health in Low-and Lower-Middle-Income Countries.
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DOI：
10.34172/ijhpm.2021.155
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发表时间：
2022-10-19
影响因子：
3.5
通讯作者：
McCoy D
中科院分区：
文献类型：
--
作者：
Russo G;Jesus TS;Deane K;Osman AY;McCoy D
背景：本研究的目的是综合现有证据，证明与流行病有关的封锁措施对低收入和中低收入国家（LLMICs）妇女和儿童健康的影响。方法：采用混合方法对定性、定量和混合方法的证据进行系统评价。在2021年11月1日至10日期间，检索了七个科学数据库。纳入标准是，该论文提供了关于封锁和相关措施影响的证据，重点关注低收入和中等收入国家，论述了对妇女和儿童健康的影响，论述了2000年至2020年期间的流行病，经过同行评审，提供了原始证据，并以英文发表。乔安妮布里格斯研究所的关键评估工具被用来评估研究的质量，以及系统评价和荟萃分析（PRISMA）报告指南的首选报告项目。采用基于叙事数据的趋同综合设计，根据封锁措施类型和影响类别对论文中的证据进行分组。结果：审查过程确定了来自17个国家的46篇符合纳入标准的论文，重点关注2019年冠状病毒病（COVID-19）和埃博拉疫情。关于保健服务使用率下降的证据表明，免疫接种率急剧下降，孕产妇和围产期服务使用率下降，这与过早死亡人数增加有关。对儿童和妇女心理健康的影响已得到令人信服的证实，封锁与抑郁、焦虑和低生活满意度的激增有关。由于生计受到破坏，贫困程度加剧，封锁可能会加剧脆弱性。结论：局限性包括，搜索是在2020年底进行的，因为新的研究正在发表，一些未用英语发表的证据可能被排除在外。与流行病有关的封锁措施会对低收入环境中妇女和儿童的健康产生影响。各国政府需要权衡采取这些措施的利弊，并考虑采取政策减轻这些措施对最弱势群体的影响。
Background: The aim of this research was to synthetise the existing evidence on the impact of epidemic-related lockdown measures on women and children’s health in low- and lower-middle-income countries (LLMICs). Methods: A mixed-methods systematic review was conducted of qualitative, quantitative and mixed-methods evidence. Between 1st and 10th of November 2021, seven scientific databases were searched. The inclusion criteria were that the paper provided evidence on the impact of lockdown and related measures, focused on LLMICs, addressed impacts on women and child’s health, addressed epidemics from 2000-2020, was peer-reviewed, provided original evidence, and was published in English. The Joanne Briggs Institute’s critical appraisal tools were used to assess the quality of the studies, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting. The evidence from the papers was grouped by type of lockdown measure and categories of impact, using a narrative data-based convergent synthesis design. Results: The review process identified 46 papers meeting the inclusion criteria from 17 countries that focussed on the coronavirus disease 2019 (COVID-19) and Ebola epidemics. The evidence on the decrease of utilisation of health services showed plummeting immunisation rates and faltering use of maternal and perinatal services, which was linked to a growth of premature deaths. Impacts on the mental health of children and women were convincingly established, with lockdowns associated with surges in depression, anxiety and low life satisfaction. Vulnerability may be compounded by lockdowns, as livelihoods were disrupted, and poverty levels increased. Conclusion: Limitations included that searches were conducted in late-2020 as new research was being published, and that some evidence not published in English may have been excluded. Epidemic-related lockdown measures carry consequences for the health of women and children in lower-income settings. Governments will need to weigh the trade-offs of introducing such measures and consider policies to mitigate their impacts on the most vulnerable.
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DOI：
10.3390/ijerph17176237
发表时间：
2020-08-27
影响因子：
--
作者：
Ammar A;Chtourou H;Boukhris O;Trabelsi K;Masmoudi L;Brach M;Bouaziz B;Bentlage E;How D;Ahmed M;Mueller P;Mueller N;Hsouna H;Aloui A;Hammouda O;Paineiras-Domingos LL;Braakman-Jansen A;Wrede C;Bastoni S;Pernambuco CS;Mataruna L;Taheri M;Irandoust K;Khacharem A;Bragazzi NL;Strahler J;Washif JA;Andreeva A;Khoshnami SC;Samara E;Zisi V;Sankar P;Ahmed WN;Romdhani M;Delhey J;Bailey SJ;Bott NT;Gargouri F;Chaari L;Batatia H;Ali GM;Abdelkarim O;Jarraya M;Abed KE;Souissi N;Gemert-Pijnen LV;Riemann BL;Riemann L;Moalla W;Gómez-Raja J;Epstein M;Sanderman R;Schulz S;Jerg A;Al-Horani R;Mansi T;Jmail M;Barbosa F;Ferreira-Santos F;Šimunič B;Pišot R;Pišot S;Gaggioli A;Zmijewski P;Apfelbacher C;Steinacker J;Saad HB;Glenn JM;Chamari K;Driss T;Hoekelmann A;On Behalf Of The Eclb-Covid Consortium
通讯作者：
On Behalf Of The Eclb-Covid Consortium
影响因子：
4.1
作者：
Bowser, Diana;Gupta, Jaya;Nandakumar, Allyala
通讯作者：
Nandakumar, Allyala
影响因子：
34.3
作者：
Delamou, Alexandre;El Ayadi, Alison M.;De Brouwere, Vincent
通讯作者：
De Brouwere, Vincent
影响因子：
6.9
作者：
Ceballos, Francisco;Kannan, Samyuktha;Kramer, Berber
通讯作者：
Kramer, Berber
影响因子：
34.3
作者：
Ashish, K. C.;Gurung, Rejina;Malqvist, Mats
通讯作者：
Malqvist, Mats