Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme
This article was published in the SSM - Population Health by Elsevier [© 2021 Published by Elsevier Inc.] and the definite version is available at: https://doi.org/10.1016/j.ssmph.2021.100751 The Journal's website is at: https://www.sciencedirect.com/science/article/pii/S2352827321000264?via%3D...
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Elsevier
2022
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| 在線閱讀: | http://hdl.handle.net/10361/17001 https://doi.org/10.1016/j.ssmph.2021.100751 |
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10361-17001 |
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dspace |
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Brac University |
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Institutional Repository |
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en_US |
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COVID-19 Preventative measures Socioeconomic impact South Asia Surveillance system |
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COVID-19 Preventative measures Socioeconomic impact South Asia Surveillance system Kusuma, Dian Pradeepa, Rajendra Khawaja, Khadija I. Hasan, Mehedi Siddiqui, Samreen Mahmood, Sara Shah, Syed Mohsin Ali De Silva, Chamini K. de Silva, Laksara Gamage, Manoja Loomba, Menka Rajakaruna, Vindya P. Hanif, Abu AM Kamalesh, Rajan Babu Kumarendran, Balachandran Loh, Marie Misra, Archa Tassawar, Asma Tyagi, Akansha Waghdhare, Swati Burney, Saira Ahmad, Sajjad Mohan, Viswanathan Sarker, Malabika Goon, Ian Y. Kasturiratne, Anuradhani Kooner, Jaspal S. Katulanda, Prasad Jha, Sujeet Anjana, Ranjit Mohan Mridha, Malay K. Sassi, Franco Chambers, John C. Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme |
| description |
This article was published in the SSM - Population Health by Elsevier [© 2021 Published by Elsevier Inc.] and the definite version is available at: https://doi.org/10.1016/j.ssmph.2021.100751 The Journal's website is at: https://www.sciencedirect.com/science/article/pii/S2352827321000264?via%3Dihub |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Kusuma, Dian Pradeepa, Rajendra Khawaja, Khadija I. Hasan, Mehedi Siddiqui, Samreen Mahmood, Sara Shah, Syed Mohsin Ali De Silva, Chamini K. de Silva, Laksara Gamage, Manoja Loomba, Menka Rajakaruna, Vindya P. Hanif, Abu AM Kamalesh, Rajan Babu Kumarendran, Balachandran Loh, Marie Misra, Archa Tassawar, Asma Tyagi, Akansha Waghdhare, Swati Burney, Saira Ahmad, Sajjad Mohan, Viswanathan Sarker, Malabika Goon, Ian Y. Kasturiratne, Anuradhani Kooner, Jaspal S. Katulanda, Prasad Jha, Sujeet Anjana, Ranjit Mohan Mridha, Malay K. Sassi, Franco Chambers, John C. |
| format |
Thesis |
| author |
Kusuma, Dian Pradeepa, Rajendra Khawaja, Khadija I. Hasan, Mehedi Siddiqui, Samreen Mahmood, Sara Shah, Syed Mohsin Ali De Silva, Chamini K. de Silva, Laksara Gamage, Manoja Loomba, Menka Rajakaruna, Vindya P. Hanif, Abu AM Kamalesh, Rajan Babu Kumarendran, Balachandran Loh, Marie Misra, Archa Tassawar, Asma Tyagi, Akansha Waghdhare, Swati Burney, Saira Ahmad, Sajjad Mohan, Viswanathan Sarker, Malabika Goon, Ian Y. Kasturiratne, Anuradhani Kooner, Jaspal S. Katulanda, Prasad Jha, Sujeet Anjana, Ranjit Mohan Mridha, Malay K. Sassi, Franco Chambers, John C. |
| author_sort |
Kusuma, Dian |
| title |
Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme |
| title_short |
Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme |
| title_full |
Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme |
| title_fullStr |
Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme |
| title_full_unstemmed |
Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme |
| title_sort |
low uptake of covid-19 prevention behaviours and high socioeconomic impact of lockdown measures in south asia: evidence from a large-scale multi-country surveillance programme |
| publisher |
Elsevier |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/17001 https://doi.org/10.1016/j.ssmph.2021.100751 |
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1814309712639819776 |
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10361-170012022-06-20T21:01:33Z Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: Evidence from a large-scale multi-country surveillance programme Kusuma, Dian Pradeepa, Rajendra Khawaja, Khadija I. Hasan, Mehedi Siddiqui, Samreen Mahmood, Sara Shah, Syed Mohsin Ali De Silva, Chamini K. de Silva, Laksara Gamage, Manoja Loomba, Menka Rajakaruna, Vindya P. Hanif, Abu AM Kamalesh, Rajan Babu Kumarendran, Balachandran Loh, Marie Misra, Archa Tassawar, Asma Tyagi, Akansha Waghdhare, Swati Burney, Saira Ahmad, Sajjad Mohan, Viswanathan Sarker, Malabika Goon, Ian Y. Kasturiratne, Anuradhani Kooner, Jaspal S. Katulanda, Prasad Jha, Sujeet Anjana, Ranjit Mohan Mridha, Malay K. Sassi, Franco Chambers, John C. Brac James P. Grant School of Public Health COVID-19 Preventative measures Socioeconomic impact South Asia Surveillance system This article was published in the SSM - Population Health by Elsevier [© 2021 Published by Elsevier Inc.] and the definite version is available at: https://doi.org/10.1016/j.ssmph.2021.100751 The Journal's website is at: https://www.sciencedirect.com/science/article/pii/S2352827321000264?via%3Dihub Background: South Asia has become a major epicentre of the COVID-19 pandemic. Understanding South Asians’ awareness, attitudes and experiences of early measures for the prevention of COVID-19 is key to improving the effectiveness and mitigating the social and economic impacts of pandemic responses at a critical time for the Region. Methods: We assessed the knowledge, behaviours, health and socio-economic circumstances of 29,809 adult men and women, at 93 locations across four South Asian countries. Data were collected during the national lockdowns implemented from March to July 2020, and compared with data collected prior to the pandemic as part of an ongoing prospective surveillance initiative. Results: Participants were 61% female, mean age 45.1 years. Almost half had one or more chronic disease, including diabetes (16%), hypertension (23%) or obesity (16%). Knowledge of the primary COVID-19 symptoms and transmission routes was high, but access to hygiene and personal protection resources was low (running water 63%, hand sanitisers 53%, paper tissues 48%). Key preventive measures were not widely adopted. Knowledge, access to, and uptake of COVID-19 prevention measures were low amongst people from disadvantaged socio-economic groups. Fifteen percent of people receiving treatment for chronic diseases reported loss of access to long-term medications; 40% reported symptoms suggestive of anxiety or depression. The prevalence of unemployment rose from 9.3% to 39.4% (P < 0.001), and household income fell by 52% (P < 0.001) during the lockdown. Younger people and those from less affluent socio-economic groups were most severely impacted. Sedentary time increased by 32% and inadequate fruit and vegetable intake increased by 10% (P < 0.001 for both), while tobacco and alcohol consumption dropped by 41% and 80%, respectively (P < 0.001), during the lockdown. Conclusions: Our results identified important knowledge, access and uptake barriers to the prevention of COVID19 in South Asia, and demonstrated major adverse impacts of the pandemic on chronic disease treatment, mental health, health-related behaviours, employment and household finances. We found important sociodemographic differences for impact, suggesting a widening of existing inequalities. Our findings underscore the need for immediate large-scale action to close gaps in knowledge and access to essential resources for prevention, along with measures to safeguard economic production and mitigate socio-economic impacts on the young and the poor. Published 2022-06-20T04:22:13Z 2022-06-20T04:22:13Z 2021 2021-02-13 Thesis Kusuma, D., Pradeepa, R., Khawaja, K. I., Hasan, M., Siddiqui, S., Mahmood, S., . . . NIHR Global Health Research Unit for Diabetes and Cardiovascular Disease in South Asia. (2021). Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in south asia: Evidence from a large-scale multi-country surveillance programme. SSM - Population Health, 13 doi:10.1016/j.ssmph.2021.100751 http://hdl.handle.net/10361/17001 https://doi.org/10.1016/j.ssmph.2021.100751 en_US https://www.sciencedirect.com/science/article/pii/S2352827321000264?via%3Dihub SSM - Population Health application/pdf Elsevier |