Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey

Purpose: The key preventive measures adopted to minimise the spread of the coronavirus disease (COVID-19) had significant health, economic and physical impacts mostly in developing countries. This study evaluated the health, economic and physical impacts of COVID-19 lockdown measures among sub-Sahar...

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Main Authors: Mashige, K.P., Osuagwu, U.L., Ulagnathan, S., Ekpenyong, B.N., Abu, E.K., Goson, P.C., Langsi, R., Nwaeze, O., Timothy, C.G., Charwe, D.D., Oloruntoba, Richard, Miner, C.A., Ishaya, T., Ovenseri-Ogbomo, G.O., Agho, K.E.
Format: Journal Article
Language:English
Published: DOVE MEDICAL PRESS LTD 2021
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/89051
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author Mashige, K.P.
Osuagwu, U.L.
Ulagnathan, S.
Ekpenyong, B.N.
Abu, E.K.
Goson, P.C.
Langsi, R.
Nwaeze, O.
Timothy, C.G.
Charwe, D.D.
Oloruntoba, Richard
Miner, C.A.
Ishaya, T.
Ovenseri-Ogbomo, G.O.
Agho, K.E.
author_facet Mashige, K.P.
Osuagwu, U.L.
Ulagnathan, S.
Ekpenyong, B.N.
Abu, E.K.
Goson, P.C.
Langsi, R.
Nwaeze, O.
Timothy, C.G.
Charwe, D.D.
Oloruntoba, Richard
Miner, C.A.
Ishaya, T.
Ovenseri-Ogbomo, G.O.
Agho, K.E.
author_sort Mashige, K.P.
building Curtin Institutional Repository
collection Online Access
description Purpose: The key preventive measures adopted to minimise the spread of the coronavirus disease (COVID-19) had significant health, economic and physical impacts mostly in developing countries. This study evaluated the health, economic and physical impacts of COVID-19 lockdown measures among sub-Saharan African (SSA) population and associated demographic variations. Methods: A total of 1970 respondents took part in this web-based cross-sectional survey during the mandatory lockdown period in most SSA. The dependent variables were health (COVID-19 infection, hospitalisation), socioeconomic (lost job, closed down business) and physical impacts (separated from family) of COVID-19. Univariate and bivariate logistic regression analyses were used to explore the factors associated with each of the dependent variables by the four sub-regions (Southern, Western, Central and East Africa). Results: The respondents were aged 34.1 ± 11.5 years (range: 18–75 years) and mostly men (1099, 55%). 25.9% (n = 511) reported an impact of COVID-19 pandemic with significant regional variations (p < 0.0005, higher proportion were East 36.2% and Southern Africans 30.3%) but no gender (p = 0.334) and age group variations (p > 0.05). Among Central African respondents, more men than women lost their businesses (45.7% versus 14.3%, p = 0.002) and contracted COVID-19 infections (40.0% versus 18.2%, p = 0.024) during the study period. Multivariable analysis revealed that respondents from East (adjusted odds ratio [AOR] 1.95, 95% confidence interval [CI]: 1.42–2.69), Southern (AOR 1.46, 95% CI: 1.09– 1.96) and Central Africa (AOR 1.47, 95% CI: 1.06–2.03) reported significantly higher impact of COVID-19. Those who reported family separation during the lockdown were more likely to be older participants (39–48 years, AOR 2.48, 95% CI: 1.11–5.57). Conclusion: One in four SSA respondents, mostly East and Southern Africans, were adversely affected by the COVID-19 pandemic during the lockdown. Interventions in high-risk populations are needed to reduce the health, socioeconomic and gender disparities in the impacts of COVID-19.
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spelling curtin-20.500.11937-890512022-08-19T07:39:40Z Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey Mashige, K.P. Osuagwu, U.L. Ulagnathan, S. Ekpenyong, B.N. Abu, E.K. Goson, P.C. Langsi, R. Nwaeze, O. Timothy, C.G. Charwe, D.D. Oloruntoba, Richard Miner, C.A. Ishaya, T. Ovenseri-Ogbomo, G.O. Agho, K.E. Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Health Policy & Services job loss infections hospitalisation family separation lockdown coronavirus infection Africa Purpose: The key preventive measures adopted to minimise the spread of the coronavirus disease (COVID-19) had significant health, economic and physical impacts mostly in developing countries. This study evaluated the health, economic and physical impacts of COVID-19 lockdown measures among sub-Saharan African (SSA) population and associated demographic variations. Methods: A total of 1970 respondents took part in this web-based cross-sectional survey during the mandatory lockdown period in most SSA. The dependent variables were health (COVID-19 infection, hospitalisation), socioeconomic (lost job, closed down business) and physical impacts (separated from family) of COVID-19. Univariate and bivariate logistic regression analyses were used to explore the factors associated with each of the dependent variables by the four sub-regions (Southern, Western, Central and East Africa). Results: The respondents were aged 34.1 ± 11.5 years (range: 18–75 years) and mostly men (1099, 55%). 25.9% (n = 511) reported an impact of COVID-19 pandemic with significant regional variations (p < 0.0005, higher proportion were East 36.2% and Southern Africans 30.3%) but no gender (p = 0.334) and age group variations (p > 0.05). Among Central African respondents, more men than women lost their businesses (45.7% versus 14.3%, p = 0.002) and contracted COVID-19 infections (40.0% versus 18.2%, p = 0.024) during the study period. Multivariable analysis revealed that respondents from East (adjusted odds ratio [AOR] 1.95, 95% confidence interval [CI]: 1.42–2.69), Southern (AOR 1.46, 95% CI: 1.09– 1.96) and Central Africa (AOR 1.47, 95% CI: 1.06–2.03) reported significantly higher impact of COVID-19. Those who reported family separation during the lockdown were more likely to be older participants (39–48 years, AOR 2.48, 95% CI: 1.11–5.57). Conclusion: One in four SSA respondents, mostly East and Southern Africans, were adversely affected by the COVID-19 pandemic during the lockdown. Interventions in high-risk populations are needed to reduce the health, socioeconomic and gender disparities in the impacts of COVID-19. 2021 Journal Article http://hdl.handle.net/20.500.11937/89051 10.2147/RMHP.S324554 English http://creativecommons.org/licenses/by-nc/3.0/ DOVE MEDICAL PRESS LTD fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
job loss
infections
hospitalisation
family separation
lockdown
coronavirus infection
Africa
Mashige, K.P.
Osuagwu, U.L.
Ulagnathan, S.
Ekpenyong, B.N.
Abu, E.K.
Goson, P.C.
Langsi, R.
Nwaeze, O.
Timothy, C.G.
Charwe, D.D.
Oloruntoba, Richard
Miner, C.A.
Ishaya, T.
Ovenseri-Ogbomo, G.O.
Agho, K.E.
Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey
title Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey
title_full Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey
title_fullStr Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey
title_full_unstemmed Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey
title_short Economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: A cross sectional survey
title_sort economic, health and physical impacts of covid-19 pandemic in sub-saharan african regions: a cross sectional survey
topic Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Health Policy & Services
job loss
infections
hospitalisation
family separation
lockdown
coronavirus infection
Africa
url http://hdl.handle.net/20.500.11937/89051