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COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey

The COVID-19 pandemic has had serious negative health and economic impacts in sub-Saharan Africa. Continuous monitoring of these impacts is crucial to formulate interventions to minimize the consequences of COVID-19. This study surveyed 2,829 adults in urban and rural sites among five sub-Saharan Af...

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Autores principales: Assefa, Nega, Abdullahi, Yasir Y., Hemler, Elena C., Lankoande, Bruno, Madzorera, Isabel, Wang, Dongqing, Ismail, Abbas, Chukwu, Angela, Workneh, Firehiwot, Mapendo, Frank, Millogo, Ourohiré, Abubakari, Sulemana Watara, Febir, Lawrence Gyabaa, Lyatuu, Isaac, Dianou, Kassoum, Baernighausen, Till, Soura, Abdramane, Asante, Kwaku Poku, Smith, Emily, Vuai, Said, Worku, Alemayehu, Killewo, Japhet, Mwanyika-Sando, Mary, Berhane, Yemane, Sie, Ali, Tajudeen, Raji, Oduola, Ayo, Fawzi, Wafaie W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833061/
https://www.ncbi.nlm.nih.gov/pubmed/36509058
http://dx.doi.org/10.4269/ajtmh.22-0349
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author Assefa, Nega
Abdullahi, Yasir Y.
Hemler, Elena C.
Lankoande, Bruno
Madzorera, Isabel
Wang, Dongqing
Ismail, Abbas
Chukwu, Angela
Workneh, Firehiwot
Mapendo, Frank
Millogo, Ourohiré
Abubakari, Sulemana Watara
Febir, Lawrence Gyabaa
Lyatuu, Isaac
Dianou, Kassoum
Baernighausen, Till
Soura, Abdramane
Asante, Kwaku Poku
Smith, Emily
Vuai, Said
Worku, Alemayehu
Killewo, Japhet
Mwanyika-Sando, Mary
Berhane, Yemane
Sie, Ali
Tajudeen, Raji
Oduola, Ayo
Fawzi, Wafaie W.
author_facet Assefa, Nega
Abdullahi, Yasir Y.
Hemler, Elena C.
Lankoande, Bruno
Madzorera, Isabel
Wang, Dongqing
Ismail, Abbas
Chukwu, Angela
Workneh, Firehiwot
Mapendo, Frank
Millogo, Ourohiré
Abubakari, Sulemana Watara
Febir, Lawrence Gyabaa
Lyatuu, Isaac
Dianou, Kassoum
Baernighausen, Till
Soura, Abdramane
Asante, Kwaku Poku
Smith, Emily
Vuai, Said
Worku, Alemayehu
Killewo, Japhet
Mwanyika-Sando, Mary
Berhane, Yemane
Sie, Ali
Tajudeen, Raji
Oduola, Ayo
Fawzi, Wafaie W.
author_sort Assefa, Nega
collection PubMed
description The COVID-19 pandemic has had serious negative health and economic impacts in sub-Saharan Africa. Continuous monitoring of these impacts is crucial to formulate interventions to minimize the consequences of COVID-19. This study surveyed 2,829 adults in urban and rural sites among five sub-Saharan African countries: Burkina Faso, Ethiopia, Nigeria, Tanzania, and Ghana. Participants completed a mobile phone survey that assessed self-reported sociodemographics, COVID-19 preventive practices, psychological distress, and barriers to healthcare access. A modified Poisson regression model was used to estimate adjusted prevalence ratios (aPRs) and 95% CIs to investigate potential factors related to psychological distress and barriers to reduced healthcare access. At least 15.6% of adults reported experiencing any psychological distress in the previous 2 weeks, and 10.5% reported that at least one essential healthcare service was difficult to access 2 years into the pandemic. The majority of participants reported using several COVID-19 preventive methods, with varying proportions across the sites. Participants in the urban site of Ouagadougou, Burkina Faso (aPR: 2.29; 95% CI: 1.74–3.03) and in the rural site of Kintampo, Ghana (aPR: 1.68; 95% CI: 1.21–2.34) had a higher likelihood of experiencing any psychological distress compared with those in the rural area of Nouna, Burkina Faso. Loss of employment due to COVID-19 (aPR: 1.77; 95% CI: 1.47–2.11) was also associated with an increased prevalence of psychological distress. The number of children under 5 years in the household (aPR: 1.23; 95% CI: 1.14–1.33) and participant self-reported psychological distress (aPR: 1.83; 95% CI: 1.48–2.27) were associated with an increased prevalence of reporting barriers to accessing health services, whereas wage employment (aPR: 0.67; 95% CI: 0.49–0.90) was associated with decreased prevalence of reporting barriers to accessing health services. Overall, we found a high prevalence of psychological distress and interruptions in access to healthcare services 2 years into the pandemic across five sub-Saharan African countries. Increased effort and attention should be given to addressing the negative impacts of COVID-19 on psychological distress. An equitable and collaborative approach to new and existing preventive measures for COVID-19 is crucial to limit the consequences of COVID-19 on the health of adults in sub-Saharan Africa.
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spelling pubmed-98330612023-01-17 COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey Assefa, Nega Abdullahi, Yasir Y. Hemler, Elena C. Lankoande, Bruno Madzorera, Isabel Wang, Dongqing Ismail, Abbas Chukwu, Angela Workneh, Firehiwot Mapendo, Frank Millogo, Ourohiré Abubakari, Sulemana Watara Febir, Lawrence Gyabaa Lyatuu, Isaac Dianou, Kassoum Baernighausen, Till Soura, Abdramane Asante, Kwaku Poku Smith, Emily Vuai, Said Worku, Alemayehu Killewo, Japhet Mwanyika-Sando, Mary Berhane, Yemane Sie, Ali Tajudeen, Raji Oduola, Ayo Fawzi, Wafaie W. Am J Trop Med Hyg Research Article The COVID-19 pandemic has had serious negative health and economic impacts in sub-Saharan Africa. Continuous monitoring of these impacts is crucial to formulate interventions to minimize the consequences of COVID-19. This study surveyed 2,829 adults in urban and rural sites among five sub-Saharan African countries: Burkina Faso, Ethiopia, Nigeria, Tanzania, and Ghana. Participants completed a mobile phone survey that assessed self-reported sociodemographics, COVID-19 preventive practices, psychological distress, and barriers to healthcare access. A modified Poisson regression model was used to estimate adjusted prevalence ratios (aPRs) and 95% CIs to investigate potential factors related to psychological distress and barriers to reduced healthcare access. At least 15.6% of adults reported experiencing any psychological distress in the previous 2 weeks, and 10.5% reported that at least one essential healthcare service was difficult to access 2 years into the pandemic. The majority of participants reported using several COVID-19 preventive methods, with varying proportions across the sites. Participants in the urban site of Ouagadougou, Burkina Faso (aPR: 2.29; 95% CI: 1.74–3.03) and in the rural site of Kintampo, Ghana (aPR: 1.68; 95% CI: 1.21–2.34) had a higher likelihood of experiencing any psychological distress compared with those in the rural area of Nouna, Burkina Faso. Loss of employment due to COVID-19 (aPR: 1.77; 95% CI: 1.47–2.11) was also associated with an increased prevalence of psychological distress. The number of children under 5 years in the household (aPR: 1.23; 95% CI: 1.14–1.33) and participant self-reported psychological distress (aPR: 1.83; 95% CI: 1.48–2.27) were associated with an increased prevalence of reporting barriers to accessing health services, whereas wage employment (aPR: 0.67; 95% CI: 0.49–0.90) was associated with decreased prevalence of reporting barriers to accessing health services. Overall, we found a high prevalence of psychological distress and interruptions in access to healthcare services 2 years into the pandemic across five sub-Saharan African countries. Increased effort and attention should be given to addressing the negative impacts of COVID-19 on psychological distress. An equitable and collaborative approach to new and existing preventive measures for COVID-19 is crucial to limit the consequences of COVID-19 on the health of adults in sub-Saharan Africa. The American Society of Tropical Medicine and Hygiene 2023-01 2022-12-12 /pmc/articles/PMC9833061/ /pubmed/36509058 http://dx.doi.org/10.4269/ajtmh.22-0349 Text en © The author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC-BY) License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Assefa, Nega
Abdullahi, Yasir Y.
Hemler, Elena C.
Lankoande, Bruno
Madzorera, Isabel
Wang, Dongqing
Ismail, Abbas
Chukwu, Angela
Workneh, Firehiwot
Mapendo, Frank
Millogo, Ourohiré
Abubakari, Sulemana Watara
Febir, Lawrence Gyabaa
Lyatuu, Isaac
Dianou, Kassoum
Baernighausen, Till
Soura, Abdramane
Asante, Kwaku Poku
Smith, Emily
Vuai, Said
Worku, Alemayehu
Killewo, Japhet
Mwanyika-Sando, Mary
Berhane, Yemane
Sie, Ali
Tajudeen, Raji
Oduola, Ayo
Fawzi, Wafaie W.
COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey
title COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey
title_full COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey
title_fullStr COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey
title_full_unstemmed COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey
title_short COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey
title_sort covid-19 preventive practices, psychological distress, and reported barriers to healthcare access during the pandemic among adult community members in sub-saharan africa: a phone survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833061/
https://www.ncbi.nlm.nih.gov/pubmed/36509058
http://dx.doi.org/10.4269/ajtmh.22-0349
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