Impact of COVID-19 public health responses on income, food security and health services among key and vulnerable women in South Africa.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ajar-African Journal of Aids Research Pub Date : 2022-12-01 DOI:10.2989/16085906.2022.2144392
Hilton Humphries, Lara Lewis, Erik Lamontagne, Shakira Choonara, Keabetswe Dikgale, Anna Yakusik, Dianne Massawe, Ntombenhle Mkhize, Farai Mzungu, Quarraisha Abdool Karim
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引用次数: 3

Abstract

Globally, COVID-19 has impacted lives and livelihoods. Women living with HIV and/or at high risk of acquiring HIV are socially and economically vulnerable. Less is known of the impact of COVID-19 public health responses on women from key and vulnerable populations. The purpose of this cross-sectional survey conducted in four South African provinces with a high burden of HIV and COVID-19 from September to November 2021 was to advance understanding of the socio-economic and health care access impact of COVID-19 on women living with HIV or at high risk of acquiring HIV. A total of 2 812 women >15 years old completed the survey. Approximately 31% reported a decrease in income since the start of the pandemic, and 43% an increase in food insecurity. Among those accessing health services, 37% and 36% reported that COVID-19 had impacted their access to HIV and family planning services respectively. Economic and service disruptions were enhanced by living in informal housing, urbanisation and being in the Western Cape. Food insecurity was increased by being a migrant, having fewer people contributing to the household, having children and experience of gender-based violence. Family planning service disruptions were greater for sex workers and having fewer people contributing to the household. These differentiated impacts on income, food security, access to HIV and family planning services were mediated by age, housing, social cohesion, employment and household income, highlighting the need for improved structural and systemic interventions to reduce the vulnerability of women living with HIV or at high risk of acquiring HIV.

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2019冠状病毒病公共卫生应对措施对南非重点弱势妇女的收入、粮食安全和卫生服务的影响。
在全球范围内,COVID-19影响了人们的生活和生计。感染艾滋病毒和/或感染艾滋病毒风险高的妇女在社会和经济上处于弱势地位。COVID-19公共卫生应对措施对关键和弱势群体妇女的影响知之甚少。这项横断面调查于2021年9月至11月在艾滋病毒和COVID-19高负担的四个南非省份进行,目的是增进对COVID-19对感染艾滋病毒或感染艾滋病毒高风险妇女的社会经济和卫生保健获取影响的了解。共有2812名15岁以上的女性完成了调查。约31%的人报告说,自疫情开始以来,他们的收入有所减少,43%的人报告说,粮食不安全状况加剧。在获得卫生服务的人中,37%和36%的人分别报告说,COVID-19影响了他们获得艾滋病毒和计划生育服务的机会。由于居住在非正规住房、城市化和居住在西开普省,经济和服务中断加剧了。粮食不安全状况因移民、家庭成员较少、生育子女和遭受性别暴力而加剧。对性工作者来说,计划生育服务受到的干扰更大,而且家庭成员较少。这些对收入、粮食安全、获得艾滋病毒和计划生育服务的不同影响受到年龄、住房、社会凝聚力、就业和家庭收入的调节,突出表明需要改进结构性和系统性干预措施,以减少感染艾滋病毒或感染艾滋病毒高风险妇女的脆弱性。
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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
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