新冠肺炎大流行期间南非弱势社区的健康差距和数字鸿沟

E. Lubinga, Karabo Sitto, Keke Molebatsi
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引用次数: 2

摘要

这篇文章的目的是强调,在冠状病毒疾病(新冠肺炎)期间,数百年来革命性医疗保健的技术如何反过来增加了南非弱势社区的健康差距。2020年3月对该国实施的严格封锁,作为遏制新型病毒的初步措施,由于对经济的不利影响,主要是经济影响,变得不可行。从5月1日起,政府放松了封锁限制,并利用促进遵守的沟通策略,将重点从遏制转向行为改变措施。然而,即使在弱势社区内,在获得健康相关服务方面也存在差异,弱势程度不同。二级数据来自于一项横断面定量调查,该调查在北开普省和豪登省的10个弱势社区进行,涉及1742名参与者。结果显示,缺乏对信息的数字访问,阻碍了遵守一些建议的新冠肺炎相关行为改变措施。这两个省份的弱势社区之间存在差异,其基础是城市省份与农村省份。该研究强调,有必要评估医疗保健和社会经济因素之间的相互作用对健康公平和实现医疗保健目标造成的潜在障碍的程度。数字鸿沟加剧了弱势社区的差距,这可能会破坏虚拟沟通模式促进的医疗保健突破。
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Health disparities and the digital divide within South African disadvantaged communities during the COVID-19 pandemic
The purpose of this article is to highlight how technologies, which have for centuries revolutionalized healthcare, have conversely increased health disparities among disadvantaged communities in South Africa during coronavirus disease (COVID-19). A hard lockdown imposed on the country in March 2020, as an initial measure of containment of the novel virus, became unfeasible due to detrimental, mostly economic effects on the economy. From 1 May, the government eased the lockdown restrictions and shifted the emphasis from containment to behaviour change measures using communication strategies that promoted adherence. Yet, even within disadvantaged communities, there have been differences in health-related access with differing levels of disadvantage. Secondary data were analysed from a cross-sectional quantitative survey conducted in ten disadvantaged communities in the Northern Cape and Gauteng Provinces involving 1742 participants. Results show that the lack of digital access to information created an obstacle to adherence to some recommended COVID-19-related behaviour change measures. Disparities existed between the two provinces’ disadvantaged communities based on an urban versus a rural province. The study emphasized the need to assess the extent of underlying obstacles to health equity and achievement of healthcare goals propagated by an interface between healthcare and socio-economic factors. Breakthroughs in healthcare, facilitated by virtual modes of communication may be undermined by a digital divide exacerbating disparities in disadvantaged communities.
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来源期刊
CiteScore
1.20
自引率
20.00%
发文量
14
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