Health, psychosocial, and economic impacts of the COVID-19 pandemic on people with chronic conditions in India: a mixed methods study.
Kavita Singh,Dimple Kondal,Sailesh Mohan,Sailesh Mohan,Suganthi Jaganathan,Mohan Deepa,Nikhil Srinivasapura Venkateshmurthy,Prashant Jarhyan,Ranjit Mohan Anjana,K.M. Venkat Narayan,Viswanathan Mohan,Nikhil Tandon,Mohammed K. Ali,Dorairaj Prabhakaran,Dorairaj Prabhakaran,Karen Eggleston +15 more
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In this paper, the authors performed multivariable logistic regression analysis to examine the factors associated with difficulty in accessing medicines and worsening of diabetes or hypertension symptoms during the COVID-19 pandemic.Abstract:
People with chronic conditions are disproportionately prone to be affected by the COVID-19 pandemic but there are limited data documenting this. We aimed to assess the health, psychosocial and economic impacts of the COVID-19 pandemic on people with chronic conditions in India. Between July 29, to September 12, 2020, we telephonically surveyed adults (n = 2335) with chronic conditions across four sites in India. Data on participants’ demographic, socio-economic status, comorbidities, access to health care, treatment satisfaction, self-care behaviors, employment, and income were collected using pre-tested questionnaires. We performed multivariable logistic regression analysis to examine the factors associated with difficulty in accessing medicines and worsening of diabetes or hypertension symptoms. Further, a diverse sample of 40 participants completed qualitative interviews that focused on eliciting patient’s experiences during the COVID-19 lockdowns and data analyzed using thematic analysis. One thousand seven hundred thirty-four individuals completed the survey (response rate = 74%). The mean (SD) age of respondents was 57.8 years (11.3) and 50% were men. During the COVID-19 lockdowns in India, 83% of participants reported difficulty in accessing healthcare, 17% faced difficulties in accessing medicines, 59% reported loss of income, 38% lost jobs, and 28% reduced fruit and vegetable consumption. In the final-adjusted regression model, rural residence (OR, 95%CI: 4.01,2.90–5.53), having diabetes (2.42, 1.81–3.25) and hypertension (1.70,1.27–2.27), and loss of income (2.30,1.62–3.26) were significantly associated with difficulty in accessing medicines. Further, difficulties in accessing medicines (3.67,2.52–5.35), and job loss (1.90,1.25–2.89) were associated with worsening of diabetes or hypertension symptoms. Qualitative data suggest most participants experienced psychosocial distress due to loss of job or income and had difficulties in accessing in-patient services. People with chronic conditions, particularly among poor, rural, and marginalized populations, have experienced difficulties in accessing healthcare and been severely affected both socially and financially by the COVID-19 pandemic.read more
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The impact of the COVID-19 pandemic on mental health and well-being of people living with a long-term physical health condition: a qualitative study.
TL;DR: In this article, the authors explored how living with a long-term physical health condition (LTC) during the COVID-19 pandemic affected people's mental health and wellbeing.
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COVID-19 Vaccine Acceptability Among Women Who are Pregnant or Planning for Pregnancy in Saudi Arabia: A Cross-Sectional Study
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The effects of India's COVID-19 lockdown on critical non-COVID health care and outcomes: Evidence from dialysis patients
Radhika Jain,Pascaline Dupas +1 more
TL;DR: In this paper , the effects of the lockdown on non-COVID care access and health outcomes were examined in the state of Rajasthan, India, by identifying all dialysis patients under a statewide health insurance program.
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All-cause mortality during the COVID-19 pandemic in Chennai, India: an observational study
TL;DR: In this paper , the authors compared the difference between observed and expected mortality from March 1, 2020, to June 30, 2021, and compared pandemic-associated mortality across socioeconomically distinct communities with regression analyses.
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Patient experiences and perceptions of chronic disease care during the COVID-19 pandemic in India: a qualitative study.
Kavita Singh,Aprajita Kaushik,Leslie Johnson,Suganthi Jaganathan,Prashant Jarhyan,Mohan Deepa,Sandra Kong,Nikhil Srinivasapura Venkateshmurthy,Dimple Kondal,Sailesh Mohan,Ranjit Mohan Anjana,Mohammed K. Ali,Nikhil Tandon,K.M. Venkat Narayan,Viswanathan Mohan,Karen Eggleston,Dorairaj Prabhakaran +16 more
TL;DR: In this article, the authors conducted a qualitative study using a syndemic framework to understand the patients' experiences of chronic disease care, challenges faced during the lockdown, their coping strategies and mitigators during the COVID-19 pandemic in the context of socioecological and biological factors.
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TL;DR: A comprehensive mapping of inequalities in disease burden and its causes across the states of India can be a crucial input for more specific health planning for each state.