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@article{Kusuma:2021:10.1016/j.ssmph.2021.100751,
author = {Kusuma, D and Pradeepa, R and Khawaja, KI and Hasan, M and Siddiqui, S and Mahmood, S and Shah, SMA and De, Silva CK and de, Silva L and Gamage, M and Loomba, M and Rajakaruna, VP and Hanif, AAM and Kamalesh, RB and Kumarendran, B and Loh, M and Misra, A and Tassawar, A and Tyagi, A and Waghdhare, S and Burney, S and Ahmad, S and Mohan, V and Sarker, M and Goon, IY and Kasturiratne, A and Kooner, JS and Katulanda, P and Jha, S and Anjana, RM and Mridha, MK and Sassi, F and Chambers, JC},
doi = {10.1016/j.ssmph.2021.100751},
journal = {SSM - Population Health},
title = {Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: evidence from a large-scale multi-country surveillance programme},
url = {http://dx.doi.org/10.1016/j.ssmph.2021.100751},
volume = {13},
year = {2021}
}

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TY  - JOUR
AB  - Background. South Asia has become a major epicentre of the COVID-19 pandemic. Understanding South Asians’ awareness, attitudes and experiences of early measures for the prevention of COVID-19 is key to improving the effectiveness and mitigating the social and economic impacts of pandemic responses at a critical time for the Region. Methods. We assessed the knowledge, behaviours, health and socio-economic circumstances of 29,809 adult men and women, at 93 locations across four South Asian countries. Data were collected during the national lockdowns implemented from March to July 2020, and compared with data collected prior to the pandemic as part of an ongoing prospective surveillance initiative. Results. Participants were 61% female, mean age 45.1 years. Almost half had one or more chronic disease, including diabetes (16%), hypertension (23%) or obesity (16%). Knowledge of the primary COVID-19 symptoms and transmission routes was high, but access to hygiene and personal protection resources was low (running water 63%, hand sanitisers 53%, paper tissues 48%). Key preventive measures were not widely adopted. Knowledge, access to, and uptake of COVID-19 prevention measures were low amongst people from disadvantaged socio-economic groups. Fifteen percent of people receiving treatment for chronic diseases reported loss of access to long-term medications; 40% reported symptoms suggestive of anxiety or depression. The prevalence of unemployment rose from 9.3% to 39.4% (P<0.001), and household income fell by 52% (P<0.001) during the lockdown. Younger people and those from less affluent socio-economic groups were most severely impacted. Sedentary time increased by 32% and inadequate fruit and vegetable intake increased  by 10% (P<0.001 for both), while tobacco and alcohol consumption dropped by 41% and 80%, respectively (P<0.001), during the lockdown.Conclusions. Our results identified important knowledge, access and uptake barriers to the prevention of COV
AU  - Kusuma,D
AU  - Pradeepa,R
AU  - Khawaja,KI
AU  - Hasan,M
AU  - Siddiqui,S
AU  - Mahmood,S
AU  - Shah,SMA
AU  - De,Silva CK
AU  - de,Silva L
AU  - Gamage,M
AU  - Loomba,M
AU  - Rajakaruna,VP
AU  - Hanif,AAM
AU  - Kamalesh,RB
AU  - Kumarendran,B
AU  - Loh,M
AU  - Misra,A
AU  - Tassawar,A
AU  - Tyagi,A
AU  - Waghdhare,S
AU  - Burney,S
AU  - Ahmad,S
AU  - Mohan,V
AU  - Sarker,M
AU  - Goon,IY
AU  - Kasturiratne,A
AU  - Kooner,JS
AU  - Katulanda,P
AU  - Jha,S
AU  - Anjana,RM
AU  - Mridha,MK
AU  - Sassi,F
AU  - Chambers,JC
DO  - 10.1016/j.ssmph.2021.100751
PY  - 2021///
SN  - 2352-8273
TI  - Low uptake of COVID-19 prevention behaviours and high socioeconomic impact of lockdown measures in South Asia: evidence from a large-scale multi-country surveillance programme
T2  - SSM - Population Health
UR  - http://dx.doi.org/10.1016/j.ssmph.2021.100751
UR  - http://hdl.handle.net/10044/1/85826
VL  - 13
ER  -

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