Abstract

Background: In South Africa, as in many countries, the nationwide spread of COVID-19 caused a public health emergency that resulted in the government implementing necessary restrictive measures such as the nationwide lockdown as a way of containing the pandemic. Such restrictive measure, while necessary, can disrupt many aspects of people's lives resulting in unprecedented psychosocial distress.Aim: The present study aims to describe the psychosocial health and situational factors associated with the novel coronavirus (COVID-19) in South Africa during the first wave of infection.Methods: This cross-sectional survey, recruited a total of 203 participants through convenience sampling via online platforms—WhatsApp, Facebook, emails, etc.—during COVID-19 lockdown in the country. Through the snowball technique, participants from across South Africa completed the online survey that assessed socio-demographic information, risk perception, history of mental health, COVID-19-related stress, and fears during the lockdown (first wave).Results: The majority of the participants who completed the survey were young, Black African, and female. Participants reported feelings of stress and anxiety (61.2%); stress about finances (39.5%); and feelings of sadness, anger, and/or frustration (31.6%) during the lockdown. Females compared to males were more likely to perceive COVID-19 as a risk to their household, = 45,844, p < 0.001 and community, = 40,047, p = 0.005. COVID-19 differentially impacted the mental health of participants with and without mental health diagnosis, = 16.596, p = 0.002. Participants with a prior mental health diagnosis reported significant extra stress during lockdown (p < 0.05).Conclusion: The findings may be of significance to assist in the development of targeted psychosocial interventions to help people during and after the pandemic.

Highlights

  • In January 2020, the World Health Organization (WHO) declared the outbreak of SARS-CoV-2, the virus that causes COVID-19, a public health emergency that raised an international concern [1]

  • Aim: The present study aims to describe the psychosocial health and situational factors associated with the novel coronavirus (COVID-19) in South Africa during the first wave of infection

  • COVID-19 differentially impacted the mental health of participants with and without mental health diagnosis, X

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Summary

Introduction

In January 2020, the World Health Organization (WHO) declared the outbreak of SARS-CoV-2, the virus that causes COVID-19, a public health emergency that raised an international concern [1]. On January 30, 2020, the WHO declared the coronavirus a public health emergency of international concern [3]. In South Africa, as in many countries, the nationwide spread of COVID-19 caused a public health emergency that resulted in the government implementing necessary restrictive measures such as the nationwide lockdown as a way of containing the pandemic. Such restrictive measure, while necessary, can disrupt many aspects of people’s lives resulting in unprecedented psychosocial distress

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