Socioeconomic Effects of COVID-19 in Mexico: A Multisectoral Approach and Policy Options

Given the expiration of expanded unemployment and other benefits during the COVID-19 pandemic, it is important to understand the association between pandemic income or job loss and long-term implications on mental health. To evaluate the association between income or job loss due to the COVID-19 pandemic and later psychological distress. This cohort study used 5 waves of nationally representative, longitudinal survey data (September 16, 2019, through September 18, 2022) from the Pew Research Center's American Trends Panel. Doubly robust propensity score-weighted quasi-Poisson models were used to estimate the association of self or household income or job loss during the early phase of the COVID-19 pandemic with later psychological distress, while controlling for pre-income loss characteristics (demographics, finances, and psychological distress). The study sample comprised US working-age adults (aged 18-64 years) who had not experienced income or job loss due to the COVID-19 pandemic by March 24, 2020. Participant-reported self or household income or job loss (ie, reduced hours or demand for work) due to the COVID19 pandemic between March 24, 2020, and August 16, 2020. Psychological distress was measured using a composite scale of 0 to 15 based on participants' reported frequency of feeling depressed, on edge, sleepless, lonely, and hopeless in the past week in March 2020, February 2021, and September 2022. Of 1392 working-age adults (survey weighted 52.7% male and 47.7% aged 30-49 years) who had not reported income or job loss before March 24, 2020, a survey weighted 35.7% reported job or income loss between March 24 and August 16, 2020. Early-phase pandemic income or job loss was associated with higher distress in February 2021 (estimated ratio, 1.09; 95% CI, 1.01-1.18; P = .03) and September 2022 (estimated ratio, 1.11; 95% CI, 1.02-1.22; P = .02) among participants who experienced job or income loss between March 24 and August 16, 2020, compared with the propensity score-weighted mean in the group who did not experience income loss. These small but significant within-person associations between early-phase pandemic household income or job loss and psychological distress up to 29 months later suggest that policies are needed to support people with income or job loss to help mitigate the long-term adverse mental health outcomes of economic disruption.

BackgroundIn Cambodia, female entertainment workers (FEWs) are disproportionately affected by global and local disasters, such as the COVID-19 pandemic. To prevent the spread of COVID-19, the government imposed tight restrictions, including closures of entertainment venues, such as karaoke bars, beer gardens, nightclubs, or massage parlors, leading FEWs to face economic and social disruptions. This study aims to assess the relationship between income loss during the pandemic and gender-based violence (GBV) among FEWs in Cambodia to inform future disaster response programs.MethodsWe conducted a phone survey in August 2021 with 369 randomly sampled FEWs from a national organization’s email list. We used a structured questionnaire to ask the participants about job and income loss, food security, mental health, access to health services, and GBV. We fit a linear regression model to examine the differences in GBV experience between FEWs who lost all their income and those who lost partial income due to the COVID-19 pandemic. Key covariables comprised the number of dependents, smartphone ownership, internet access, food security, and mental health. Multivariable linear regression analysis was conducted.ResultsThe mean age (31.6 vs. 30.6), years of formal education (6.3 vs. 6.3), marital status (24.2 vs. 23.8 never married), and the number of children (1.3 vs. 1.1) of women reporting having lost all income were not significantly different from those who experienced partial income loss. Overall, GBV experiences were significantly higher in FEWs who lost all income than in those who lost partial income (62.9% vs. 47.4%, p = 0.03). Controlling for the number of dependents, smartphone ownership, and food security, the adjusted odds ratio for GBV was significant in the adjusted model (AOR = 1.23 (1.08–1.40), p = 0.001) indicating that those who experienced total income loss were more likely to experience GBV than those who experienced partial income loss. In addition, they were significantly less likely to be food secure (p = 0.04), less likely to own a smartphone (p = 0.02), and had more dependents (p < 0.001).ConclusionDisaster response programs should consider the implications of safety measures and government support for both formal and informal workers regarding safety, food access, and mental health support. Food assistance programs should target the most vulnerable informal sector workers during crises.

Incidence of poverty for Ghana has reduced from about 52% in 1991/92 to 28.5% in 2005/06. This is a remarkable drop in the incidence of poverty, but the current level is still high. Equally high are the levels of the depth and severity of poverty. This means that any policy pursued by the country must aim at further reducing the incidence, depth and severity of poverty. A number of policies and programmes have been implemented to reduce extreme in Ghana. On such policy, liberalisation of import trade has been implemented extensively in the country even though its long run contribution to poverty reduction is not clear in the trade literature. Therefore, this study examined the long run impact of import liberalization on the incidence, depth and severity of poverty at the national and household levels. The investigation was carried out using a recursive dynamic computable general equilibrium and a microsimulation model calibrated to the 2005 Social Accounting Matrix (SAM) of Ghana. In spite of the strong criticism against import liberalisation as being anti-growth and poverty enhancing, the results showed that the net effect of import liberalisation leads to reduction in the incidence, depth and severity of poverty at the national and household levels in the long run. However, the benefits of import liberalisation accrue more to urban households than rural households. This finding is due to the fact that urban households, generally, are net consumers of imported goods and services than rural households. In addition, the urban areas have the necessary economic infrastructure and so are economically vibrant, thereby offering huge opportunities for people to participate in international trading activities. The study recommends that import liberalisation must continue to be part of the poverty alleviation strategy of government for Ghana Post 2015 and that government focuses poverty alleviation policies more in the rural areas.

The spreading of Covid-19 in Mexico: A diffusional approach

The SARS-CoV-2 (COVID-19) pandemic has caused unprecedented social and economic disruption, accompanied by the enactment of a multitude of public health measures to restrain disease transmission. These public health and social measures have had a considerable impact on lifestyle and mental wellbeing, which has been well studied with metropolitan populations. However, limited literature concerning such effects on a selectively rural population is presently available. Additionally, the use of a standardised scoring system for lifestyle may be valuable for an overall assessment of lifestyle that may be incorporated into clinical practice. This study examined the associations between psychological distress and changes in SNAPS health behaviours (smoking, nutrition, alcohol, physical activity, sleep) since the onset of COVID-19 in Australia. A cross-sectional anonymous survey was distributed online to adults in the Western New South Wales Primary Health Network in August 2020 and included measures of psychological distress, income, disposition and lifestyle factors during the pandemic as well as changes to lifestyle due to COVID-19. A novel Global Lifestyle Score (GLS) was generated as a holistic assessment of lifestyle across multiple domains. The survey was completed by 304 individuals (modal age group 45-54 years, 86.8% female). High distress on the Kessler-5 scale was present in over one-third of participants (n=95, 33.7%). Detrimental change was reported for sleep (22.7%), nutrition (14.5%), alcohol (16.7%), physical exercise (34.0%) and smoking (24.7%) since the onset of the pandemic. Changes in sleep, nutrition, physical activity and smoking were associated with distress. Participants with a poor lifestyle (GLS) during the pandemic were significantly more distressed. Perceived COVID-19 impact was associated with high distress, drought impact and loss of income. Participants who reported negative impact from both COVID-19 and drought were significantly more distressed than those reporting a negative impact from drought alone or neither event. High rates of distress among rural Australians during the COVID-19 pandemic was linked to low GLS, worsening lifestyles and loss of income. Healthy lifestyle strategies should be considered by health professionals for the management of crisis-related distress. Further research may explore the impact of COVID-19 on a larger study population with a greater proportion of male participants and to examine the effect of modifying lifestyle factors in reducing distress in the context of a stressor such as this pandemic.

The world is engaged in containing the COVID Pandemic and controlling further spread and deaths. The global spread of the virus has overwhelmed health systems, and caused widespread social and economic disruption. Some nations have done a better job than rest of the world. The global spread of the virus has overwhelmed health systems, and caused widespread social and economic disruption. There is a strong case that COVID-19 could be with us in one way or another until a vaccine comes on the market or herd immunity is achieved. A long crisis, could stretch the international order to its breaking point. The virus has succeeded in confining almost all human beings in their homes. Balancing act between public health crisis and complex societal implications is an inescapable necessity. The pandemic will alter the world forever. An economic slowdown, severe recession, plummeting revenue, increased expenditure, and mental health issues could be the emerging challenges. There will be increased confidence in technology and nations will invest more in public health. We are passing through fragile and critical times in history. People around the world can prevail in response to this extraordinary challenge. Investing in public health, preparedness, and relying on science will bring a better future. Think of one world, one humanity to shape and secure our future.

BackgroundThe COVID-19 pandemic led to widespread economic disruptions, with government-imposed restrictions and lockdowns significantly affecting livelihoods globally. Burkina Faso, a country with pre-existing vulnerabilities in food security, experienced considerable challenges during this period. The aim of this study was to examine how COVID-19-related income losses is associated with self-reported food insecurity among women in Burkina Faso in 2020. The study also examined whether there was an increase in self-reported food insecurity among women during the COVID-19 restrictions compared with the pre-pandemic era.MethodsWe conducted a cross-sectional analysis using data from the Performance Monitoring for Action (PMA) female survey, which included 3,499 women from Burkina Faso. This study examined the associations between socioeconomic variables, such as age, education, household income loss, and food insecurity. We conducted two analyses using logistic regression. The first analysis focused on self-reported food insecurity and its association with the socioeconomic variables, and the second analysis focused on whether there was an increase in self-reported food insecurity compared with pre-pandemic levels and its association with the socioeconomic factors. We controlled for relevant confounders in the analysis and presented the results as adjusted odds ratios (AORs) with 95% confidence intervals (CIs).ResultsOur findings indicated that 16.97% of women reported experiencing food insecurity during the pandemic period. Compared with women with no income loss, women who experienced partial household income loss were 1.82 times (95% CI: 0.98–3.38) more likely to report food insecurity, whereas those who experienced complete income loss were 5.16 times (95% CI: 2.28–9.43) more likely to report food insecurity. The study, however, did not find a statistically significant increase in self-reported food insecurity due to COVID-19 restrictions compared with pre-pandemic levels.ConclusionsThis study demonstrated that income loss due to COVID-19 restrictions profoundly affected women’s food security in Burkina Faso. The significant associations between income loss and increased food insecurity underscore the need for targeted interventions and safety nets to support women during public health crises.

BackgroundThe World Health Organization stated a pandemic by severe acute respiratory syndrome coronavirus SARS-Cov2 (COVID-19) on March, 2020 with devastating implications for populations, healthcare systems, and economies globally.ObjectiveThe present study explores the association between patients living in municipalities with crowding conditions and poverty and mortality from COVID-19 in Mexico; specifically evaluating the socioeconomic characteristics of the municipality in which the patients reside and some individual characteristics.MethodsIn the present study, we examined public information collected from the National Epidemiological Surveillance System informing all persons tested for SARS-CoV-2 and published by the Ministry of Health. The present analysis was restricted to those with the date of registration to October 12, 2021. The association between the main exposures (overcrowded conditions and poverty) and the outcomes of interest (death by COVID-19) was explored using Cox proportional hazard regression models, including frailty penalties to accommodate multilevel data and random effects for the municipality of case occurrence.ResultsA total of 9619917 subjects were included in the Epidemiological Surveillance System for viral respiratory disease platform. Of those for which results were available, 6141403 were negative for COVID-19 and 3478514 were positive for COVID-19; with a total of 273216 deaths in those who tested positive. Among those positive to COVID-19 mean age was 46.9. Patients living in municipalities with high rates of crowding conditions increased the risk of dying from COVID-19 by 8% (95% CI: 1.03, 1.14). Individuals living in municipalities with indigenous background was associated with an increased risk of dying from COVID-19 (HR = 1.10; 95% CI: 1.04, 1.17). Individuals living in municipalities with illiteracy (HR = 1.09; 95% CI: 1.03, 1.11), poverty (HR = 1.17; 95% CI: 1.14, 1.19), food insecurity (HR = 1.094; 95% CI 1.02, 1.06), limited access to social security (HR = 1.10; 95% CI: 1.08, 1.13) and health services (HR = 1.06; 95% CI: 1.04, 1.08) had a higher risk of mortality from COVID-19.ConclusionOur data suggest that patients living in municipalities with higher rates of crowding conditions and higher rates of poverty had elevated risk of mortality from COVID-19. In Mexico, the COVID-19 pandemic is a systemic crisis linked to human development since we have seen that it affects less developed and more vulnerable municipalities. Policies to reduce vulnerabilities and develop strategies to deal with health crises like the current one needs to be considered.

The Covid-19 virus has spread across the world with alarming speed, infecting millions and causing economic disruption on an unprecedented scale. In this survey, we examine the impact of the outbreak on the Indonesian economy, as well as the government’s response to the public health crisis and its provisions for the emerging economic crisis. Indonesia’s delay in responding to the health crisis while Covid-19 spread in neighbouring countries in January–February 2020 has been costly for the health of the population. The government’s policy responses have so far been aimed at steadying the ship, addressing both the needs of the poor and the potentially poor (vulnerable) groups. At the time of writing, Covid-19 had not been tamed in Indonesia by any means. Hence, its implications for economic growth, jobs and welfare remained uncertain, as policy discussions were all about opening up the economy from virus-imposed restrictions across the country, under what has been termed the ‘new normal’.

BackgroundAlthough multi-sector policy is a promising strategy to create environments that stimulate physical activity among children, little is known about the feasibility of such a multi-sector policy approach. The aims of this study were: to identify a set of tangible (multi-sector) policy measures at the local level that address environmental characteristics related to physical activity among children; and to assess the feasibility of these measures, as perceived by local policy makers.MethodsIn four Dutch municipalities, a Delphi study was conducted among local policy makers of different policy sectors (public health, sports, youth and education, spatial planning/public space, traffic and transportation, and safety). In the first Delphi round, respondents generated a list of possible policy measures addressing three environmental correlates of physical activity among children (social cohesion, accessibility of facilities, and traffic safety). In the second Delphi round, policy makers weighted different feasibility aspects (political feasibility, cultural/community acceptability, technical feasibility, cost feasibility, and legal feasibility) and assessed the feasibility of the policy measures derived from the first round. The third Delphi round was aimed at reaching consensus by feedback of group results. Finally, one overall feasibility score was calculated for each policy measure.ResultsCultural/community acceptability, political feasibility, and cost feasibility were considered most important feasibility aspects. The Delphi studies yielded 16 feasible policy measures aimed at physical and social environmental correlates of physical activity among children. Less drastic policy measures were considered more feasible, whereas environmental policy measures were considered less feasible.ConclusionsThis study showed that the Delphi technique can be a useful tool in reaching consensus about feasible multi-sector policy measures. The study yielded several feasible policy measures aimed at physical and social environmental correlates of physical activity among children and can assist local policy makers in designing multi-sector policies aimed at an activity-friendly environment for children.

BackgroundMost economies in African countries are informal. As such, households in these countries tend to face higher levels of informality coupled with a lack of social protection, and have no replacement income or savings in the event of unexpected external shocks, such as COVID-19. Thus, the COVID-19 shock and its negative economic effects triggered a cascade of income losses and bankruptcies that pushed a significant share of households in African countries into poverty. This research analyzes the effect of poverty on the spread of COVID-19 using a sample of 52 African countries.MethodsTo achieve the objective of this research, this paper uses a multiple linear regression model and a sample of 52 African countries observed in 2020 to conduct a cross-country analysis. More importantly, two COVID-19 indicators (total number of officially reported cases and disease severity) and six poverty indicators (average poverty, poverty incidence, poverty depth, poverty severity, multidimensional poverty index, and extreme poverty) were used in this research.ResultsThe results show a positive and significant relationship between poverty and the spread of COVID-19.ConclusionsThese results suggest that more attention needs to be paid to poor populations in African countries during the pandemic. These populations are generally vulnerable, and there is a need for support programs targeting them to be put in place quickly. These programs may include food aid, distribution of supplies, health care support, fee waivers, and interest deferrals. In addition, sensitization of these disadvantaged groups on vaccination against COVID-19 to achieve herd immunity is strongly encouraged.

ObjectivesThe COVID-19 pandemic forms an unprecedented public health, economic, and social crisis. Uptake of vaccination is critical for controlling the pandemic. Nevertheless, vaccination hesitancy is considerable, requiring policies to promote uptake. We investigate Dutch citizens’ preferences for policies that aim to promote vaccination through facilitating choice of vaccination, profiling it as the norm, making vaccination more attractive through rewards, or punishing people who reject vaccination. MethodsWe conducted a discrete choice experiment in which 747 respondents were asked to choose between policies to promote vaccination uptake and their impacts on the number of deaths, people with permanent health problems, households with income loss, and a tax increase. ResultsRespondents generally had a negative preference for policies that promote vaccination. They particularly disliked policies that punish those who reject the vaccine and were more favorable toward policies that reward vaccination, such as awarding additional rights to vaccinated individuals through vaccination passports. Respondents who reject vaccination were in general much more negative about the policy options than respondents who consider accepting the vaccine. Nevertheless, vaccination passports are supported by both respondents who accept the vaccine, those who reject vaccination, and those who are unsure about vaccination. ConclusionsThis study provides concrete directions for governments attempting to increase the vaccination uptake in ways that are supported by the public. Our results could encourage policy makers to focus on policy options that make vaccination easier and reward people who take the vaccine, as especially the implementation of vaccination passports was supported.

The COVID-19 pandemic increased the prevalence of mental health disorders among youths. This study explored the association between COVID-19’s social and economic disruptions, mental health disorders, and coping behaviours among youths using Statistics Canada’s COVID-19 and Mental Health data. The study included 895 participants aged 18–24 years (52.9% women). Social and economic disruptions, healthy and unhealthy coping behaviours, and mental health severity (MHS) latent variables were delineated through exploratory factor analysis. Structural equation modelling revealed that social disruptions significantly increased the MHS (β = 0.77, p < 0.001), as well as healthy (β = 0.25, p < 0.001) and unhealthy (β = 0.54, p < 0.001) coping behaviours. Similarly, economic disruption was associated with an increase in healthy coping behaviours (β = 0.14, p = 0.043). Healthy coping behaviours (β=-0.08, p = 0.047) and positive coping skills (mastery) (β = -0.26, p < 0.001) were associated with a reduction in MHS. Positive coping behaviours mediated the social impact of COVID-19 on youth MHS; negative behaviours (substance use) had no significant mediation effect.

The present study seeks to examine the livelihood pattern, incidence of poverty and multiple deprivation among the tribal communities or Scheduled Tribes (STs) of Odisha by using secondary data collected from the various rounds of the National Sample Survey (NSS), Census of India reports, District Level Household and Facility Survey (DLFS) reports, etc. It evaluates the contributions of the different sources of livelihood on level of living, quality of life and economic well-being of the tribals. Methodologically, the study employs the Foster, Greer and Thorbecke (FGT) class of poverty measures to examine the incidence and magnitude of poverty among the tribals. It finds a strong relationship between livelihood pattern and poverty among them. Though there has been a decline in the incidence of poverty (head count ratio) among the tribals over a period of time, the rate of decline has been slower among the tribal communities than the other social classes. The tribals are confronted with low levels of income and higher levels of poverty due to their subsistence level of livelihood. Most of them are engaged in low-paid works, and suffer from chronic poverty and multiple deprivation. Finally, the study concludes with suggestions on how potential policy options can improve the livelihood condition of the tribals and redress the problem of heavy incidence of poverty among them.

Background: The Covid-19 pandemic represents an unprecedented global crisis. It has placed many strains on the health systems of countries around the world. They had to, among other things, fight simultaneously against this pandemic, treat the affected people, preserve the rest of the population, while continuing to take care of the other patients. Faced with this situation, the development of the use of ICT in health establishments is a necessity today more than ever in order to limit any kind of contamination in hospitals, especially that caused by the spread of covid-19 on the one hand, and to digitize the relationship between caregiver and patient on the other hand. All these challenges require the availability of digital tools in health institutions and require health professionals well informed and trained in this sense. In this respect, the use of digital tools and telehealth (E-health, telemedicine, telecare....) is a priority step to consolidate health systems, as these new technologies allow patients to receive accessible, safe and adapted virtual care.Objective: The aim of our study is to evaluate the level of adaptation of the Moroccan health system to the covid-19 pandemic through the use of information and communication technologies (ICT) in health facilities (hospitals and primary health care facilities), in order to combat coronavirus contamination in the latter (stop contamination: professional to professional, professional to patient and patient to patient). Methods: The online questionnaire technique allowed us to collect 500 responses from health professionals spread over all Moroccan regions. Results: (86%) of the interviewees declared the existence of a covid-19 service within their institutions, with a majority of (91%) never received training in the use of ICT. (51%) of the health, professionals confirmed the absence of digital tools in the covid-19 services. (87%) announced that the covid-19 services do not have applications for the registration of patients suspected or affected by SARS covid-19. In addition, (79%) of the respondents expressed their dissatisfaction with the use of ICT. In the same context, (72%) of the participants stated that the use of ICT can limit the spread of SARS covid-19 in health facilities. Conclusion: The health crisis has confirmed the importance of digitalization in the health sector. To do so, the state must place digital tools at the center of its interests as a major reform project for the Moroccan health system. The adoption of new technologies in the health sector can help health care practitioners to efficiently provide quality care to patients in order to limit any kind of contamination.