Ramesh Rohan Michael, Aruldas Kumudha, Marconi Sam David, Janagaraj Venkateshprabhu, Rose Anuradha, John Sushil Mathew, Moorthy Mahesh, Muliyil Jayaprakash, Saravanakumar Puthupalayam Kaliappan, Ajjampur Sitara Swarna Rao, Sindhu Kulandaipalayam Natarajan
The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Community Health, Christian Medical College, Vellore, Tamil Nadu, India.
Am J Trop Med Hyg. 2022 Mar 16;106(5):1498-506. doi: 10.4269/ajtmh.21-1139.
We assessed the impact of the national lockdown on a rural and tribal population in Tamil Nadu, southern India. A mixed-methods approach with a pilot-tested, semi-structured questionnaire and focus group discussions were used. The impact of the lockdown on health, finances, and livelihood was studied using descriptive statistics. Multivariable logistic regression was carried out to identify factors associated with households that borrowed loans or sold assets during the lockdown, and unemployment during the lockdown. Of the 607 rural and tribal households surveyed, households from comparatively higher socioeconomic quintiles (adjusted odds ratio [aOR], 1.84; 95% CI, 1.01-3.34), with no financial savings (aOR, 2.91; 95% CI, 1.17-7.22), and with larger families (aOR, 1.76; 95% CI, 1.22-2.53), took loans or sold assets during the lockdown. Previously employed individuals from rural households (aOR, 5.07; 95% CI, 3.30-7.78), lower socioeconomic households (aOR, 3.08; 95% CI, 1.74, 5.45), and households with no savings (aOR, 1.78; 95% CI, 1.30-2.44) became predominantly unemployed during the lockdown. Existing government schemes for the elderly, differently abled, and widows were shown to be accessible to 89% of the individuals requiring these schemes in our survey. During the focus group discussions, the limited reach of online classes for schoolchildren was noted and attributed to the lack of smartphones and poor Internet connectivity. Although the sudden, unannounced national lockdown was imposed to flatten the COVID-19 curve, aspects related to livelihood and financial security were affected for both the rural and tribal populations.
我们评估了印度南部泰米尔纳德邦全国封锁对农村和部落人口的影响。采用了混合方法，包括经过预测试的半结构化问卷和焦点小组讨论。使用描述性统计研究了封锁对健康、财务和生计的影响。进行多变量逻辑回归以确定与在封锁期间借款或出售资产的家庭以及封锁期间失业相关的因素。在接受调查的607户农村和部落家庭中，社会经济五分位数相对较高的家庭（调整优势比[aOR]，1.84；95%置信区间[CI]，1.01 - 3.34）、没有金融储蓄的家庭（aOR，2.91；95%CI，1.17 - 7.22）以及家庭规模较大的家庭（aOR，1.76；95%CI，1.22 - 2.53）在封锁期间借款或出售了资产。农村家庭中以前有工作的个人（aOR，5.07；95%CI，3.30 - 7.78）、社会经济地位较低的家庭（aOR，3.08；95%CI，1.74，5.45）以及没有储蓄的家庭（aOR，1.78；95%CI，1.30 - 2.44）在封锁期间主要失业。在我们的调查中，现有的针对老年人、残疾人和寡妇的政府计划显示，89%需要这些计划的人可以获得。在焦点小组讨论中，注意到学童在线课程的覆盖范围有限，并将其归因于缺乏智能手机和互联网连接不佳。尽管实施突然且未事先宣布的全国封锁是为了 flatten COVID - 19曲线，但农村和部落人口的生计和金融安全方面都受到了影响。 （注：“flatten the COVID - 19 curve”直译为“ flatten COVID - 19曲线”，在医学领域可能有特定含义，具体需结合上下文确定更准确的表述，这里按原文翻译）
