Howitt Christina, Henry Fitzroy, Rocke Kern D, Brown Catherine R, Jones Waneisha, Dunn Leith, Samuels T Alafia
George Alleyne Chronic Disease Research Centre University of the West Indies Cave Hill Barbados George Alleyne Chronic Disease Research Centre, University of the West Indies, Cave Hill, Barbados.
University of Technology Kingston Jamaica University of Technology, Kingston, Jamaica.
Rev Panam Salud Publica. 2022 Aug 25;46:e61. doi: 10.26633/RPSP.2022.61. eCollection 2022.
To determine changes to income and livelihood, food consumption, and hunger due to coronavirus disease 2019 (COVID-19) in three Small Island Developing States (SIDS) in the Caribbean: Jamaica, St Kitts and Nevis, and St Vincent and the Grenadines.
This was a cross-sectional study conducted in July 2020. Participants were selected using telephone directories and lists of mobile numbers. Data were collected through face-to-face and telephone interviews. Participants rated the impact of COVID-19 on their livelihoods and the Adult Food Security Module was used to assess hunger. To examine how these outcomes varied by sociodemographic group, multivariable logistic regression analysis was used, with odds ratios (OR) and 95% confidence intervals (CI) reported.
The analysis included 880 participants. Of these, 40% (344/871) reported some form of hunger, with 18% (153/871) classed as moderate-to-severe hunger. Almost three quarters of households reported some impact on their livelihood (640/880), with 28% (243/880) classifying this impact as moderate to severe. Women were 60% more likely to report that their livelihoods were moderately to severely affected by COVID-19 (OR 1.59; 95% CI 1.09, 2.31) and 70% more likely to experience moderate-to-severe hunger (OR 1.70; 95% CI 1.37, 2.09). The effects of COVID-19 on livelihood and hunger were greater in those with secondary-school and primary-school education compared with tertiary education.
The COVID-19 pandemic is disproportionately affecting the most vulnerable segments of the population. Social protection programmes are a key component of efforts to alleviate the pandemic's consequences; however, equitable access must be ensured.
确定2019冠状病毒病（COVID - 19）对加勒比地区三个小岛屿发展中国家（SIDS）——牙买加、圣基茨和尼维斯以及圣文森特和格林纳丁斯的收入与生计、食物消费和饥饿状况产生的变化。
这是一项于2020年7月开展的横断面研究。参与者通过电话簿和手机号码列表进行选取。数据通过面对面访谈和电话访谈收集。参与者对COVID - 19对其生计的影响进行评分，并使用成人食品安全模块评估饥饿状况。为研究这些结果如何因社会人口学群体而异，采用多变量逻辑回归分析，并报告优势比（OR）和95%置信区间（CI）。
分析纳入了880名参与者。其中，40%（344/871）报告存在某种形式的饥饿，18%（153/871）被归类为中度至重度饥饿。近四分之三的家庭报告其生计受到某种影响（640/880），28%（243/880）将这种影响归类为中度至重度。女性报告其生计受到COVID - 19中度至重度影响的可能性高出60%（OR 1.59；95% CI 1.09，2.31），经历中度至重度饥饿的可能性高出70%（OR 1.70；95% CI 1.37，2.09）。与受过高等教育的人相比，COVID - 19对受过中学和小学教育的人的生计和饥饿的影响更大。
COVID - 19大流行对人口中最脆弱群体的影响尤为严重。社会保护计划是减轻大流行后果努力的关键组成部分；然而，必须确保公平获取。
