A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Associations between COVID-19 testing status, non-communicable diseases and HIV status among residents of sub-Saharan Africa during the first wave of the pandemic
Tekijät: Folayan Morenike O., Abeldaño Zuñiga Roberto Ariel, Virtanen Jorma I., El Tantawi Maha, Abeldaño Giuliana Florencia, Ishabiyi Anthonia Omotola, Jafer Mohammed, Al-Khanati Nuraldeen Maher, Quadri Mir Faeq Ali, Yousaf Muhammad Abrar, Ellakany Passent, Nzimande Ntombifuthi, Ara Eshrat, Khalid Zumama, Lawal Folake Barakat, Lusher Joanne, Popoola Bamidele O., Idigbe Ifeoma, Khan Abeedha Tu-Allah, Ayanore Martin Amogre, Gaffar Balgis, Osamika Bamidele Emmanuel, Aly Nourhan M., Ndembi Nicaise, Nguyen Annie Lu
Kustantaja: BMC
Julkaisuvuosi: 2022
Journal: BMC Infectious Diseases
Artikkelin numero: 535
Vuosikerta: 22
DOI: https://doi.org/10.1186/s12879-022-07498-w
Verkko-osoite: https://doi.org/10.1186/s12879-022-07498-w
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/175447959
Background: This study determined if non-communicable disease status, HIV status, COVID-19 status and co-habiting were associated with COVID-19 test status in sub-Saharan Africa.
Methods: Data of 5945 respondents age 18-years-old and above from 31 countries in sub-Saharan Africa collected through an online survey conducted between June and December 2020, were extracted. The dependent variable was COVID-19 status (testing positive for COVID-19 and having symptoms of COVID-19 but not getting tested). The independent variables were non-communicable disease status (hypertension, diabetes, cancer, heart conditions, respiratory conditions, depression), HIV positive status, COVID-19 status (knowing a close friend who tested positive for COVID-19 and someone who died from COVID-19) and co-habiting (yes/no). Two binary logistic regression models developed to determine associations between the dependent and independent variables were adjusted for age, sex, employment, sub region and educational status.
Results: Having a close friend who tested positive for COVID-19 (AOR:6.747), knowing someone who died from COVID-19 infection (AOR:1.732), and living with other people (AOR:1.512) were significantly associated with higher odds of testing positive for COVID-19 infection, while living with HIV was associated with significantly lower odds of testing positive for COVID-19 infection (AOR:0.284). Also, respondents with respiratory conditions (AOR:2.487), self-reported depression (AOR:1.901), those who had a close friend who tested positive for COVID-19 infection (AOR:2.562) and who knew someone who died from COVID-19 infection (AOR:1.811) had significantly higher odds of having symptoms of COVID-19 infection but not getting tested.
Conclusion: Non-communicable diseases seem not to increase the risk for COVID-19 positive test while cohabiting seems to reduce this risk. The likelihood that those who know someone who tested positive to or who died from COVID-19 not getting tested when symptomatic suggests there is poor contact tracing in the region. People with respiratory conditions and depression need support to get tested for COVID-19.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
