Psychological, social and financial impacts of COVID-19 on culturally and linguistically diverse communities in Sydney, Australia

Muscat, Danielle M; Ayre, Julie; Mac, Olivia; Batcup, Carys; Cvejic, Erin; Pickles, Kristen; Dolan, Hankiz; Bonner, Carissa; Mouwad, Dana; Zachariah, Dipti; Turalic, Una; Santalucia, Yvonne; Chen, Tingting; Vasic, Gordana; McCaffery, Kirsten

doi:10.1136/bmjopen-2021-058323

Cited by 11 publications

(6 citation statements)

References 28 publications

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“…The District's—and, in particular, our local champions'—strong ties to the community have strengthened the capacity of the Hub to access and involve community members in the co‐creation of health literacy research. In addition to Parenting Plus, another recent example of this was the rapid mobilization of staff and consumers in Western Sydney and two adjoining health districts to co‐design and conduct the largest Australian COVID‐19 survey of people who speak a language other than English at home 42,43 …”

Section: Methodsmentioning

confidence: 99%

Embedding health literacy research and best practice within a socioeconomically and culturally diverse health service: A narrative case study and revised model of co‐creation

Muscat

Mouwad

McCaffery

et al. 2022

Health Expectations

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Background Health literacy interventions and research outcomes are not routinely or systematically implemented within healthcare systems. Co‐creation with stakeholders is a potential vehicle through which to accelerate and scale up the implementation of innovation from research. Methods This narrative case study describes an example of the application of a co‐creation approach to improve health literacy in an Australian public health system that provides hospital and community health services to one million people from socioeconomically and culturally diverse backgrounds. We provide a detailed overview of the value co‐creation stages and strategies used to build a practical and sustainable working relationship between a University‐based academic research group and the local health district focussed on improving health literacy. Results Insights from our experience over a 5‐year period informed the development of a revised model of co‐creation. The model incorporates a practical focus on the structural enablers of co‐creation, including the development of a Community of Practice, co‐created strategic direction and shared management systems. The model also includes a spectrum of partnership modalities (spanning relationship‐building, partnering and co‐creating), acknowledging the evolving nature of research partnerships and reinforcing the flexibility and commitment required to achieve meaningful co‐creation in research. Four key facilitators of health literacy co‐creation are identified: (i) local champions, (ii) co‐generated resources, (iii) evolving capability and understanding and (iv) increasing trust and partnership synergy. Conclusion Our case study and co‐creation model provide insights into mechanisms to create effective and collaborative ways of working in health literacy which may be transferable to other health fields in Australia and beyond. Patient and Public Contribution Our co‐creation approach brought together a community of practice of consumers, healthcare professionals and researchers as equal partners.

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Section: Methodsmentioning

confidence: 99%

Embedding health literacy research and best practice within a socioeconomically and culturally diverse health service: A narrative case study and revised model of co‐creation

Muscat

Mouwad

McCaffery

et al. 2022

Health Expectations

Self Cite

View full text Add to dashboard Cite

show abstract

“… 36 A study conducted on psychological, social and financial impacts of COVID-19 on culturally and linguistically diverse communities, concluded that changes in financial status, resulted in reduction in meeting family expenses for better living. 37 Whilst these findings reiterate the pervasive financial burden for patients with T2DM to maintain healthy eating habits as self-management, financial burden has serious implications on economy and food security for South African citizens at large.…”

Section: Discussionmentioning

confidence: 99%

Self-management challenges of adults with type 2 diabetes mellitus in Ekurhuleni district primary health care facilities amid COVID-19 lockdown

Mahlare,

Rasweswe,

Ramavhoya

2024

African Journal of Primary Health Care & Family Medicine

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Background: Self-management is highly recommended in managing type 2 diabetes mellitus (T2DM). Amid the coronavirus disease 2019 (COVID-19) lockdown, many restrictions were imposed, which might have affected the continuum of care and self-management. However, little is known about how people with T2DM experienced self-management during COVID-19 lockdown within the primary health care (PHC) facilities.Aim: The study explored and described the self-management challenges of adults with T2DM in Ekurhuleni PHC facilities amid COVID-19 level 5 and 4 lockdowns.Setting: The study was conducted in three community health centres in Ekurhuleni which are rendering PHC services.Methods: A phenomenological, qualitative, exploratory, and descriptive design was utilised. Purposive sampling was used to select adult patients with T2DM. Data were collected telephonically between July 2022 and August 2022 using semi-structured interviews. Inductive content analysis was used to analyse data.Results: Two themes emerged from the interviews, namely, uncontrolled blood glucose levels and financial challenges.Conclusion: The patients with T2DM experienced uncontrolled blood glucose levels and financial challenges during the COVID-19 lockdown. Guidelines to improve self-management programmes during restrictions are needed to promote good health during future pandemics to prevent complications and mortality. The telehealth model can be designed to monitor chronic patients at home during lockdown as a two-way communication.Contribution: More knowledge and insight into self-management and health promotion of patients with T2DM was provided by this study. Increased training needs arose for PHC nurses in managing and monitoring patients.

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“…Deeper than the physical restrictions were the affective responses of residents who felt unfairly targeted when compared with other Sydney LGAs, the idea of “second class citizens” gained currency in the media (Hayman, 2022) and aligned with findings in social research (Mude et al, 2021; Muscat et al, 2022). During daily COVID‐19 briefings to the public, patronising and culturally insensitive remarks were routinely made about sociocultural and ethno‐religious norms that may be exacerbating the spread of the Delta variant, slowing vaccination uptake.…”

Section: Peak Pandemic: Apps and Qr Codesmentioning

confidence: 97%

Pandemic surveillance and mobilities across Sydney, New South Wales

McDuie‐Ra,

Robinson,

Gulson

2023

Geographical Research

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In response to the acute public health crisis of COVID‐19 in 2020 and 2021, governments in Australia and around the world rushed to institute technologies to track human bodies with “live” surveillance. In Australia, “lockdowns” halted human mobilities in all states for different periods, and technologies for tracking bodies and collecting data were introduced after and between physical lockdowns. In this article, we analyse both the monitoring technologies developed to contend with COVID‐19 and the complex array of regulations and public health orders governing space and mobility in New South Wales and Sydney. Our focus on monitoring technologies is based on the COVIDSafe App (National) and the New South Wales COVIDSafe Check‐in App. These apps enabled the surveillance of individual mobilities before their sudden demise apparently unrelated to the public health scenario at the time. We argue that these technologies are examples of sensory power which rapidly enrolled human bodies in systems of surveillance that were difficult to unravel through 2022 and beyond. Our focus on regulations and public health orders outlines the shifting legal geographies during public health crisis and the ways these were enacted as mobility restrictions, surveillance, and punishment in western Sydney. We argue that the scars of the peak pandemic will endure in particular locations and communities, signalling the persistence of sensory power beyond the life of specific COVID‐19 tools.

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Psychological, social and financial impacts of COVID-19 on culturally and linguistically diverse communities in Sydney, Australia

Cited by 11 publications

References 28 publications

Embedding health literacy research and best practice within a socioeconomically and culturally diverse health service: A narrative case study and revised model of co‐creation

Embedding health literacy research and best practice within a socioeconomically and culturally diverse health service: A narrative case study and revised model of co‐creation

Self-management challenges of adults with type 2 diabetes mellitus in Ekurhuleni district primary health care facilities amid COVID-19 lockdown

Pandemic surveillance and mobilities across Sydney, New South Wales

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