Socioeconomic-Related Inequalities in COVID-19 Vulnerability in South Africa

Shifa, Muna; Gordon, David; Leibbrandt, Murray; Zhang, Mary

doi:10.3390/ijerph191710480

Cited by 3 publications

(2 citation statements)

References 63 publications

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“…Vaccination rates varied by socioeconomic status and particularily educational attainment, pointing towards health inequity. Other studies have reported that poorer and less educated people experience more barriers to vaccination [44,45]. Those with lower educational attainment are less likely to have access to accurate information and the vaccine information itself might be inaccessible in terms of language, content, and format, especially if this is provided in a written format [46].…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic inequity in COVID-19 vaccine uptake among youth in Zimbabwe

Larsson

Chikwari

Simms

et al. 2023

Preprint

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Introduction COVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare delivery is important to inform targeted vaccination campaigns. Methods A population-based survey was conducted in 24 communities across three provinces (Harare, Bulawayo and Mashonaland East) in Zimbabwe between October 2021 and June 2022. Youth aged 18 - 24 years were recruited using random sampling. Data on sociodemographic information and COVID-19 vaccination uptake and reasons for non-uptake were collected. Results A total of 17,682 youth were recruited (n=10,743, 60.8% female). The median age of survey participants was 20 (IQR: 19-22) years. Almost two thirds (n=10,651, 60.2%) of participants reported receiving at least one dose of COVID-19 vaccine. A higher proportion of men than women had been vaccinated (68.9% vs 54.7%), and vaccination prevalence increased with age (<19 years: 57.5%, 20-22: 61.5%, >23: 62.2%). Lack of time to get vaccinated, belief that the vaccine was unsafe and anxiety about side effects (particularly infertility) were the main reasons for not getting vaccinated. Factors associated with vaccination were male sex (OR=1.69, 95%CI:1.58-1.80), increasing age (>22 years: OR=1.12, 95%CI:1.04-1.21), education level (post-secondary: OR=4.34, 95%CI:3.27-5.76), and socioeconomic status (least poor: OR=1.32, 95%CI:1.20-1.47). Conclusion This study found vaccine inequity across age, sex, educational attainment and socioeconomic status among youth. Strategies should address these inequities by understanding concerns and tailoring vaccine campaigns to specific groups.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic inequity in COVID-19 vaccine uptake among youth in Zimbabwe

Larsson

Chikwari

Simms

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Vaccination rates varied by socioeconomic status and particularly educational attainment, pointing towards health inequity. Other studies have reported that poorer and less educated people experience more barriers to vaccination 43 44. Those with lower educational attainment are less likely to have access to accurate information and the vaccine information itself might be inaccessible in terms of language, content and format, especially if this is provided in a written format 45.…”

Section: Discussionmentioning

confidence: 99%

Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe

et al. 2023

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IntroductionCOVID-19 vaccine acceptance research has mostly originated from high-income countries and reasons why youth may not get vaccinated may differ in low-income settings. Understanding vaccination coverage across different population groups and the sociocultural influences in healthcare delivery is important to inform targeted vaccination campaigns.MethodsA population-based survey was conducted in 24 communities across three provinces (Harare, Bulawayo and Mashonaland East) in Zimbabwe between October 2021 and June 2022. Youth aged 18–24 years were randomly selected using multistage sampling. Sociodemographic characteristics, COVID-19 vaccination uptake and reasons for non-uptake were collected, and odds of vaccination was investigated using logistic regression.Results17 682 youth were recruited in the survey (n=10 742, 60.8% female). The median age of participants was 20 (IQR: 19–22) years. Almost two thirds (n=10 652, 60.2%) reported receiving at least one dose of COVID-19 vaccine. A higher proportion of men than women had been vaccinated (68.9% vs 54.7%), and vaccination prevalence increased with age (<19 years: 57.5%, 20–22: 61.5%, >23: 62.2%). Lack of time to get vaccinated, belief that the vaccine was unsafe and anxiety about side effects (particularly infertility) were the main reasons for not getting vaccinated. Factors associated with vaccination were male sex (OR=1.69, 95% CI 1.58 to 1.80), increasing age (>22 years: OR=1.12, 95% CI 1.04 to 1.21), education level (postsecondary: OR=4.34, 95% CI 3.27 to 5.76) and socioeconomic status (least poor: OR=1.32, 95% CI 1.20 to 1.47).ConclusionThis study found vaccine inequity across age, sex, educational attainment and socioeconomic status among youth. Strategies should address these inequities by understanding concerns and tailoring vaccine campaigns to specific groups.

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Against the odds: Unveiling the racial dynamics of financial resilience in post‐apartheid South Africa

Essel‐Gaisey,

Chiang

2024

Journal of Consumer Affairs

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Recent economic shocks have intensified financial distress and inequality, prompting research into the factors contributing to financial resilience. Previous studies have primarily employed unidimensional measures of financial resilience, neglecting the role of race. This paper addresses knowledge gaps by exploring how race influences financial resilience. Using data from the South African National Income Dynamic Study, this paper constructs a multidimensional financial resilience index, examines the relationship between race and financial resilience, and identifies potential mediating variables. The results indicate that approximately 52% of South Africans are financially resilient. Empirically, propensity score matching shows that Non‐Whites exhibit approximately 11% lower financial resilience levels than whites. Additionally, the Oaxaca–Blinder decomposition proves that discrimination accounts for approximately 3.7% of this disparity. Financial resilience among Non‐Whites would have increased by 1.5% if they had similar characteristics to Whites. Furthermore, mental health disorders and low trust mediate the relationship between race and financial resilience.

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Socioeconomic-Related Inequalities in COVID-19 Vulnerability in South Africa

Cited by 3 publications

References 63 publications

Sociodemographic inequity in COVID-19 vaccine uptake among youth in Zimbabwe

Sociodemographic inequity in COVID-19 vaccine uptake among youth in Zimbabwe

Addressing sociodemographic disparities in COVID-19 vaccine uptake among youth in Zimbabwe

Against the odds: Unveiling the racial dynamics of financial resilience in post‐apartheid South Africa

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