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6. Area-level deprivation and individual-level socioeconomic correlates of the diabetes care cascade among black south africans in uMgungundlovu, KwaZulu-Natal, South Africa

Author

Madela, Sanele Listen Mandlenkosi, primary, Harriman, Nigel Walsh, additional, Sewpaul, Ronel, additional, Mbewu, Anthony David, additional, Williams, David R, additional, Sifunda, Sibusiso, additional, Manyaapelo, Thabang, additional, Nyembezi, Anam, additional, and Reddy, Sasiragha Priscilla, additional

Published
2023
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7. In-Person Social Interactions and Anxiety During the COVID-19 Pandemic: Exploring the Role of Household Size and Virtual Social Contact Among Midlife and Older Black South African Adults.

Author

Harriman, Nigel Walsh, Ohene-Kwofie, Daniel, Jung, Sun Jae, Hermosilla, Sabrina, Gómez-Olivé, Francesc Xavier, and Jennings, Elyse A

Subjects
*RESEARCH funding, *MENTAL health, *LOGISTIC regression analysis, *SEX distribution, *ANXIETY, *FAMILY relations, *FAMILIES, *DESCRIPTIVE statistics, *LONGITUDINAL method, *ODDS ratio, *INTERPERSONAL relations, *COVID-19 pandemic, *INTERGENERATIONAL relations, *SOCIAL distancing, *SOCIAL isolation, BLACK Africans
Abstract

Objectives The current study investigates how physical distancing during the coronavirus disease 2019 (COVID-19) pandemic was associated with increased anxiety among a cohort of midlife older Black South African adults and the extent to which household size and virtual social contact modify this association for men and women. Methods We analyze data from a phone survey conducted from July 2021 to March 2022 as part of Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (n  = 2,080). We employ logistic regression to estimate the association between changes in in-person social interactions and anxiety symptoms and examine whether the association is modified by household size and changes in virtual social contact. We perform analyses separately for women and men. Results Declines in in-person social interactions were associated with increased anxiety for women and men (odds ratios [OR] = 2.52, p  < .001). For women only, declines were greater for those living in larger households (OR = 1.11, p  = .032). Declines were buffered by increased virtual social contact for both women (OR = 0.55, p  = .025) and men (OR = 0.45, p  = .019). Discussion Although the anxiety symptoms of women and men were similarly affected by declines in in-person social interaction, the modifying influence of household size is unique to women, likely due to gender-specific social roles. For women, living in larger households may mean greater caregiving burden, exacerbating the detrimental association between physical distancing and anxiety. On the other hand, both women and men may have used virtual means to connect with friends and family living outside their homes, buffering against increased anxiety. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Prevalence and Psychosocial Correlates of Diabetes Mellitus in South Africa: Results from the South African National Health and Nutrition Examination Survey (SANHANES-1)

Author

Sifunda, Sibusiso, primary, Mbewu, Anthony David, additional, Mabaso, Musawenkosi, additional, Manyaapelo, Thabang, additional, Sewpaul, Ronel, additional, Morgan, Justin Winston, additional, Harriman, Nigel Walsh, additional, Williams, David R., additional, and Reddy, Sasiragha Priscilla, additional

Published
2023
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