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Variations in the financial impact of the COVID-19 pandemic across 5 continents: A cross-sectional, individual level analysis.


ABSTRACT:

Background

COVID-19 has caused profound socio-economic changes worldwide. However, internationally comparative data regarding the financial impact on individuals is sparse. Therefore, we conducted a survey of the financial impact of the pandemic on individuals, using an international cohort that has been well-characterized prior to the pandemic.

Methods

Between August 2020 and September 2021, we surveyed 24,506 community-dwelling participants from the Prospective Urban-Rural Epidemiology (PURE) study across high (HIC), upper middle (UMIC)-and lower middle (LMIC)-income countries. We collected information regarding the impact of the pandemic on their self-reported personal finances and sources of income.

Findings

Overall, 32.4% of participants had suffered an adverse financial impact, defined as job loss, inability to meet financial obligations or essential needs, or using savings to meet financial obligations. 8.4% of participants had lost a job (temporarily or permanently); 14.6% of participants were unable to meet financial obligations or essential needs at the time of the survey and 16.3% were using their savings to meet financial obligations. Participants with a post-secondary education were least likely to be adversely impacted (19.6%), compared with 33.4% of those with secondary education and 33.5% of those with pre-secondary education. Similarly, those in the highest wealth tertile were least likely to be financially impacted (26.7%), compared with 32.5% in the middle tertile and 30.4% in the bottom tertile participants. Compared with HICs, financial impact was greater in UMIC [odds ratio of 2.09 (1.88-2.33)] and greatest in LMIC [odds ratio of 16.88 (14.69-19.39)]. HIC participants with the lowest educational attainment suffered less financial impact (15.1% of participants affected) than those with the highest education in UMIC (22.0% of participants affected). Similarly, participants with the lowest education in UMIC experienced less financial impact (28.3%) than those with the highest education in LMIC (45.9%). A similar gradient was seen across country income categories when compared by pre-pandemic wealth status.

Interpretation

The financial impact of the pandemic differs more between HIC, UMIC, and LMIC than between socio-economic categories within a country income level. The most disadvantaged socio-economic subgroups in HIC had a lower financial impact from the pandemic than the most advantaged subgroup in UMIC, with a similar disparity seen between UMIC and LMIC. Continued high levels of infection will exacerbate financial inequity between countries and hinder progress towards the sustainable development goals, emphasising the importance of effective measures to control COVID-19 and, especially, ensuring high vaccine coverage in all countries.

Funding

Funding for this study was provided by the Canadian Institutes of Health Research and the International Development Research Centre.

SUBMITTER: Khetan AK 

PROVIDER: S-EPMC8794545 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Variations in the financial impact of the COVID-19 pandemic across 5 continents: A cross-sectional, individual level analysis.

Khetan Aditya K AK   Yusuf Salim S   Lopez-Jaramillo Patricio P   Szuba Andrzej A   Orlandini Andres A   Mat-Nasir Nafiza N   Oguz Aytekin A   Gupta Rajeev R   Avezum Álvaro Á   Rosnah Ismail I   Poirier Paul P   Teo Koon K KK   Wielgosz Andreas A   Lear Scott A SA   Palileo-Villanueva Lia M LM   Serón Pamela P   Chifamba Jephat J   Rangarajan Sumathy S   Mushtaha Maha M   Mohan Deepa D   Yeates Karen K   McKee Martin M   Mony Prem K PK   Walli-Attaei Marjan M   Khansaheb Hamda H   Rosengren Annika A   Alhabib Khalid F KF   Kruger Iolanthé M IM   Paucar María-José MJ   Mirrakhimov Erkin E   Assembekov Batyrbek B   Leong Darryl P DP  

EClinicalMedicine 20220128


<h4>Background</h4>COVID-19 has caused profound socio-economic changes worldwide. However, internationally comparative data regarding the financial impact on individuals is sparse. Therefore, we conducted a survey of the financial impact of the pandemic on individuals, using an international cohort that has been well-characterized prior to the pandemic.<h4>Methods</h4>Between August 2020 and September 2021, we surveyed 24,506 community-dwelling participants from the Prospective Urban-Rural Epide  ...[more]

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