Immediate impact of stay-at-home orders to control COVID-19 transmission on socioeconomic conditions, food insecurity, mental health, and intimate partner violence in Bangladeshi women and their families: an interrupted time series

作者：Jena Hamadani, Mohammed Imrul Hasan, Andrew Baldi, Sheikh Jamal Hossain, Shamima Shiraji, Mohammad Saiful Alam Bhuiyan, Syeda Fardina Mehrin, Jane Fisher, Fahmida Tofail, S M Mulk Uddin Tipu, Sally Grantham‐McGregor, Beverley‐Ann Biggs, Sabine Braat, Sant‐Rayn Pasricha · 发表于：The Lancet Global Health · 年份：2020 · DOI：10.1016/s2214-109x(20)30366-1 · 被引用次数：490 · 研究领域：Food Security and Health in Diverse Populations、COVID-19 and Mental Health、Intimate Partner and Family Violence

BACKGROUND: Stay-at-home orders (lockdowns) have been deployed globally to control COVID-19 transmission, and might impair economic conditions and mental health, and exacerbate risk of food insecurity and intimate partner violence. The effect of lockdowns in low-income and middle-income countries must be understood to ensure safe deployment of these interventions in less affluent settings. We aimed to determine the immediate impact of COVID-19 lockdown orders on women and their families in rural Bangladesh. METHODS: An interrupted time series was used to compare data collected from families in Rupganj upazila, rural Bangladesh (randomly selected from participants in a randomised controlled trial), on income, food security, and mental health a median of 1 year and 2 years before the COVID-19 pandemic to data collected during the lockdown. We also assessed women's experiences of intimate partner violence during the pandemic. RESULTS: Between May 19 and June 18, 2020, we randomly selected and invited the mothers of 3016 children to participate in the study, 2424 of whom provided consent. 2414 (99·9%, 95% CI 99·6-99·9) of 2417 mothers were aware of, and adhering to, the stay-at-home advice. 2321 (96·0%, 95·2-96·7) of 2417 mothers reported a reduction in paid work for the family. Median monthly family income fell from US$212 at baseline to $59 during lockdown, and the proportion of families earning less than $1·90 per day rose from five (0·2%, 0·0-0·5) of 2422 to 992 (47·3%, 45·2-...