DiscussionĬOVID-19 and the lockdown disrupted Alexandra residents’ lives through unemployment, lost income, mental health problems, and increased violence. Self-reported physical violence victimization increased. The prevalence of past-week alcohol use fell from over 50% before the lockdown to less than 10% during the lockdown. Over 80% reported stress or anxiety, or depression due to the pandemic. Smaller percentages reported such changes for other items. A majority reported price rises and declines in availability of food. About 50% of respondents reported stockpiling food. Over half of households lost at least one source of income. About 70% of those employed before the lockdown were no longer working. Respondents were aged 18 to 89 and 47% female. We examined economic consequences health experiences, including COVID-19 exposure and mental health symptoms alcohol use and personal experiences with violence. We conducted a telephone survey May 11–22, 2020, while the lockdown and alcohol ban were in effect, of a spatially stratified sample of 353 adult Alexandra residents drawn randomly from voter registration, credit card application, and prior studies’ sampling frames. ![]() This study investigated how COVID-19 and lockdown policies affected residents of Alexandra, one of Johannesburg, South Africa’s lowest-income townships. Little research has examined how pandemics affect residents in under-resourced communities.
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