Psychological, social and financial impacts of COVID-19 on culturally and linguistically diverse communities in Sydney, Australia.

Muscat, DM; Ayre, J; Mac, O; Batcup, C; Cvejic, E; Pickles, K; Dolan, H; Bonner, C; Mouwad, D; Zachariah, D; Turalic, U; Santalucia, Y; Chen, T; Vasic, G; McCaffery, KJ

Psychological, social and financial impacts of COVID-19 on culturally and linguistically diverse communities in Sydney, Australia.

Muscat, DM Ayre, J

Mac, O Batcup, C Cvejic, E Pickles, K Dolan, H Bonner, C Mouwad, D Zachariah, D Turalic, U Santalucia, Y Chen, T Vasic, G McCaffery, KJ

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Publisher:: BMJ Journals
Publication Type:: Journal Article
Citation:: BMJ Open, 2022, 12, (5), pp. 1-11
Issue Date:: 2022-05-10

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Field	Value	Language
dc.contributor.author	Muscat, DM
dc.contributor.author	Ayre, J https://orcid.org/0000-0002-5279-5189
dc.contributor.author	Mac, O
dc.contributor.author	Batcup, C
dc.contributor.author	Cvejic, E
dc.contributor.author	Pickles, K
dc.contributor.author	Dolan, H
dc.contributor.author	Bonner, C
dc.contributor.author	Mouwad, D
dc.contributor.author	Zachariah, D
dc.contributor.author	Turalic, U
dc.contributor.author	Santalucia, Y
dc.contributor.author	Chen, T
dc.contributor.author	Vasic, G
dc.contributor.author	McCaffery, KJ
dc.date.accessioned	2022-11-24T04:49:39Z
dc.date.available	2022-11-24T04:49:39Z
dc.date.issued	2022-05-10
dc.identifier.citation	BMJ Open, 2022, 12, (5), pp. 1-11
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/163725
dc.description.abstract	OBJECTIVE: To explore the psychological, social and financial outcomes of COVID-19-and the sociodemographic predictors of those outcomes-among culturally and linguistically diverse communities in Sydney, Australia. DESIGN: Cross-sectional survey informed by the Framework for Culturally Competent Health Research conducted between March and July 2021. SETTING: Participants who primarily speak a language other than English at home were recruited from Greater Western Sydney, New South Wales. PARTICIPANTS: 708 community members (mean age: 45.4 years (range 18-91)). 88% (n=622) were born outside of Australia, 31% (n=220) did not speak English well or at all, and 41% (n=290) had inadequate health literacy. OUTCOME MEASURES: Thirteen items regarding COVID-19-related psychological, social and financial outcomes were adapted from validated scales, previous surveys or co-designed in partnership with Multicultural Health and interpreter service staff. Logistic regression models (using poststratification weighted frequencies) were used to identify sociodemographic predictors of outcomes. Surveys were available in English or translated (11 languages). RESULTS: In this analysis, conducted prior to the 2021 COVID-19 outbreak in Sydney, 25% of the sample reported feeling nervous or stressed most/all of the time and 22% felt lonely or alone most/all of the time. A quarter of participants reported negative impacts on their spousal relationships as a result of COVID-19 and most parents reported that their children were less active (64%), had more screen time (63%) and were finding school harder (45%). Mean financial burden was 2.9/5 (95% CI 2.8 to 2.9). Regression analyses consistently showed more negative outcomes for those with comorbidities and differences across language groups. CONCLUSION: Culturally and linguistically diverse communities experience significant psychological, social and financial impacts of COVID-19. A whole-of-government approach is needed to support rapid co-design of culturally safe support packages in response to COVID-19 and other national health emergencies, tailored appropriately to specific language groups and accounting for pre-existing health disparities.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ Journals
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2021-058323
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Australia
dc.subject.mesh	Child
dc.subject.mesh	COVID-19
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Health Literacy
dc.subject.mesh	Humans
dc.subject.mesh	Language
dc.subject.mesh	Middle Aged
dc.subject.mesh	Young Adult
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Australia
dc.subject.mesh	COVID-19
dc.subject.mesh	Child
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Health Literacy
dc.subject.mesh	Humans
dc.subject.mesh	Language
dc.subject.mesh	Middle Aged
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Language
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Middle Aged
dc.subject.mesh	Child
dc.subject.mesh	Australia
dc.subject.mesh	Young Adult
dc.subject.mesh	Health Literacy
dc.subject.mesh	COVID-19
dc.title	Psychological, social and financial impacts of COVID-19 on culturally and linguistically diverse communities in Sydney, Australia.
dc.type	Journal Article
utslib.citation.volume	12
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-24T04:49:24Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	12
utslib.citation.issue	5

Abstract:

OBJECTIVE: To explore the psychological, social and financial outcomes of COVID-19-and the sociodemographic predictors of those outcomes-among culturally and linguistically diverse communities in Sydney, Australia. DESIGN: Cross-sectional survey informed by the Framework for Culturally Competent Health Research conducted between March and July 2021. SETTING: Participants who primarily speak a language other than English at home were recruited from Greater Western Sydney, New South Wales. PARTICIPANTS: 708 community members (mean age: 45.4 years (range 18-91)). 88% (n=622) were born outside of Australia, 31% (n=220) did not speak English well or at all, and 41% (n=290) had inadequate health literacy. OUTCOME MEASURES: Thirteen items regarding COVID-19-related psychological, social and financial outcomes were adapted from validated scales, previous surveys or co-designed in partnership with Multicultural Health and interpreter service staff. Logistic regression models (using poststratification weighted frequencies) were used to identify sociodemographic predictors of outcomes. Surveys were available in English or translated (11 languages). RESULTS: In this analysis, conducted prior to the 2021 COVID-19 outbreak in Sydney, 25% of the sample reported feeling nervous or stressed most/all of the time and 22% felt lonely or alone most/all of the time. A quarter of participants reported negative impacts on their spousal relationships as a result of COVID-19 and most parents reported that their children were less active (64%), had more screen time (63%) and were finding school harder (45%). Mean financial burden was 2.9/5 (95% CI 2.8 to 2.9). Regression analyses consistently showed more negative outcomes for those with comorbidities and differences across language groups. CONCLUSION: Culturally and linguistically diverse communities experience significant psychological, social and financial impacts of COVID-19. A whole-of-government approach is needed to support rapid co-design of culturally safe support packages in response to COVID-19 and other national health emergencies, tailored appropriately to specific language groups and accounting for pre-existing health disparities.

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http://hdl.handle.net/10453/163725