دورية أكاديمية
COVID-19 impacts and inequities among underserved communities with diabetes
العنوان: | COVID-19 impacts and inequities among underserved communities with diabetes |
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المؤلفون: | Jennifer L. Maizel, Michael J. Haller, David M. Maahs, Ananta Addala, Rayhan A. Lal, Stephanie L. Filipp, Matthew J. Gurka, Sarah Westen, Brittney N. Dixon, Lauren Figg, Melanie Hechavarria, Keilecia G. Malden, Ashby F. Walker |
المصدر: | Journal of Clinical & Translational Endocrinology, Vol 36, Iss , Pp 100337- (2024) |
بيانات النشر: | Elsevier, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Diseases of the endocrine glands. Clinical endocrinology |
مصطلحات موضوعية: | Diabetes, COVID-19, Coronavirus, Pandemic, Health Equity, Health Disparities, Diseases of the endocrine glands. Clinical endocrinology, RC648-665 |
الوصف: | Background: People with diabetes have higher COVID-19 morbidity and mortality. These risks are amplified for underserved communities including racial/ethnic minorities and people with lower socioeconomic status. However, limited research has examined COVID-19 outcomes specifically affecting underserved communities with diabetes. Methods: From November 2021 to July 2022, adults with insulin-requiring diabetes at federally qualified health centers in Florida and California (n = 450) completed surveys examining COVID-19 outcomes and demographics. Surveys assessed COVID-19 severity, vaccination uptake, mask-wearing habits, income changes, and healthcare access changes. Surveys also included the full Coronavirus Anxiety Scale (CAS-19). Descriptive statistics were computed for all outcomes. Between-group comparisons for state and race/ethnicity were evaluated via Chi-Squared, Fisher’s Exact, Cochran-Mantel-Haenszel, One-Way ANOVA, and t-tests. Logistic regression determined factors associated with COVID-19 vaccination uptake. Data were self-reported and analyzed cross-sectionally. Results: Overall, 29.7 % reported contracting COVID-19; of those, 45.3 % sought care or were hospitalized. Most (81.3 %) received ≥ 1 vaccine. Hispanics had the highest vaccination rate (91.1 %); Non-Hispanic Blacks (NHBs) had the lowest (73.9 %; p =.0281). Hispanics had 4.63x greater vaccination odds than Non-Hispanic Whites ([NHWs]; 95 % CI = [1.81, 11.89]). NHWs least often wore masks (18.8 %; p |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2214-6237 24677590 |
العلاقة: | http://www.sciencedirect.com/science/article/pii/S2214623724000085Test; https://doaj.org/toc/2214-6237Test |
DOI: | 10.1016/j.jcte.2024.100337 |
الوصول الحر: | https://doaj.org/article/d87b246775904b07a88028dcb6b64c00Test |
رقم الانضمام: | edsdoj.87b246775904b07a88028dcb6b64c00 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 22146237 24677590 |
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DOI: | 10.1016/j.jcte.2024.100337 |