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Positive Changes in Safety Perception Among Blacks with HIV and Comorbidities: Assessment of Social Determinants of Health During COVID-19

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Title: Positive Changes in Safety Perception Among Blacks with HIV and Comorbidities: Assessment of Social Determinants of Health During COVID-19
Authors: Fleming, Marc, Lee, Deidra, Oranu, Chukwuezugo, Schommer, Jon C., Cocohoba, Jennifer, Cooper, Jennifer, Hodge, Crystal K., Nedjat, Saharnaz, Borgmann, Kathleen
Source: Journal of Racial and Ethnic Health Disparities
Publisher Information: Springer Nature
Publication Year: 2024
Collection: UNTHSC Scholarly Repository (University. of North Texas Health Science Center)
Subject Terms: African American, Blacks, COVID-19, ethnic, health disparities, lockdown, minorities, racial, social determinants of health, HIV Infections / ethnology, HIV Infections / psychology, COVID-19 / ethnology, COVID-19 / psychology, COVID-19 / epidemiology, Black or African American / psychology, Black or African American / statistics & numerical data, Diabetes Mellitus, Type 2 / ethnology, Type 2 / psychology, Comorbidity, Hypertension / ethnology
Description: PURPOSE: This study aimed to examine the impact of the COVID-19 lockdown on social determinants of health (SDOH) among Blacks with HIV and a comorbid diagnosis of hypertension or type 2 diabetes mellitus (T2DM). METHODS: This was a longitudinal survey study. The inclusion criteria were adults >/= 18 years and the presence of hypertension and/or diabetes, along with a positive HIV diagnosis. This study enrolled patients in the HIV clinics and chain specialty pharmacies in the Dallas-Fort Worth (DFW) area. A survey of ten questions examining SDOH was conducted before, during, and after the lockdown. A proportional odds mixed effects logistic regression model was applied to assess differences between time points. RESULTS: A total of 27 participants were included. Respondents felt significantly safer in their living place post-lockdown than in the pre-lockdown period (odds ratio = 6.39, 95% CI [1.08-37.73]). No other statistically significant differences in the responses were found over the study timeframe. However, borderline p values indicated better SDOH status post-lockdown as compared to pre-lockdown. CONCLUSION: Study participants feel safer one year after lockdown compared to pre-lockdown. The CARES Act and the moratorium on rent and mortgage are among the factors that may explain this increase. Future research should include designing and evaluating interventions for social equity enhancement. ; The authors declare no competing interests.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: https://doi.org/10.1007/s40615-023-01633-2; https://hdl.handle.net/20.500.12503/32892; 11
Availability: https://hdl.handle.net/20.500.12503/32892
Rights: Attribution 4.0 International (CC BY 4.0 Deed) ; http://creativecommons.org/licenses/by/4.0/ ; © The Author(s) 2023
Accession Number: edsbas.183B8105
Database: BASE
Description
Abstract:PURPOSE: This study aimed to examine the impact of the COVID-19 lockdown on social determinants of health (SDOH) among Blacks with HIV and a comorbid diagnosis of hypertension or type 2 diabetes mellitus (T2DM). METHODS: This was a longitudinal survey study. The inclusion criteria were adults >/= 18 years and the presence of hypertension and/or diabetes, along with a positive HIV diagnosis. This study enrolled patients in the HIV clinics and chain specialty pharmacies in the Dallas-Fort Worth (DFW) area. A survey of ten questions examining SDOH was conducted before, during, and after the lockdown. A proportional odds mixed effects logistic regression model was applied to assess differences between time points. RESULTS: A total of 27 participants were included. Respondents felt significantly safer in their living place post-lockdown than in the pre-lockdown period (odds ratio = 6.39, 95% CI [1.08-37.73]). No other statistically significant differences in the responses were found over the study timeframe. However, borderline p values indicated better SDOH status post-lockdown as compared to pre-lockdown. CONCLUSION: Study participants feel safer one year after lockdown compared to pre-lockdown. The CARES Act and the moratorium on rent and mortgage are among the factors that may explain this increase. Future research should include designing and evaluating interventions for social equity enhancement. ; The authors declare no competing interests.