Racial and ethnic disparities post-hospitalization for COVID-19: barriers to access to care for survivors of COVID-19 acute respiratory distress syndrome

Racial and ethnic health disparities in the incidence and severity of Coronavirus Disease 2019 (COVID-19) have been observed globally and in the United States. Research has focused on transmission, hospitalization, and mortality among racial and ethnic minorities, but Long COVID-19 health disparitie...

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Veröffentlicht in:Scientific reports Jg. 14; H. 1; S. 11556 - 8
Hauptverfasser: Cañas, Alicia, Wolf, Allison, Mak, Angela, Ruddy, Jacob, El-Sadek, Sal, Gomez, Laura, Furfaro, David, Fullilove, Robert, Burkart, Kristin M., Zelnick, Jennifer, O’Donnell, Max R.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London Nature Publishing Group UK 21.05.2024
Nature Publishing Group
Nature Portfolio
Schlagworte:
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Access to care
Adult
Aged
ARDS
Coronaviruses
COVID-19
COVID-19 - epidemiology
COVID-19 - therapy
Cross-Sectional Studies
Disease transmission
Emergency medical care
Emergency medical services
Ethnic and Racial Minorities
Female
Health care
Health care policy
Health disparities
Health Services Accessibility
Healthcare Disparities
Hispanic or Latino - statistics & numerical data
Hospitalization
Hospitalization - statistics & numerical data
Humanities and Social Sciences
Humans
Long COVID
Male
Middle Aged
multidisciplinary
New York City - epidemiology
Poverty
Primary care
Racial and ethnic disparities
Racism
Respiratory distress syndrome
Respiratory Distress Syndrome - therapy
Retrospective Studies
SARS-CoV-2
Science
Science (multidisciplinary)
Survival
Survivors
New York City
COVID-19
Access to care
Racial and ethnic disparities
Long COVID
ARDS
ISSN:2045-2322, 2045-2322
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Zusammenfassung:Racial and ethnic health disparities in the incidence and severity of Coronavirus Disease 2019 (COVID-19) have been observed globally and in the United States. Research has focused on transmission, hospitalization, and mortality among racial and ethnic minorities, but Long COVID-19 health disparities research is limited. This study retrospectively evaluated 195 adults who survived COVID-19 associated acute respiratory distress syndrome (C-ARDS) in New York City from March–April 2020. Among survivors, 54% met the criteria for Long COVID syndrome. Hispanic/Latinx patients, were more likely to be uninsured (p = 0.027) and were less frequently discharged to rehabilitation facilities (p < 0.001). A cross-sectional telephone survey and interview were conducted with a subset of survivors (n = 69). Among these, 11% reported a lack of follow-up primary care post-discharge and 38% had subsequent emergency room visits. Notably, 38% reported poor treatment within the health care system, with 67% attributing this to racial or ethnic bias. Thematic analysis of interviews identified four perceived challenges: decline in functional status, discrimination during hospitalization, healthcare system inequities, and non-healthcare-related structural barriers. Sources of resilience included survivorship, faith, and family support. This study highlights structural and healthcare-related barriers rooted in perceived racism and poverty as factors impacting post-COVID-19 care.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-024-61097-0