Racial-ethnic, gender identity, and sexual orientation disparities in COVID-19-related social and health outcomes: A decomposition analysis

SSM - Population Health, Год журнала: 2023, Номер 23, С. 101474 - 101474

Опубликована: Июль 23, 2023

Despite the growing literature on racial-ethnic disparities during pandemic, less is known about explanatory mechanisms of these and inequalities across other axes, such as gender sexual identities. We studied levels sources racial-ethnic, identity, minority in social (i.e., unmet resource needs) health hospitalization) outcomes among individuals diagnosed with COVID-19, hypothesizing differential age structure, underlying health, work living arrangements contributors to inequalities. Using large-scale administrative data from Chicago adjusting for covariates, we found substantial identity both outcomes, weak evidence needs. Subsequent decomposition analyses revealed that larger households, having a higher share non-adult cases, facing burdens chronic illness, obesity, unemployment each statistically significantly drove needs, but together explained than 15% disparities. Similarly, 20% Black-White gap hospitalization resulted unemployment, whereas proportion cases or rates respectively proved only significant pathways partially explain transgender individuals' disadvantages needs (12%) (6%). These findings highlight importance considering multiple dimensions differences studying disparities, vulnerabilities communities valid yet quite limited roles previously suggested sociodemographic factors accounting COVID-19-related categorical

Язык: Английский

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Patterns of COVID-19 related lifestyle disruptions and their associations with mental health outcomes among youth and young adults

Journal of Mood and Anxiety Disorders, Год журнала: 2023, Номер 4, С. 100029 - 100029

Опубликована: Сен. 29, 2023

The COVID-19 pandemic is a socionatural disaster that has disrupted the lives of individuals, families, and communities. Youth young adults (YYA) were uniquely vulnerable to proximal mental health effects pandemic; however, few studies have examined long-term pandemic. In present study, we sought (a) identity distinctive profiles COVID-related lifestyle disruptions experienced by YYA, (b) investigate sociodemographic characteristics correlates profile membership, (c) examine extent which membership was prospectively associated with changes in depressive anxiety symptoms. Hypothesis tested using latent analysis data from 1055 YYA collected across two time-points, 6-months apart. Results produced three-class model: low- (11%), moderate- (61%), high-levels (28%) disruption. Members high levels disruption group more likely identify as Black or Latinx American, bisexual/pansexual, transgender gender diverse comparison low group. Inclusion increases symptoms T1 T2. multiple marginalize communities (i. e. those who identified both racial/ethnic sexual/gender minorities) greatest related COVID-19. Consequently, disruptive eroded their health. are urgent need developmentally appropriate resources effectively recovery

Язык: Английский

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The SHOW COVID-19 cohort: methods and rationale for examining the statewide impact of COVID-19 on the social determinants of health

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2023, Номер unknown

Опубликована: Окт. 18, 2023

Abstract Background National and large city mortality morbidity data emerged during the early years of COVID-19 pandemic, yet statewide to assess impact had across urban rural landscapes on subpopulations was lacking. The SHOW cohort established provide descriptive longitudinal examine influence social determinants health related outcomes. Methods Participants were recruited from 5,742 adults in Survey Health Wisconsin (SHOW) who all residents Wisconsin, United States when they joined between 2008-2019. Online surveys administered at three timepoints 2020-2021. topics included exposure, testing vaccination, economic wellbeing, healthcare access, mental emotional health, caregiving, diet, lifestyle behaviors, cohesion, resilience. Results A total 2,304 completed least one online survey, with n=1,090 completing survey timepoints. Non-Whites 2-3 times more likely report having compared Whites, females than males experience disruptions their employment, those children home moderate high levels stress without children. Conclusion Longitudinal, cohorts are important for investigating how affect people’s lives, well-being first a pandemic offer insight into future preparation. available researchers is active continued follow-up. Key Messages Mortality national scale cities, comprehensive social, cultural, population-level state level lacking identifying sub-population trends. disrupted lives affected people differently based socio-economic status, demographics, family dynamics, geography, employment. unique non-clinical, non-hospital-based sample pre-COVID-19 baseline biospecimen waves specimen effects health.

Язык: Английский

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Opportunities for Nurses to Decrease the Stigma Associated with Housing Instability and Homelessness

Nursing Clinics of North America, Год журнала: 2023, Номер 59(1), С. 63 - 74

Опубликована: Дек. 14, 2023

Язык: Английский

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