Document detail
ID

doi:10.1007/s40615-023-01633-2...

Author
Fleming, Marc Lee, Deidra Oranu, Chukwuezugo Schommer, Jon C. Cocohoba, Jennifer Cooper, Jennifer Hodge, Crystal K. Nedjat, Saharnaz Borgmann, Kathleen
Langue
en
Editor

Springer

Category

Epidemiology

Year

2023

listing date

5/24/2023

Keywords
covid-19 african american lockdown social determinants of health health disparities blacks minorities racial ethnic lockdown sdoh pre-lockdown hiv
Metrics

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.

Fleming, Marc,Lee, Deidra,Oranu, Chukwuezugo,Schommer, Jon C.,Cocohoba, Jennifer,Cooper, Jennifer,Hodge, Crystal K.,Nedjat, Saharnaz,Borgmann, Kathleen, 2023, Positive Changes in Safety Perception Among Blacks with HIV and Comorbidities: Assessment of Social Determinants of Health During COVID-19, Springer

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