Social and Economic Factors Related to Healthcare Delay Among Low-Income Families During COVID-19: Results from the ACCESS Observational Study.
Autor: | Hoskote, Mekhala |
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Předmět: |
HEALTH policy
RACISM THERAPEUTICS STATISTICS ECONOMIC impact HEALTH services accessibility CONFIDENCE intervals CROSS-sectional method ATTITUDE (Psychology) MULTIVARIATE analysis SOCIAL factors SOCIAL stigma PEDIATRICS HEALTH status indicators MEDICAL screening TREATMENT delay (Medicine) SURVEYS INSTITUTIONAL racism MEDICAL care research T-test (Statistics) SAFETY-net health care providers CHILDREN'S health QUESTIONNAIRES SCALE analysis (Psychology) CENTER for Epidemiologic Studies Depression Scale DESCRIPTIVE statistics RESEARCH funding POVERTY HEALTH equity PUBLIC welfare STATISTICAL sampling LOGISTIC regression analysis ODDS ratio DATA analysis software COVID-19 pandemic TRUST PARENTS |
Zdroj: | Journal of Health Care for the Poor & Underserved; Nov2022, Vol. 33 Issue 4, p1965-1984, 20p |
Abstrakt: | Delayed medical care is a negative consequence of the COVID-19 pandemic for families with young children. Our study used data from the Accessing California Communities' Experiences with Safety net Supports (ACCESS) survey, a cross-sectional study that assessed experiences with safety-net programs among working families with low incomes (n=491). From August 2020 to May 2021, we conducted interviewer-administered surveys of low-income families with young children (ages zero to eight) in California and asked questions about whether participants had delayed medical care for their children or themselves. We found that delaying care for children was associated with lack of childcare and with the child having pre-existing conditions. Delaying parental medical care was associated with lack of childcare, experiences of racism, government mistrust, and perceptions of welfare stigma. These results suggest that health care access may be improved through a focus on supporting childcare systems and addressing structural racism. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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