COVID-19 Impacts on Families of Color and Families of Children With Asthma
| Autor: | Morgan Pepper-Davis, Ashley B. Cole, Nicole M Ruppe, Ashley H. Clawson, Alexandra L Blair, Cara Nwankwo |
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| Rok vydání: | 2021 |
| Předmět: |
AcademicSubjects/MED00810
AcademicSubjects/SCI02112 Cross-sectional study Psychological intervention Indigenous 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Environmental health Health care Developmental and Educational Psychology Humans Medicine Original Research Article 030212 general & internal medicine Social determinants of health Child Pandemics Asthma SARS-CoV-2 business.industry COVID-19 medicine.disease Distress Cross-Sectional Studies Pediatrics Perinatology and Child Health business Psychosocial |
| Zdroj: | Journal of Pediatric Psychology |
| ISSN: | 1465-735X 0146-8693 |
| DOI: | 10.1093/jpepsy/jsab021 |
| Popis: | Objective This cross-sectional study quantified differences in (a) social determinants of health (SDOH) and perceived changes in SDOH during the 2019 novel coronavirus (COVID-19) pandemic and (b) COVID-19 psychosocial impacts across four groups: (a) non-Hispanic White (NHW) parents of children with asthma, (b) Black, Indigenous, or other People of Color (BIPOC) parents of healthy children, (c) BIPOC parents of children with asthma, and (d) NHW parents of healthy children (referent). The NIMHD Framework was used to identify SDOHs that may change for families during COVID-19. Methods Parents were recruited via Prolific (N = 321) and completed questions about COVID-19 family impacts on employment, income, access to food and healthcare, and psychosocial functioning, including discrimination. It was hypothesized that NHW families of children with asthma and BIPOC families would endorse greater negative outcomes relative to NHW parents of healthy children. Results BIPOC families experienced greater food insecurity and discrimination relative to NHW parents of healthy children. When compared with the NHW healthy group, COVID-19 resulted in greater parent-reported resource losses for both BIPOC groups and greater reductions in healthcare access for both asthma groups. Children with asthma and BIPOC children had greater distress surrounding COVID-19. BIPOC and NHW parents of children with asthma reported greater worries about resource losses due to COVID-19. Conclusions The pandemic is widening inequities for BIPOC families, especially for families of children with asthma. These results highlight the need for interventions that address the needs of underserved communities, providing the infrastructure, policies, and supports needed to reduce health inequities during and after COVID-19. |
| Databáze: | OpenAIRE |
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