Unmet Needs and Coping Strategies of Older Underserved Veterans During the COVID-19 Pandemic.
Unmet Needs and Coping Strategies of Older Underserved Veterans During the COVID-19 Pandemic.
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DOI：
10.1177/21501319231184368
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发表时间：
2023-01
影响因子：
3.6
通讯作者：
Kunik, Mark E.
中科院分区：
文献类型：
--
作者：
Haltom, Trenton M.;Tiong, Joyce;Evans, Tracy L.;Kamdar, Nipa;True, Gala;Kunik, Mark E.
2019冠状病毒病大流行对糖尿病患者产生了深远影响，这一群体的发病率和死亡率都很高。在COVID-19大流行早期，种族、年龄、收入、退伍军人身份以及资源有限或中断等因素加剧了负面健康结果的风险。我们的目标是描述COVID-19大流行期间资源不足的2型糖尿病退伍军人的经历和需求。我们对患有糖尿病的美国退伍军人进行了半结构化定性访谈（2021年3月至9月）。使用基于团队的，总结和编码的迭代过程来分析转录本，以确定关键主题。参与者包括退伍军人（n = 25），其中大多数是男性（84%），黑人或非裔美国人（76%），老年人（平均年龄= 62.6）和低收入者（< 20,000美元/年；56%）。大多数参与者自我报告有中度（36%）或重度（56%）糖尿病相关的痛苦。政府关门和保持社交距离对退伍军人的社交、心理和身体健康产生了负面影响。退伍军人报告说，他们感到越来越孤立、抑郁、压力和未满足的心理健康需求。他们的身体健康也受到负面影响。尽管面临着与大流行相关的挑战，退伍军人还是适应了新的技术技能，感谢他们的家人，保持活跃，并依靠他们的宗教信仰。退伍军人在大流行期间的经历揭示了社会支持和获得技术的重要性。对于那些没有社会支持的人来说，同伴支持可以防止对健康产生负面影响。针对易受伤害的2型糖尿病患者的应急准备工作应包括提高对技术资源（例如Zoom或远程保健平台）的认识和增加获得技术资源的机会。这项研究的结果将有助于在未来的健康危机中为特定人群的需求量身定制支持方案。
The COVID-19 pandemic has had profound impacts on people with diabetes, a group with high morbidity and mortality. Factors like race, age, income, Veteran-status, and limited or interrupted resources early in the COVID-19 pandemic compounded risks for negative health outcomes. Our objective was to characterize the experiences and needs of under-resourced Veterans with type 2 diabetes during the COVID-19 pandemic. We conducted semi-structured qualitative interviews (March through September 2021) with U.S. military Veterans with diabetes. Transcripts were analyzed using a team-based, iterative process of summarizing and coding to identify key themes. Participants included Veterans (n = 25) who were mostly men (84%), Black or African American (76%), older (mean age = 62.6), and low-income (<$20 000/year; 56%). Most participants self-reported moderate (36%) or severe (56%) diabetes-related distress. Shutdowns and social distancing negatively impacted Veterans’ social, mental, and physical health. Veterans reported feeling increased isolation, depression, stress, and unmet mental health needs. Their physical health was also negatively affected. Despite pandemic-related challenges, Veterans adapted with new technological skills, appreciating their families, staying active, and relying on their religious faith. Veterans’ experiences during the pandemic revealed the importance of social support and access to technology. For those without social support, peer support could protect against negative health outcomes. Emergency-preparedness efforts for vulnerable patients with type 2 diabetes should include raising awareness about and increasing access to technological resources (eg, Zoom or telehealth platforms). Findings from this study will help tailor support programs for specific populations’ needs in future health crises.
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影响因子：
4.8
作者：
Khanijahani A;Iezadi S;Gholipour K;Azami-Aghdash S;Naghibi D
通讯作者：
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影响因子：
3.6
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3.6
作者：
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影响因子：
4.7
作者：
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