Experiences of Latinx Individuals Hospitalized for COVID-19: A Qualitative Study.
Experiences of Latinx Individuals Hospitalized for COVID-19: A Qualitative Study.
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DOI：
10.1001/jamanetworkopen.2021.0684
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发表时间：
2021-03-01
影响因子：
13.8
通讯作者：
Fernandez A
中科院分区：
文献类型：
--
作者：
Cervantes L;Martin M;Frank MG;Farfan JF;Kearns M;Rubio LA;Tong A;Matus Gonzalez A;Camacho C;Collings A;Mundo W;Powe NR;Fernandez A
因2019冠状病毒病（COVID-19）住院的拉丁裔成年人的经历能否为改善公共卫生和卫生保健提供信息？在这项针对60名拉丁裔成年人的定性研究中，参与者报告了COVID-19的错误信息，认为COVID-19加剧了现有的社会劣势，并且由于需要工作而面临感染的风险。由于移民和经济方面的考虑，与会者不愿寻求医院治疗。这些发现表明，为了遏制社区传播和减少不必要的发病率，必须通过有针对性的公共卫生信息传递和改善经济状况的公共政策干预措施来解决移民、就业和经济困境。这项定性研究描述了在美国两个主要城市因2019年冠状病毒病（COVID-19）住院并存活下来的拉丁裔成年人的经历。拉丁裔个体，特别是移民，比非拉丁裔白人感染和死于2019年冠状病毒病（COVID-19）的风险更高。人们对拉丁人感染COVID-19的经历和治疗知之甚少。描述因COVID-19住院并存活的拉丁裔患者的经历。定性研究采用半结构化电话采访的方式，对2020年3月至2020年7月在加利福尼亚州旧金山和科罗拉多州丹佛市的公立医院接受COVID-19住院治疗的60名拉丁裔成年人进行了调查。转录本采用定性专题分析进行分析。数据分析时间为2020年5月至2020年9月。反映病人经历的主题和次主题。60人（女性24人，男性36人，平均[SD]年龄48岁）参与。所有参与者都生活在低收入地区，47名参与者（78%）的家庭成员超过4人，大多数参与者（44名参与者[73%]）是基本工作者。4名参与者（9%）可以在家工作，12名（20%）有带薪病假，21名（35%）因COVID-19而失业。我们确定了与公共卫生和临床护理相关的5个主题（和副主题）：COVID-19是一个遥远的次要威胁（不可战胜、错误信息和不信任、根深蒂固的社会规范）；COVID-19是不利因素的综合因素（担心失业和被驱逐、缺乏对无证移民的保障、无法保护自己免受COVID-19的侵害、高密度住房）；不愿寻求医疗服务（担心医疗费用，担心没有保险或无证件的移民能否获得医疗服务，无证件移民害怕被驱逐出境）；卫生保健系统的相互作用（社会隔离和医院程序的变化，对临床医生和语言获取的赞赏，以及资源或临床信息不足的出院）；以及信仰和社区复原力（灵性，拉丁裔COVID-19倡导者）。在采访中，住院后幸存的拉丁裔COVID-19患者描述了最初的疾病错误信息以及对经济和移民的担忧，这些都导致了接触和延误。为了应对作为社会不利因素的COVID-19，公共卫生当局应减轻与COVID-19相关的错误信息、移民恐惧和获得医疗保健的挑战，并制定提供工作保护和解决经济不利因素的政策。
Can experiences of Latinx adults hospitalized with coronavirus disease 2019 (COVID-19) inform improvements to public health and health care? In this qualitative study of 60 Latinx adults, participants reported COVID-19 misinformation, felt COVID-19 compounded existing social disadvantage, and risked infection because of the need to work. Participants hesitated to seek hospital care because of immigration and economic concerns. These findings suggest that to contain community spread and reduce unnecessary morbidity, immigration, employment, and economic distress must be addressed through tailored public health messaging and public policy interventions that improve economic conditions. This qualitative study describes the experiences of Latinx adults who were hospitalized for and survived coronavirus disease 2019 (COVID-19) in 2 major US cities. Latinx individuals, particularly immigrants, are at higher risk than non-Latinx White individuals of contracting and dying from coronavirus disease 2019 (COVID-19). Little is known about Latinx experiences with COVID-19 infection and treatment. To describe the experiences of Latinx individuals who were hospitalized with and survived COVID-19. The qualitative study used semistructured phone interviews of 60 Latinx adults who survived a COVID-19 hospitalization in public hospitals in San Francisco, California, and Denver, Colorado, from March 2020 to July 2020. Transcripts were analyzed using qualitative thematic analysis. Data analysis was conducted from May 2020 to September 2020. Themes and subthemes that reflected patient experiences. Sixty people (24 women and 36 men; mean [SD] age, 48 [12] years) participated. All lived in low-income areas, 47 participants (78%) had more than 4 people in the home, and most (44 participants [73%]) were essential workers. Four participants (9%) could work from home, 12 (20%) had paid sick leave, and 21 (35%) lost their job because of COVID-19. We identified 5 themes (and subthemes) with public health and clinical care implications: COVID-19 was a distant and secondary threat (invincibility, misinformation and disbelief, ingrained social norms); COVID-19 was a compounder of disadvantage (fear of unemployment and eviction, lack of safeguards for undocumented immigrants, inability to protect self from COVID-19, and high-density housing); reluctance to seek medical care (worry about health care costs, concerned about ability to access care if uninsured or undocumented, undocumented immigrants fear deportation); health care system interactions (social isolation and change in hospital procedures, appreciation for clinicians and language access, and discharge with insufficient resources or clinical information); and faith and community resiliency (spirituality, Latinx COVID-19 advocates). In interviews, Latinx patients with COVID-19 who survived hospitalization described initial disease misinformation and economic and immigration fears as having driven exposure and delays in presentation. To confront COVID-19 as a compounder of social disadvantage, public health authorities should mitigate COVID-19–related misinformation, immigration fears, and challenges to health care access, as well as create policies that provide work protection and address economic disadvantages.
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影响因子：
3.3
作者：
Jordan-Martin, Nicole C.;Madad, Syra;Cosmi, Michael
通讯作者：
Cosmi, Michael
DOI：
10.12890/2020_001651
发表时间：
2020-01-01
影响因子：
--
作者：
Epstein, Danny;Andrawis, Wisam;Matan, Moshe
通讯作者：
Matan, Moshe
DOI：
10.15585/mmwr.mm6948a3externalicon
发表时间：
2020-12-04
影响因子：
33.9
作者：
Podewils, Laura Jean;Burket, Tori L.;Hasnain-Wynia, Romana
通讯作者：
Hasnain-Wynia, Romana
影响因子：
6.6
作者：
Ma, Yu-Fen;Li, Wen;Xiang, Yu-Tao
通讯作者：
Xiang, Yu-Tao
影响因子：
15.8
作者：
Rentsch CT;Kidwai-Khan F;Tate JP;Park LS;King JT Jr;Skanderson M;Hauser RG;Schultze A;Jarvis CI;Holodniy M;Lo Re V 3rd;Akgün KM;Crothers K;Taddei TH;Freiberg MS;Justice AC
通讯作者：
Justice AC