Asthma Disparities During the COVID-19 Pandemic: A Survey of Patients and Physicians.
Asthma Disparities During the COVID-19 Pandemic: A Survey of Patients and Physicians.
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DOI：
10.1016/j.jaip.2020.09.015
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Bansal P
中科院分区：
文献类型：
--
作者：
Baptist AP;Lowe D;Sarsour N;Jaffee H;Eftekhari S;Carpenter LM;Bansal P
2019年冠状病毒病（COVID-19）大流行对少数民族（黑人和西班牙裔）的影响明显更糟。了解哮喘患者与covid -19相关差异的原因具有重要的公共卫生意义。确定在COVID-19大流行期间导致哮喘患者健康差异的因素。通过社交媒体向成年哮喘患者发送了一份匿名调查，并向提供哮喘护理的医生发送了一份单独的调查。患者调查涉及人口统计信息，包括COVID-19期间的社会经济状况、哮喘控制和态度/健康行为。共有1171名患者（占少数民族个体的10.1%）和225名医生完成了调查。少数民族患者更有可能受到COVID-19的影响（例如，失业，生活在COVID-19高病例的社区）。他们的哮喘控制较差（哮喘急诊次数增加，哮喘控制测试分数较低），更有可能生活在城市地区，家庭收入较低。在控制基线人口统计学特征后，态度和健康行为的初始差异消失。研究结果表明，少数民族不太可能有初级保健医生，由于COVID-19在支付哮喘药物方面遇到更多困难，并且更有可能因为COVID-19而失去健康保险，25%的医生发现在COVID-19期间照顾患有哮喘的黑人患者更具挑战性。社会经济地位的差异和体制性种族主义的影响，而不是健康行为、信息来源或态度，在COVID-19期间哮喘患者的差异中发挥了作用。
The coronavirus disease 2019 (COVID-19) pandemic has demonstrated significantly worse outcomes for minority (black and Hispanic) individuals. Understanding the reasons for COVID-19–related disparities among patients with asthma has important public health implications. To determine factors contributing to health disparities in those with asthma during the COVID-19 pandemic. An anonymous survey was sent through social media to adult patients with asthma, and a separate survey was sent to physicians who provide asthma care. The patient survey addressed demographic information including socioeconomic status, asthma control, and attitudes/health behaviors during COVID-19. A total of 1171 patients (10.1% minority individuals) and 225 physicians completed the survey. Minority patients were more likely to have been affected by COVID-19 (eg, became unemployed, lived in a community with high COVID-19 cases). They had worse asthma control (increased emergency visits for asthma, lower Asthma Control Test score), were more likely to live in urban areas, and had a lower household income. Initial differences in attitudes and health behaviors disappeared after controlling for baseline demographic features. Institutional racism was demonstrated by findings that minority individuals were less likely to have a primary care physician, had more trouble affording asthma medications due to COVID-19, and were more likely to have lost health insurance because of COVID-19, and that 25% of physicians found it more challenging to care for black individuals with asthma during COVID-19. Differences in socioeconomic status and the effects of institutional racism, but not health behaviors, sources of information, or attitudes, are playing a role in disparities seen for patients with asthma during COVID-19.
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DOI：
10.1037/hea0000242
发表时间：
2016-04
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
--
作者：
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通讯作者：
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影响因子：
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作者：
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10.1017/s1742058x11000130
发表时间：
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期刊：
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影响因子：
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作者：
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作者：
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影响因子：
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