Positive Changes in Safety Perception Among Blacks with HIV and Comorbidities: Assessment of Social Determinants of Health During COVID-19.
Positive Changes in Safety Perception Among Blacks with HIV and Comorbidities: Assessment of Social Determinants of Health During COVID-19.
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DOI：
10.1007/s40615-023-01633-2
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发表时间：
2024-06
影响因子：
3.9
通讯作者：
Borgmann, Kathleen
中科院分区：
文献类型：
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作者：
Fleming, Marc;Lee, Deidra;Oranu, Chukwuezugo;Schommer, Jon C;Cocohoba, Jennifer;Cooper, Jennifer;Hodge, Crystal K;Nedjat, Saharnaz;Borgmann, Kathleen
本研究旨在研究COVID-19封锁对黑人艾滋病毒感染者和高血压或2型糖尿病（T2 DM）共病诊断的社会健康决定因素（SDOH）的影响。这是一项纵向调查研究。入选标准为≥ 18岁的成年人，存在高血压和/或糖尿病，沿着阳性HIV诊断。这项研究招募了达拉斯-沃斯堡（DFW）地区HIV诊所和连锁专业药房的患者。在封锁之前、期间和之后，对SDOH进行了十个问题的调查。应用比例优势混合效应logistic回归模型评估时间点之间的差异。共纳入27名参与者。受访者在封锁后的居住地比封锁前感到更安全（比值比= 6.39，95% CI [1.08-37.73]）。在研究时间范围内，未发现其他统计学显著性差异。然而，临界p值表明与锁定前相比，锁定后的SDOH状态更好。研究参与者在封锁一年后比封锁前感到更安全。《关怀法》和暂停租金和抵押贷款是可能解释这一增长的因素之一。今后的研究应包括设计和评价促进社会公平的干预措施。
This study aimed to examine the impact of the COVID-19 lockdown on social determinants of health (SDOH) among Blacks with HIV and a comorbid diagnosis of hypertension or type 2 diabetes mellitus (T2DM). This was a longitudinal survey study. The inclusion criteria were adults ≥ 18 years and the presence of hypertension and/or diabetes, along with a positive HIV diagnosis. This study enrolled patients in the HIV clinics and chain specialty pharmacies in the Dallas-Fort Worth (DFW) area. A survey of ten questions examining SDOH was conducted before, during, and after the lockdown. A proportional odds mixed effects logistic regression model was applied to assess differences between time points. A total of 27 participants were included. Respondents felt significantly safer in their living place post-lockdown than in the pre-lockdown period (odds ratio = 6.39, 95% CI [1.08–37.73]). No other statistically significant differences in the responses were found over the study timeframe. However, borderline p values indicated better SDOH status post-lockdown as compared to pre-lockdown. Study participants feel safer one year after lockdown compared to pre-lockdown. The CARES Act and the moratorium on rent and mortgage are among the factors that may explain this increase. Future research should include designing and evaluating interventions for social equity enhancement.