Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review.
Access to COVID-19 testing by individuals with housing insecurity during the early days of the COVID-19 pandemic in the United States: a scoping review.
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DOI：
10.3389/fpubh.2023.1237066
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发表时间：
2023
影响因子：
5.2
通讯作者：
Lee, Mark J.
中科院分区：
文献类型：
--
作者：
Johannesson, Jon M.;Glover II, William A.;Petti, Cathy A.;Veldman, Timothy H.;Tsalik, Ephraim L.;Taylor, Donald H.;Hendren, Stephanie;Neighbors, Coralei E.;Tillekeratne, L. Gayani;Kennedy, Scott W.;Harper, Barrie;Kibbe, Warren A.;Corbie, Giselle;Cohen-Wolkowiez, Michael;Woods, Christopher W.;Lee, Mark J.
2019冠状病毒病大流行将人们的注意力集中在美国边缘化和结构弱势群体中个人所面临的医疗差距和不平等问题上。在这次大流行期间，这些人承受着最沉重的负担，因为他们面临着更大的感染风险，难以获得检测和医疗服务。由于面临额外的障碍，住房不安全的个人是特别脆弱的群体。在本次范围审查中，我们确定了这一高危群体在大流行初期遇到的一些障碍，并评估了克服这些障碍的新解决方案。根据PRISMA-Sc指南进行了范围审查，寻找专注于在经历住房不安全的个人中进行COVID-19检测的研究。确定了可适用的障碍以及解决障碍的办法，并使用定性方法进行了总结，强调了在促进获得测试、获取和交付方面证明有效的特定方法。最终，42项研究纳入了范围评估，其中143项障碍分为四类：缺乏文化理解、系统性种族主义和耻辱；医疗费用、保险、物流；移民政策、语言和对被驱逐出境的恐惧；和其他。在这42项研究中，有30项研究也提出了解决这些问题的方法。很少有研究分析了住房不安全人群中COVID-19检测的障碍，而在解决这些障碍的解决方案方面，这一点更为明显。在这一领域扩大资源和支持调查人员对于确保公平的医疗保健服务是必要的。
The COVID-19 pandemic focused attention on healthcare disparities and inequities faced by individuals within marginalized and structurally disadvantaged groups in the United States. These individuals bore the heaviest burden across this pandemic as they faced increased risk of infection and difficulty in accessing testing and medical care. Individuals experiencing housing insecurity are a particularly vulnerable population given the additional barriers they face. In this scoping review, we identify some of the barriers this high-risk group experienced during the early days of the pandemic and assess novel solutions to overcome these barriers. A scoping review was performed following PRISMA-Sc guidelines looking for studies focusing on COVID-19 testing among individuals experiencing housing insecurity. Barriers as well as solutions to barriers were identified as applicable and summarized using qualitative methods, highlighting particular ways that proved effective in facilitating access to testing access and delivery. Ultimately, 42 studies were included in the scoping review, with 143 barriers grouped into four categories: lack of cultural understanding, systemic racism, and stigma; medical care cost, insurance, and logistics; immigration policies, language, and fear of deportation; and other. Out of these 42 studies, 30 of these studies also suggested solutions to address them. A paucity of studies have analyzed COVID-19 testing barriers among those experiencing housing insecurity, and this is even more pronounced in terms of solutions to address those barriers. Expanding resources and supporting investigators within this space is necessary to ensure equitable healthcare delivery.
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影响因子：
13.8
作者：
Galletly CL;Lechuga J;Dickson-Gomez JB;Glasman LR;McAuliffe TL;Espinoza-Madrigal I
通讯作者：
Espinoza-Madrigal I
影响因子：
4.5
作者：
Gehlbach, Daniel;Vazquez, Evelyn;Ortiz, Gabriela;Li, Erica;Sanchez, Cintya Beltran;Rodriguez, Sonia;Pozar, Maria;Cheney, Ann M.
通讯作者：
Cheney, Ann M.
影响因子：
2.7
作者：
通讯作者：
--
影响因子：
7.4
作者：
Behbahani, Sara;Smith, Cynthia A.;Silva, Nicole A.
通讯作者：
Silva, Nicole A.
影响因子：
3.3
作者：
Chan, Justin;Burke, Kelsey;MacDonald, Ross
通讯作者：
MacDonald, Ross