Racial and ethnic disparities post-hospitalization for COVID-19: barriers to access to care for survivors of COVID-19 acute respiratory distress syndrome.
Humans
COVID-19
/ epidemiology
Male
Female
Middle Aged
Healthcare Disparities
Health Services Accessibility
Aged
Adult
Survivors
Retrospective Studies
Respiratory Distress Syndrome
/ therapy
Hospitalization
/ statistics & numerical data
Cross-Sectional Studies
New York City
/ epidemiology
SARS-CoV-2
Ethnic and Racial Minorities
Hispanic or Latino
/ statistics & numerical data
ARDS
Access to care
COVID-19
Long COVID
Racial and ethnic disparities
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
21 May 2024
21 May 2024
Historique:
received:
20
12
2023
accepted:
30
04
2024
medline:
22
5
2024
pubmed:
22
5
2024
entrez:
21
5
2024
Statut:
epublish
Résumé
Racial and ethnic health disparities in the incidence and severity of Coronavirus Disease 2019 (COVID-19) have been observed globally and in the United States. Research has focused on transmission, hospitalization, and mortality among racial and ethnic minorities, but Long COVID-19 health disparities research is limited. This study retrospectively evaluated 195 adults who survived COVID-19 associated acute respiratory distress syndrome (C-ARDS) in New York City from March-April 2020. Among survivors, 54% met the criteria for Long COVID syndrome. Hispanic/Latinx patients, were more likely to be uninsured (p = 0.027) and were less frequently discharged to rehabilitation facilities (p < 0.001). A cross-sectional telephone survey and interview were conducted with a subset of survivors (n = 69). Among these, 11% reported a lack of follow-up primary care post-discharge and 38% had subsequent emergency room visits. Notably, 38% reported poor treatment within the health care system, with 67% attributing this to racial or ethnic bias. Thematic analysis of interviews identified four perceived challenges: decline in functional status, discrimination during hospitalization, healthcare system inequities, and non-healthcare-related structural barriers. Sources of resilience included survivorship, faith, and family support. This study highlights structural and healthcare-related barriers rooted in perceived racism and poverty as factors impacting post-COVID-19 care.
Identifiants
pubmed: 38773184
doi: 10.1038/s41598-024-61097-0
pii: 10.1038/s41598-024-61097-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
11556Informations de copyright
© 2024. The Author(s).
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