tetano
Editor, Senior Moderator
Sci Rep
. 2024 May 21;14(1):11556.
doi: 10.1038/s41598-024-61097-0. Racial and ethnic disparities post-hospitalization for COVID-19: barriers to access to care for survivors of COVID-19 acute respiratory distress syndrome
Alicia Cañas[SUP] 1 [/SUP], Allison Wolf[SUP] 2 [/SUP], En Chi Chen[SUP] 3 [/SUP], Jacob Ruddy[SUP] 1 [/SUP], Sal El-Sadek[SUP] 4 [/SUP], Laura Gomez[SUP] 4 [/SUP], David Furfaro[SUP] 5 [/SUP], Robert Fullilove[SUP] 6 [/SUP], Kristin M Burkart[SUP] 2 [/SUP], Jennifer Zelnick[SUP] #[/SUP][SUP] 7 [/SUP], Max R O'Donnell[SUP] #[/SUP][SUP] 8 [/SUP]
Affiliations
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.
Keywords: ARDS; Access to care; COVID-19; Long COVID; Racial and ethnic disparities.
. 2024 May 21;14(1):11556.
doi: 10.1038/s41598-024-61097-0. Racial and ethnic disparities post-hospitalization for COVID-19: barriers to access to care for survivors of COVID-19 acute respiratory distress syndrome
Alicia Cañas[SUP] 1 [/SUP], Allison Wolf[SUP] 2 [/SUP], En Chi Chen[SUP] 3 [/SUP], Jacob Ruddy[SUP] 1 [/SUP], Sal El-Sadek[SUP] 4 [/SUP], Laura Gomez[SUP] 4 [/SUP], David Furfaro[SUP] 5 [/SUP], Robert Fullilove[SUP] 6 [/SUP], Kristin M Burkart[SUP] 2 [/SUP], Jennifer Zelnick[SUP] #[/SUP][SUP] 7 [/SUP], Max R O'Donnell[SUP] #[/SUP][SUP] 8 [/SUP]
Affiliations
- PMID: 38773184
- PMCID: PMC11109289
- DOI: 10.1038/s41598-024-61097-0
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.
Keywords: ARDS; Access to care; COVID-19; Long COVID; Racial and ethnic disparities.