Experiences of Hispanic Safety Net Clinic Patients With Diabetes During the COVID-19 Pandemic

Katherine D. Vickery, Paul J. Novotny, Becky R. Ford, Kiley Lantz, Silvio Kavistan, Davinder Singh, Valentina Hernandez, Irene G. Sia, Mark L. Wieland

Research output: Contribution to journalArticlepeer-review


Purpose: The purpose of this study was to characterize the material, health (general and diabetes-specific), and social impacts of the COVID-19 pandemic on Hispanic adults with type 2 diabetes who did not experience COVID-19 infection. Methods: This cross-sectional and longitudinal study used surveys within a clinical trial of 79 Hispanic adult clinic patients with type 2 diabetes. Cross-sectional measures included the Coronavirus Anxiety Scale, items from the Coronavirus Impact Scale, and the Pandemic Impacts Inventory. Longitudinal measures included the Summary of Diabetes Self-Care, health care utilization, and measures of diabetes self-efficacy, social support, and quality of life. Results: Participants were majority low-income, Spanish-speaking females with poor diabetes control. Coronavirus anxiety was low despite majority of participants having an affected family member and frequent access barriers. More than half of participants reported moderate/severe pandemic impact on their income. Diabetes self-care behaviors did not change between prepandemic and pandemic measures. Diabetes self-efficacy and quality of life improved despite fewer diabetes-related health care visits. Conclusions: Despite high levels of access barriers, financial strain, and COVID-19 infection of family members, Hispanic adults with type 2 diabetes continued to prioritize their diabetes self-management and demonstrated substantial resilience by improving their self-efficacy and quality of life.

Original languageEnglish (US)
Pages (from-to)87-97
Number of pages11
JournalScience of Diabetes Self-Management and Care
Issue number2
StatePublished - Apr 2022


  • COVID-19
  • immigrant and refugee health
  • social determinants of health
  • type 2 diabetes

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)
  • Health(social science)
  • Medicine(all)


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