TY - JOUR
T1 - Experiences of Hispanic Safety Net Clinic Patients With Diabetes During the COVID-19 Pandemic
AU - Vickery, Katherine D.
AU - Novotny, Paul J.
AU - Ford, Becky R.
AU - Lantz, Kiley
AU - Kavistan, Silvio
AU - Singh, Davinder
AU - Hernandez, Valentina
AU - Sia, Irene G.
AU - Wieland, Mark L.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This publication was supported by CTSA Grant No. UL1 TR000135 from the National Center for Advancing Translational Science (NCATS) and by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (NIH) Grant No. R01 DK113999-01A1. KD Vickery’s work on this project was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the NIH under Award No. K23DK118117. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH. The funding bodies had no role in study design; in the collection, analysis, and interpretation of data; writing of the manuscript; and in the decision to submit the manuscript for publication. We would like to thank the following individuals who assisted with data collection and participant follow-up: Crystal Gonzalez, Sandra Bahena, Elizabeth Hernandez, Breidy Garcia, and Adriana Jeffrey.
Publisher Copyright:
© The Author(s) 2022.
PY - 2022/4
Y1 - 2022/4
N2 - 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.
AB - 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.
KW - COVID-19
KW - immigrant and refugee health
KW - social determinants of health
KW - type 2 diabetes
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U2 - 10.1177/26350106221076037
DO - 10.1177/26350106221076037
M3 - Article
C2 - 35118926
AN - SCOPUS:85127245793
SN - 2635-0106
VL - 48
SP - 87
EP - 97
JO - Science of Diabetes Self-Management and Care
JF - Science of Diabetes Self-Management and Care
IS - 2
ER -