Positive Changes in Safety Perception Among Blacks with HIV and Comorbidities: Assessment of Social Determinants of Health During COVID‑19

Authors

Marc Fleming, Chapman UniversityFollow
Deidra Lee, AstraZeneca Pharmaceuticals LP
Chukwuezugo Oranu, University of North Texas Health Science Center
Jon C. Schommer, University of Minnesota - Minneapolis
Jennifer M. Cocohoba, University of California, San Francisco
Jennifer Cooper, Patient-Centerd Outcomes Research Institute
Crystal K. Hodge, University of North Texas Health Science Center
Saharnaz Nedjat, Chapman University
Kathleen Borgmann, National Institute On Drug Abuse

Document Type

Article

Publication Date

5-22-2023

Abstract

Purpose

This study aimed to examine the impact of the COVID-19 lockdown on social determinants of health (SDOH) among Blacks with HIV and a comorbid diagnosis of hypertension or type 2 diabetes mellitus (T2DM).

Methods

This was a longitudinal survey study. The inclusion criteria were adults ≥ 18 years and the presence of hypertension and/or diabetes, along with a positive HIV diagnosis. This study enrolled patients in the HIV clinics and chain specialty pharmacies in the Dallas-Fort Worth (DFW) area. A survey of ten questions examining SDOH was conducted before, during, and after the lockdown. A proportional odds mixed effects logistic regression model was applied to assess differences between time points.

Results

A total of 27 participants were included. Respondents felt significantly safer in their living place post-lockdown than in the pre-lockdown period (odds ratio = 6.39, 95% CI [1.08–37.73]). No other statistically significant differences in the responses were found over the study timeframe. However, borderline p values indicated better SDOH status post-lockdown as compared to pre-lockdown.

Conclusion

Study participants feel safer one year after lockdown compared to pre-lockdown. The CARES Act and the moratorium on rent and mortgage are among the factors that may explain this increase. Future research should include designing and evaluating interventions for social equity enhancement.

Comments

This article was originally published in Journal of Racial and Ethnic Health Disparities in 2023. https://doi.org/10.1007/s40615-023-01633-2

This scholarship is part of the Chapman University COVID-19 Archives.

Recommended Citation

Fleming M, Lee D, Oranu C, et al. Positive changes in safety perception Among Blacks with HIV and comorbidities: Assessment of social determinants of health during COVID-19. J Racial Ethn Health Disparities. 2023;1-9. https://doi.org/10.1007/s40615-023-01633-2

Copyright

The authors

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.