1. Ethnicity, Social Determinants of Health, and Pediatric Primary Care During the COVID-19 Pandemic.
- Author
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David, Pyone, Fracci, Sarah, Wojtowicz, Jennifer, McCune, Erin, Sullivan, Katyln, Sigman, Garry, O'Keefe, Julie, and Qureshi, Nadia K.
- Subjects
EVALUATION of medical care ,KRUSKAL-Wallis Test ,STATISTICS ,SOCIAL determinants of health ,HEALTH services accessibility ,PEDIATRICS ,RETROSPECTIVE studies ,ACQUISITION of data ,COMMUNITY health services ,FISHER exact test ,PRIMARY health care ,QUALITATIVE research ,MEDICAL care use ,TREATMENT delay (Medicine) ,MEDICAL records ,DESCRIPTIVE statistics ,ETHNIC groups ,ELECTRONIC health records ,DATA analysis ,COVID-19 pandemic ,INSURANCE ,HEALTH promotion - Abstract
This study assessed the relationship between ethnicity, social determinants of health (SDH), and measures of health outcomes for children during the COVID-19 pandemic. This retrospective study reviewed electronic medical records of 1234 in-person well child visits (WCVs for age <18 years) at a single academic primary care clinic in a Chicago suburb for the results of SDH screening in the domains of food, financial, and transportation insecurity. The association between ethnicity, unmet SDH domains, routine medical care delay, vaccine delays, and utilization of acute and emergency department (ED) visits were evaluated. Patients with unmet SDH were more likely to be non-White (P <.001), ≥3 years of age (P <.001) and have Medicaid coverage (P <.001). Unmet social needs were also associated with more acute visits (P <.001), ED visits (P <.001), and WCV delays (P <.001). The results suggest that the COVID-19 pandemic has disproportionately affected patients with unmet SDH in obtaining routine pediatric well child care. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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