Economic and Psychosocial Impact of COVID-19 in the Hispanic Community Health Study/Study of Latinos.

Objectives: To examine the prevalence and correlates of economic hardship and psychosocial distress experienced during the initial phase of the coronavirus disease 2019 (COVID-19) pandemic in a large cohort of Hispanic/Latino adults. Methods: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL), an ongoing multicenter study of Hispanic/Latino adults, collected information about COVID-19 illness and psychosocial and economic distress that occurred during the pandemic (N=11,283). We estimated the prevalence of these experiences during the initial phase of the pandemic (May 2020 to May 2021) and examined the prepandemic factors associated with pandemic-related economic hardship and emotional distress using multivariable log linear models with binomial distributions to estimate prevalence ratios. Results: Almost half of the households reported job losses and a third reported economic hardship during the first year of the pandemic. Pandemic-related household job losses and economic hardship were more pronounced among noncitizens who are likely to be undocumented. Pandemic-related economic hardship and psychosocial distress varied by age group and sex. Contrary to the economic hardship findings, noncitizens were less likely to report pandemic-related psychosocial distress. Prepandemic social resources were inversely related to psychosocial distress. Conclusions: The study findings underscore the economic vulnerability that the pandemic has brought to ethnic minoritized and immigrant populations in the United States, in particular noncitizens. The study also highlights the need to incorporate documentation status as a social determinant of health. Characterizing the initial economic and mental health impact of the pandemic is important for understanding the pandemic consequences on future health. Clinical Trial Registration Number: NCT02060344.

Listening to Community Partners: Successes and Challenges in Fostering Authentic, Effective, and Trusting Partnerships in the RADx-UP Program

Engaging community partners helps public health researchers to (1) identify meaningful questions based on their authentic knowledge and lived experience, (2) develop protocols responsive to community needs, (3) ensure that interventions are culturally and contextually relevant, and (4) disseminate findings accessible for communities.1-3 The Rapid Acceleration of DiagnosticsUnderserved Populations (RADx-UP) program, created by the National Institutes of Health, is a consortium of more than 125 research projects aiming to understand and reduce COVID-19 disparities in morbidity and mortality through community-engaged research partnerships. The CEC also is critical to meeting communities' social needs in the midst of the pandemic, including building social networks, promoting trust in academic partners, and fostering mutual respect. LISTENING SESSION Attendees consisted of an executive director of a health coalition in Garden City, Kansas (CP1);a founder and director of a Christian faith community-based organization in Shubuta, Mississippi (CP2);a community partner working with a RADx-UP study aiming to understand the effects of COVID-19 and violence within African American communities in Chicago, Illinois (CP3);and a chief executive officer of a minority health institute in Jackson, Mississippi (CP4). Whereas we were sending people to community health center health care providers, we now have self-tests, and organizations are also making it more convenient for the community to have access to testing.

Lessons Learned in Clinical Research Recruitment of Midlife Latinas During COVID-19.

OBJECTIVE: The purpose of this brief report is to describe lessons learned in recruiting and enrolling midlife Latinas in a pilot study to reduce cardiovascular disease (CVD) risk during the menopause transition. We also discuss strategies implemented to overcome the challenges presented by the novel coronavirus (COVID-19) pandemic. METHODS: Menopausia, Salud y Corazo´n is a two-group (intervention, waitlist control), repeated measures study. The intervention consists of CVD risk education, coping skills training, physical activity, and stress management. Eligible participants are peri- and early postmenopausal Latinas age 40 to 60 years, free of CVD. From August 2020 to October 2021, we screened 110 women recruited from cultural events and health fairs (n = 56), local businesses (n = 24), and snowball sampling (n = 30). Of these, 60 were eligible for inclusion and 41 enrolled. RESULTS: Strategies that contributed to successful recruitment included: a primarily Latina bilingual (English, Spanish) research team; flexibility with location and scheduling of data collection; and multiple modes of communication (ie, mailings, phone calls, and text messages). Additionally, we addressed Latino cultural values such as respeto (respect), familismo (loyalty to family), and confianza (trust). In response to COVID-19, we included virtual recruitment strategies, limited in-person visits, and distributed community resources for COVID-19. CONCLUSION: We have found that despite the challenges presented by COVID-19, midlife Latinas are receptive to clinical research engagement. Researcher flexibility, multiple recruitment modalities, a bilingual research team, and communication strategies that address cultural values are essential elements for the representation of midlife Latinas in research.

Access to Health Insurance and Health Care for Hispanic Children in the United States

Health insurance gives families access to medical services and protects them against the costs of illness and medical treatment. Insured children are more likely than their uninsured peers to use medical services, preventive health services, have a usual source of care, and have fewer unmet medical needs. In this article, we review trends in health insurance coverage for Hispanic children and the factors that influence their coverage. We then discuss health care utilization among Hispanic children and barriers to health care utilization. We conclude with a discussion of strategies to improve Hispanic children’s health care access in the age of COVID-19.

The Effect of Social and Stress-Related Factors on Alcohol Use Among College Students During the Covid-19 Pandemic.

PURPOSE: The aim of this article is to study how Covid-19 stress-related factors and changes in social engagement during the pandemic contributed to changes in alcohol use among first-year college students. METHODS: We used data on 439 first-year students (ages 18-20) at a large public university in North Carolina both before (October 2019 to February 2020) and after (June/July 2020) the start of the Covid-19 pandemic. We evaluated changes in prevalence and days of alcohol use and binge drinking. We estimated the associations between Covid-19 stressors/stress (work reductions, health, distanced learning difficulties, perceived stress) and social engagement (perceived social support from friends, social isolation, and social distancing) after controlling for students' pre-pandemic alcohol use, social engagement, and demographic characteristics. RESULTS: We found that the prevalence of alcohol use and binge drinking in the past 30 days decreased from 54.2% to 46.0% and 35.5% to 24.6%, respectively; days of use did not change significantly. The decreases were primarily associated with reductions in social engagement. Among Covid-19 stressors/stress, only challenges with distance learning were associated with higher alcohol use among those who were already drinking prior to the pandemic. Drinking increased more among those who endorsed using substances to cope, while drinking was not associated with resilient coping. CONCLUSIONS: Unless new drinking habits are formed during the pandemic, decreases in alcohol use among college students are unlikely to be sustained as social distancing measures are removed. Colleges may want to target interventions to students who have responded to stress with increased alcohol use, partly by addressing difficulties with distance learning.

The Covid-19 pandemic and mental health of first-year college students: Examining the effect of Covid-19 stressors using longitudinal data.

PURPOSE: The Covid-19 pandemic has brought unprecedented stress to students and educational institutions across the world. We aimed to estimate the effect of the pandemic on the mental health of college students. METHODS: We used data on 419 first-year students (ages 18-20) at a large public university in North Carolina both before (October 2019-February 2020) and after (June/July 2020) the start of the Covid-19 pandemic. After evaluating descriptive data on mental health and stressors by students' demographic characteristics, we estimated the associations between Covid-19 stressors (including work reductions, health, distanced learning difficulties and social isolation) and mental health symptoms and severity controlling for students' pre-pandemic mental health, psychosocial resources, and demographic characteristics. RESULTS: We found that the prevalence of moderate-severe anxiety increased from 18.1% before the pandemic to 25.3% within four months after the pandemic began; and the prevalence of moderate-severe depression increased from 21.5% to 31.7%. White, female and sexual/gender minority (SGM) students were at highest risk of increases in anxiety symptoms. Non-Hispanic (NH) Black, female, and SGM students were at highest risk of increases in depression symptoms. General difficulties associated with distanced learning and social isolation contributed to the increases in both depression and anxiety symptoms. However, work reductions as well as Covid-19 diagnosis and hospitalization of oneself, family members or friends were not associated with increases in depression or anxiety symptoms. CONCLUSION: Colleges may be able to reduce the mental health consequences of Covid-19 by investing in resources to reduce difficulties with distance learning and reduce social isolation during the pandemic.