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Racial and Ethnic Disparities in Health-Related Socioeconomic Risks During the Early COVID-19 Pandemic: A National Survey of U.S. Women.
Vu, Milkie; Makelarski, Jennifer A; Winslow, Victoria A; Christmas, Monica M; Haider, Sadia; Lee, Nita K; Pinkerton, El A; Wroblewski, Kristen E; Lindau, Stacy Tessler.
  • Vu M; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Makelarski JA; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
  • Winslow VA; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Christmas MM; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Haider S; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Lee NK; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Pinkerton EA; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Wroblewski KE; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Illinois, USA.
  • Lindau ST; Department of Public Health Sciences and The University of Chicago, Chicago, Illinois, USA.
J Womens Health (Larchmt) ; 30(10): 1375-1385, 2021 10.
Article in English | MEDLINE | ID: covidwho-1522100
ABSTRACT

Background:

Nearly half of U.S. women experienced new or worsening health-related socioeconomic risks (HRSRs) (food, housing, utilities and transportation difficulties, and interpersonal violence) early in the COVID-19 pandemic. We sought to examine racial/ethnic disparities in pandemic-related changes in HRSRs among women. Materials and

Methods:

We conducted a cross-sectional survey (04/2020) of 3200 women. Pre- and early pandemic HRSRs were described by race/ethnicity. Weighted, multivariable logistic regression models generated odds of incident and worsening HRSRs by race/ethnicity.

Results:

The majority of Black, East or Southeast (E/SE) Asian, and Hispanic women reported ≥1 prepandemic HRSR (51%-56% vs. 38% of White women, p < 0.001). By April 2020, 68% of Black, E/SE Asian, and Hispanic women and 55% of White women had ≥1 HRSR (p < 0.001). For most HRSRs, the odds of an incident or worsening condition were similar across racial/ethnic groups, except Black, E/SE Asian and Hispanic women had 2-3.6 times the odds of incident transportation difficulties compared with White women. E/SE Asian women also had higher odds of worsening transportation difficulties compared with White women (adjusted odds ratios = 2.5, 95% confidence interval 1.1-5.6). In the early pandemic, 1/19 Hispanic, 1/28 E/SE Asian, 1/36 Black and 1/100 White women had all 5 HRSRs (extreme health-related socioeconomic vulnerability).

Conclusions:

Prepandemic racial/ethnic disparities in HRSRs persisted and prevalence rates increased for all groups early in the pandemic. Disparities in transportation difficulties widened. White women were much less likely than others to experience extreme health-related socioeconomic vulnerability. An equitable COVID-19 response requires attention to persistent and widening racial/ethnic disparities in HRSRs among women.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Etiology study / Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Female / Humans Country/Region as subject: North America Language: English Journal: J Womens Health (Larchmt) Journal subject: Gynecology / Women's Health Year: 2021 Document Type: Article Affiliation country: Jwh.2021.0230

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Etiology study / Prevalence study / Prognostic study / Randomized controlled trials / Risk factors Limits: Female / Humans Country/Region as subject: North America Language: English Journal: J Womens Health (Larchmt) Journal subject: Gynecology / Women's Health Year: 2021 Document Type: Article Affiliation country: Jwh.2021.0230