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Delayed medical care and underlying health in the United States during the COVID-19 pandemic: A cross-sectional study.
Gertz, Autumn H; Pollack, Catherine C; Schultheiss, Marinanicole D; Brownstein, John S.
  • Gertz AH; Computational Epidemiology Lab, Boston Children's Hospital, Boston, MA, USA.
  • Pollack CC; Computational Epidemiology Lab, Boston Children's Hospital, Boston, MA, USA.
  • Schultheiss MD; Department of Biomedical Data Science, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
  • Brownstein JS; Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Prev Med Rep ; 28: 101882, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-1914919
ABSTRACT
This study assesses the association between underlying health conditions and delaying medical care during the COVID-19 pandemic. An online cross-sectional survey administered by OutbreaksNearMe.org on Momentive.ai collected self-reported data from April 27 to June 2, 2020 and May 10 to June 13, 2021. We used weighted multivariable logistic regressions to assess the association between delaying care and self-reported health status, adjusting for demographics. Of 312,661 total responses (99.6% completion rate), 17.1% reported delayed medical care. Compared to good health, those with poor health were more likely to delay care (AOR = 2.62, 95% CI [2.47, 2.78]). Individuals with any underlying condition (AOR = 1.62, 95% CI [1.58, 1.65]) and each of the conditions were more likely to delay care. Differences in delaying care were observed across region, year, and demographics. Our finding is that those at higher risk of severe COVID-19 were more likely to delay medical care in 2020 and 2021, which could exacerbate existing health conditions and existing disparities.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Prev Med Rep Year: 2022 Document Type: Article Affiliation country: J.pmedr.2022.101882

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Prev Med Rep Year: 2022 Document Type: Article Affiliation country: J.pmedr.2022.101882