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Impact of the COVID-19 Pandemic on Women's Health Care Access: A Cross-Sectional Study.
Turner, Kea; Brownstein, Naomi C; Whiting, Junmin; Arevalo, Mariana; Islam, Jessica Y; Vadaparampil, Susan T; Meade, Cathy D; Gwede, Clement K; Kasting, Monica L; Head, Katharine J; Christy, Shannon M.
  • Turner K; Department of Oncological Sciences, University of South Florida Morsani College of Medicine, Tampa, Florida, USA.
  • Brownstein NC; Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
  • Whiting J; Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Florida, USA.
  • Arevalo M; Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Islam JY; Department of Biostatistics and Bioinformatics, Moffitt Cancer Center, Tampa, Florida, USA.
  • Vadaparampil ST; Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
  • Meade CD; Department of Oncological Sciences, University of South Florida Morsani College of Medicine, Tampa, Florida, USA.
  • Gwede CK; Department of Cancer Epidemiology, Moffitt Cancer Center, Tampa, Florida, USA.
  • Kasting ML; Center for Immunization and Infection Research in Cancer, Moffitt Cancer Center, Tampa, Florida, USA.
  • Head KJ; Department of Oncological Sciences, University of South Florida Morsani College of Medicine, Tampa, Florida, USA.
  • Christy SM; Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
J Womens Health (Larchmt) ; 2022 Oct 31.
Article in English | MEDLINE | ID: covidwho-2097266
ABSTRACT

Background:

There has been limited study of how the COVID-19 pandemic has affected women's health care access. Our study aims to examine the prevalence and correlates of COVID-19-related disruptions to (1) primary care; (2) gynecologic care; and (3) preventive health care among women. Materials and

Methods:

We recruited 4,000 participants from a probability-based online panel. We conducted four multinomial logistic regression models, one for each of the study

outcomes:

(1) primary care access; (2) gynecologic care access; (3) patient-initiated disruptions to preventive visits; and (4) provider-initiated disruptions to preventive visits.

Results:

The sample included 1,285 women. One in four women (28.5%) reported that the pandemic affected their primary care access. Sexual minority women (SMW) (odds ratios [OR] 1.67; 95% confidence intervals [CI] 1.19-2.33) had higher odds of reporting pandemic-related effects on primary care access compared to women identifying as heterosexual. Cancer survivors (OR 2.07; 95% CI 1.25-3.42) had higher odds of reporting pandemic-related effects on primary care access compared to women without a cancer history. About 16% of women reported that the pandemic affected their gynecologic care access. Women with a cancer history (OR 2.34; 95% CI 1.35-4.08) had higher odds of reporting pandemic-related effects on gynecologic care compared to women without a cancer history. SMW were more likely to report patient- and provider-initiated delays in preventive health care. Other factors that affected health care access included income, insurance status, and having a usual source of care.

Conclusions:

The COVID-19 pandemic disrupted women's health care access and disproportionately affected access among SMW and women with a cancer history, suggesting that targeted interventions may be needed to ensure adequate health care access during the COVID-19 pandemic.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal subject: Gynecology / Women's Health Year: 2022 Document Type: Article Affiliation country: Jwh.2022.0128

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal subject: Gynecology / Women's Health Year: 2022 Document Type: Article Affiliation country: Jwh.2022.0128