Social and Economic Factors Related to Healthcare Delay Among Low-Income Families During COVID-19: Results from the ACCESS Observational Study.
J Health Care Poor Underserved
; 33(4): 1965-1984, 2022.
Article
in English
| MEDLINE | ID: covidwho-2109266
ABSTRACT
Delayed medical care is a negative consequence of the COVID-19 pandemic for families with young children. Our study used data from the Accessing California Communities' Experiences with Safety net Supports (ACCESS) survey, a cross-sectional study that assessed experiences with safety-net programs among working families with low incomes (n=491). From August 2020 to May 2021, we conducted interviewer-administered surveys of low-income families with young children (ages zero to eight) in California and asked questions about whether participants had delayed medical care for their children or themselves. We found that delaying care for children was associated with lack of childcare and with the child having pre-existing conditions. Delaying parental medical care was associated with lack of childcare, experiences of racism, government mistrust, and perceptions of welfare stigma. These results suggest that health care access may be improved through a focus on supporting childcare systems and addressing structural racism.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Delivery of Health Care
/
COVID-19
/
Health Services Accessibility
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
/
Randomized controlled trials
Limits:
Child
/
Child, preschool
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
J Health Care Poor Underserved
Journal subject:
Health Services
Year:
2022
Document Type:
Article
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