{"title":"评估 COVID-19 大流行期间亚利桑那州拉丁裔未满足的社会和医疗需求:按健康的社会决定因素划分的时变模式。","authors":"Stephanie L Ayers, Shiyou Wu, Flavio F Marsiglia","doi":"10.1007/s40615-024-02214-7","DOIUrl":null,"url":null,"abstract":"<p><p>The pandemic exacerbated unmet social and medical needs, disproportionately impacting Latinx communities. This article examines how unmet needs varied from February 2021 to April 2023 among 428 Latinx individuals. Multiple-to-multiple path analysis models of cross-sectional surveys showed significant increases in unmet social (β = 0.17, p = .001) and medical (β = 0.12, p = .001) needs over time, with variations by age, language, and health insurance. Initially, older adults reported more unmet medical needs, but later, younger adults reported higher needs (β=-0.16, p = .001). Among Spanish speakers, both social (β = 0.24, p = .001) and medical (β = 0.20, p = .003) needs increased significantly. Uninsured individuals had significant increases in unmet social (β = 0.20, p = .001) and medical (β = 0.16, p = .013) needs, while those with public insurance experienced decreased social needs (β=-0.12, p = .017) compared to privately insured. These findings highlight growing disparities within the Latinx community, underscoring the need to prioritize vulnerable populations in public health responses and monitor program impacts for equitable access to essential services.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing Unmet Social and Medical Needs among Latinx in Arizona throughout the COVID-19 Pandemic: Time-Varying Patterns by Social Determinants of Health.\",\"authors\":\"Stephanie L Ayers, Shiyou Wu, Flavio F Marsiglia\",\"doi\":\"10.1007/s40615-024-02214-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The pandemic exacerbated unmet social and medical needs, disproportionately impacting Latinx communities. This article examines how unmet needs varied from February 2021 to April 2023 among 428 Latinx individuals. Multiple-to-multiple path analysis models of cross-sectional surveys showed significant increases in unmet social (β = 0.17, p = .001) and medical (β = 0.12, p = .001) needs over time, with variations by age, language, and health insurance. Initially, older adults reported more unmet medical needs, but later, younger adults reported higher needs (β=-0.16, p = .001). Among Spanish speakers, both social (β = 0.24, p = .001) and medical (β = 0.20, p = .003) needs increased significantly. Uninsured individuals had significant increases in unmet social (β = 0.20, p = .001) and medical (β = 0.16, p = .013) needs, while those with public insurance experienced decreased social needs (β=-0.12, p = .017) compared to privately insured. These findings highlight growing disparities within the Latinx community, underscoring the need to prioritize vulnerable populations in public health responses and monitor program impacts for equitable access to essential services.</p>\",\"PeriodicalId\":16921,\"journal\":{\"name\":\"Journal of Racial and Ethnic Health Disparities\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-10-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Racial and Ethnic Health Disparities\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s40615-024-02214-7\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Racial and Ethnic Health Disparities","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40615-024-02214-7","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Assessing Unmet Social and Medical Needs among Latinx in Arizona throughout the COVID-19 Pandemic: Time-Varying Patterns by Social Determinants of Health.
The pandemic exacerbated unmet social and medical needs, disproportionately impacting Latinx communities. This article examines how unmet needs varied from February 2021 to April 2023 among 428 Latinx individuals. Multiple-to-multiple path analysis models of cross-sectional surveys showed significant increases in unmet social (β = 0.17, p = .001) and medical (β = 0.12, p = .001) needs over time, with variations by age, language, and health insurance. Initially, older adults reported more unmet medical needs, but later, younger adults reported higher needs (β=-0.16, p = .001). Among Spanish speakers, both social (β = 0.24, p = .001) and medical (β = 0.20, p = .003) needs increased significantly. Uninsured individuals had significant increases in unmet social (β = 0.20, p = .001) and medical (β = 0.16, p = .013) needs, while those with public insurance experienced decreased social needs (β=-0.12, p = .017) compared to privately insured. These findings highlight growing disparities within the Latinx community, underscoring the need to prioritize vulnerable populations in public health responses and monitor program impacts for equitable access to essential services.
期刊介绍:
Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.