PMID- 37212963
OWN - NLM
STAT- Publisher
LR  - 20230831
IS  - 2196-8837 (Electronic)
IS  - 2197-3792 (Print)
IS  - 2196-8837 (Linking)
DP  - 2023 May 22
TI  - Positive Changes in Safety Perception Among Blacks with HIV and Comorbidities: 
      Assessment of Social Determinants of Health During COVID-19.
PG  - 1-9
LID - 10.1007/s40615-023-01633-2 [doi]
AB  - PURPOSE: This study aimed to examine the impact of the COVID-19 lockdown on 
      social determinants of health (SDOH) among Blacks with HIV and a comorbid 
      diagnosis of hypertension or type 2 diabetes mellitus (T2DM). METHODS: This was a 
      longitudinal survey study. The inclusion criteria were adults >/= 18 years and the 
      presence of hypertension and/or diabetes, along with a positive HIV diagnosis. 
      This study enrolled patients in the HIV clinics and chain specialty pharmacies in 
      the Dallas-Fort Worth (DFW) area. A survey of ten questions examining SDOH was 
      conducted before, during, and after the lockdown. A proportional odds mixed 
      effects logistic regression model was applied to assess differences between time 
      points. RESULTS: A total of 27 participants were included. Respondents felt 
      significantly safer in their living place post-lockdown than in the pre-lockdown 
      period (odds ratio = 6.39, 95% CI [1.08-37.73]). No other statistically 
      significant differences in the responses were found over the study timeframe. 
      However, borderline p values indicated better SDOH status post-lockdown as 
      compared to pre-lockdown. CONCLUSION: Study participants feel safer one year 
      after lockdown compared to pre-lockdown. The CARES Act and the moratorium on rent 
      and mortgage are among the factors that may explain this increase. Future 
      research should include designing and evaluating interventions for social equity 
      enhancement.
CI  - (c) 2023. The Author(s).
FAU - Fleming, Marc
AU  - Fleming M
AD  - Department of Pharmaceutical Economics and Policy, Chapman University School of 
      Pharmacy, Harry and Diane Rinker Health Science Campus, 9401 Jeronimo Road, 
      Irvine, CA, 92618-1908, USA. mfleming@chapman.edu.
FAU - Lee, Deidra
AU  - Lee D
AD  - AstraZeneca Pharmaceuticals LP, Wilmington, DE, USA.
AD  - Rutgers University, New Brunswick, NJ, USA.
FAU - Oranu, Chukwuezugo
AU  - Oranu C
AD  - University of North Texas Health Science, Center College of Pharmacy, Fort Worth, 
      TX, USA.
FAU - Schommer, Jon C
AU  - Schommer JC
AD  - Department of Pharmaceutical Care & Health Systems, University of Minnesota 
      College of Pharmacy, Minneapolis, MN, USA.
FAU - Cocohoba, Jennifer
AU  - Cocohoba J
AD  - Department of Clinical Pharmacy, University of California San Francisco, San 
      Francisco, CA, USA.
FAU - Cooper, Jennifer
AU  - Cooper J
AD  - Patient-Centerd Outcomes Research Institute, Washington, DC, USA.
FAU - Hodge, Crystal K
AU  - Hodge CK
AD  - University of North Texas Health Science Center System College of Pharmacy, Fort 
      Worth, TX, USA.
AD  - University of Texas Southwestern Medical Center, Dallas, TX, USA.
FAU - Nedjat, Saharnaz
AU  - Nedjat S
AD  - Department of Pharmaceutical Economics and Policy, Chapman University School of 
      Pharmacy, Harry and Diane Rinker Health Science Campus, 9401 Jeronimo Road, 
      Irvine, CA, 92618-1908, USA.
FAU - Borgmann, Kathleen
AU  - Borgmann K
AD  - Division of Neuroscience & Behavior, National Institute On Drug Abuse, Bethesda, 
      MD, USA.
LA  - eng
GR  - U54 MD006882/MD/NIMHD NIH HHS/United States
PT  - Journal Article
DEP - 20230522
PL  - Switzerland
TA  - J Racial Ethn Health Disparities
JT  - Journal of racial and ethnic health disparities
JID - 101628476
SB  - IM
PMC - PMC10202056
OTO - NOTNLM
OT  - African American
OT  - Blacks
OT  - COVID-19
OT  - Ethnic
OT  - Health disparities
OT  - Lockdown
OT  - Minorities
OT  - Racial
OT  - Social determinants of health
COIS- The authors declare no competing interests.
EDAT- 2023/05/22 13:04
MHDA- 2023/05/22 13:04
PMCR- 2023/05/22
CRDT- 2023/05/22 11:10
PHST- 2023/03/08 00:00 [received]
PHST- 2023/05/04 00:00 [accepted]
PHST- 2023/04/26 00:00 [revised]
PHST- 2023/05/22 13:04 [medline]
PHST- 2023/05/22 13:04 [pubmed]
PHST- 2023/05/22 11:10 [entrez]
PHST- 2023/05/22 00:00 [pmc-release]
AID - 10.1007/s40615-023-01633-2 [pii]
AID - 1633 [pii]
AID - 10.1007/s40615-023-01633-2 [doi]
PST - aheadofprint
SO  - J Racial Ethn Health Disparities. 2023 May 22:1-9. doi: 
      10.1007/s40615-023-01633-2.