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Barriers and Facilitators to Prevention and Care of COVID-19 Infection in Cincinnati Latinx Families: a Community-Based Convergent Mixed Methods Study.


ABSTRACT:

Background

Latinx populations have experienced disproportionately high case rates of COVID-19 across the USA. Latinx communities in non-traditional migration areas may experience greater baseline day-to-day challenges such as a lack of resources for immigrants and insufficient language services. These challenges may be exacerbated by the COVID-19 pandemic.

Objective

This article describes the results of an initial community health needs assessment to better understand the prevention and care of COVID-19 infection in the Cincinnati Latinx community.

Methods

We used convergent mixed methods to examine barriers and facilitators to COVID-19 prevention and care for those with infection.

Results

Latinx adults ≥ 18 years old completed 255 quantitative surveys and 17 qualitative interviews. Overarching mixed methods domains included knowledge, prevention, work, challenges, and treatment. Quantitative results largely reinforced qualitative results (confirmation). Certain quantitative and qualitative results, however, diverged and expanded insights related to caring for COVID-19 infection among Latinx adults (expansion). There were infrequent contradictions between quantitative and qualitative findings (discordance). Primary barriers for the Latinx community during the COVID-19 pandemic included insecurities in food, jobs, housing, and immigration. Key facilitators included having trusted messengers of health-related information.

Conclusion

Public health interventions should be centered on community partnerships and the use of trusted messengers. Wraparound services (including resources for immigrants) are essential public health services. Close partnership with employers is essential as lack of sick leave and mask supplies were more frequent barriers than knowledge. These findings emerged from experiences during the COVID-19 pandemic but likely generalize to future public health crises.

SUBMITTER: Martin KJ 

PROVIDER: S-EPMC8999990 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

Barriers and Facilitators to Prevention and Care of COVID-19 Infection in Cincinnati Latinx Families: a Community-Based Convergent Mixed Methods Study.

Martin Keith J KJ   Castano Carolina C   Geraghty Sarah S   Horner Shaina R SR   McCann Erin E   Beck Andrew F AF   Xu Yingying Y   Gomez Ligia L   O'Dea Christine C   Jacquez Farrah F   Clark Vicki L Plano VLP   Rule Amy R L ARL  

Journal of racial and ethnic health disparities 20220411 3


<h4>Background</h4>Latinx populations have experienced disproportionately high case rates of COVID-19 across the USA. Latinx communities in non-traditional migration areas may experience greater baseline day-to-day challenges such as a lack of resources for immigrants and insufficient language services. These challenges may be exacerbated by the COVID-19 pandemic.<h4>Objective</h4>This article describes the results of an initial community health needs assessment to better understand the preventi  ...[more]

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