172 lines
5.1 KiB
YAML
172 lines
5.1 KiB
YAML
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abstract: 'IMPORTANCE Latinx individuals, particularly immigrants, are at higher
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risk than non-Latinx White individuals of contracting and dying from
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coronavirus disease 2019 (COVID-19). Little is known about Latinx
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experiences with COVID-19 infection and treatment.
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OBJECTIVE To describe the experiences of Latinx individuals who were
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hospitalized with and survived COVID-19.
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DESIGN, SETTING, AND PARTICIPANTS The qualitative study used
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semistructured phone interviews of 60 Latinx adults who survived a
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COVID-19 hospitalization in public hospitals in San Francisco,
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California, and Denver, Colorado, from March 2020 to July 2020.
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Transcripts were analyzed using qualitative thematic analysis. Data
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analysis was conducted from May 2020 to September 2020.
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MAIN OUTCOMES AND MEASURES Themes and subthemes that reflected patient
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experiences.
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RESULTS Sixty people (24 women and 36 men; mean {[}SD] age, 48 {[}12]
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years) participated. All lived in low-income areas, 47 participants
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(78\%) had more than 4 people in the home, and most (44 participants
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{[}73\%]) were essential workers. Four participants (9\%) could work
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from home, 12 (20\%) had paid sick leave, and 21 (35\%) lost their job
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because of COVID-19. We identified 5 themes (and subthemes) with public
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health and clinical care implications: COVID-19 was a distant and
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secondary threat (invincibility, misinformation and disbelief, ingrained
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social norms); COVID-19 was a compounder of disadvantage (fear of
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unemployment and eviction, lack of safeguards for undocumented
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immigrants, inability to protect self from COVID-19, and high-density
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housing); reluctance to seek medical care (worry about health care
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costs, concerned about ability to access care if uninsured or
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undocumented, undocumented immigrants fear deportation); health care
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system interactions (social isolation and change in hospital procedures,
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appreciation for clinicians and language access, and discharge with
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insufficient resources or clinical information); and faith and community
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resiliency (spirituality, Latinx COVID-19 advocates).
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CONCLUSIONS AND RELEVANCE In interviews, Latinx patients with COVID-19
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who survived hospitalization described initial disease misinformation
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and economic and immigration fears as having driven exposure and delays
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in presentation. To confront COVID-19 as a compounder of social
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disadvantage, public health authorities should mitigate COVID-19-related
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misinformation, immigration fears, and challenges to health care access,
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as well as create policies that provide work protection and address
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economic disadvantages.'
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affiliation: 'Cervantes, L (Corresponding Author), Denver Hlth, 777 Bannock,MC 4000,
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Denver, CO 80204 USA.
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Cervantes, Lilia; Frank, Maria G.; Kearns, Mark; Camacho, Claudia, Denver Hlth,
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Div Med, Denver, CO USA.
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Cervantes, Lilia; Collings, Adriana, Denver Hlth, Off Res, Denver, CO USA.
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Cervantes, Lilia; Frank, Maria G.; Kearns, Mark; Mundo, William, Univ Colorado,
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Dept Med, Aurora, CO USA.
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Martin, Marlene; Rubio, Luis A.; Powe, Neil R.; Fernandez, Alicia, Univ Calif San
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Francisco, Dept Med, Zuckerberg San Francisco Gen Hosp, San Francisco, CA 94143
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USA.
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Farfan, Julia F., Univ Illinois, Coll Med, Chicago, IL USA.
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Tong, Allison; Matus Gonzalez, Andrea, Univ Sydney, Sydney Sch Publ Hlth, Sydney,
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NSW, Australia.
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Tong, Allison; Matus Gonzalez, Andrea, Childrens Hosp Westmead, Ctr Kidney Res,
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Westmead, NSW, Australia.'
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article-number: e210684
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author: Cervantes, Lilia and Martin, Marlene and Frank, Maria G. and Farfan, Julia
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F. and Kearns, Mark and Rubio, Luis A. and Tong, Allison and Matus Gonzalez, Andrea
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and Camacho, Claudia and Collings, Adriana and Mundo, William and Powe, Neil R.
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and Fernandez, Alicia
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author-email: lilia.cervantes@dhha.org
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author_list:
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- family: Cervantes
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given: Lilia
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- family: Martin
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given: Marlene
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- family: Frank
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given: Maria G.
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- family: Farfan
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given: Julia F.
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- family: Kearns
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given: Mark
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- family: Rubio
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given: Luis A.
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- family: Tong
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given: Allison
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- family: Matus Gonzalez
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given: Andrea
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- family: Camacho
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given: Claudia
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- family: Collings
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given: Adriana
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- family: Mundo
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given: William
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- family: Powe
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given: Neil R.
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- family: Fernandez
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given: Alicia
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da: '2023-09-28'
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doi: 10.1001/jamanetworkopen.2021.0684
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esi-highly-cited-paper: Y
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esi-hot-paper: N
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files: []
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issn: 2574-3805
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journal: JAMA NETWORK OPEN
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keywords-plus: DEATHS
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language: English
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month: MAR 11
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number: '3'
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number-of-cited-references: '51'
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orcid-numbers: Kearns, Mark/0000-0003-1273-686X
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papis_id: ce4cc152245f81a33a08ddb425c62a61
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ref: Cervantes2021experienceslatinx
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researcherid-numbers: 'Gonzalez, Andrea/HDM-9987-2022
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gonzalez, Andrea/JBJ-3290-2023
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Frank, Maria (Gaby)/AHA-0816-2022
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Rubio, Luis/AAJ-9561-2021
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Martin, Marlene/HKO-3958-2023
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González Ríos, Andrea/HGU-7618-2022
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'
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times-cited: '60'
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title: Experiences of Latinx Individuals Hospitalized for COVID-19 A Qualitative Study
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type: Article
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unique-id: WOS:000627897500001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '11'
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volume: '4'
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web-of-science-categories: Medicine, General \& Internal
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year: '2021'
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