COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study
Background and aimDuring the early stages of the COVID-19 pandemic, nationwide lockdowns caused disruption in the diets, physical activities, and lifestyles of patients with type 2 diabetes. Previous reports on the possible association between race/ethnicity, COVID-19, and mortality have shown that...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Clinical Diabetes and Healthcare |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fcdhc.2023.1070547/full |
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| author | Myia S. Williams Myia S. Williams Myia S. Williams Edgardo Cigaran Sabrina Martinez Jose Marino Paulina Barbero Alyson K. Myers Ralph J. DiClemente Ralph J. DiClemente Nicole Goris Valeria Correa Gomez Dilcia Granville Dilcia Granville Josephine Guzman Yael T. Harris Myriam Kline Martin L. Lesser Martin L. Lesser Amgad N. Makaryus Lawrence M. Murray Samy I. McFarlane Vidhi H. Patel Vidhi H. Patel Vidhi H. Patel Jennifer Polo Roman Zeltser Renee Pekmezaris Renee Pekmezaris Renee Pekmezaris |
| author_facet | Myia S. Williams Myia S. Williams Myia S. Williams Edgardo Cigaran Sabrina Martinez Jose Marino Paulina Barbero Alyson K. Myers Ralph J. DiClemente Ralph J. DiClemente Nicole Goris Valeria Correa Gomez Dilcia Granville Dilcia Granville Josephine Guzman Yael T. Harris Myriam Kline Martin L. Lesser Martin L. Lesser Amgad N. Makaryus Lawrence M. Murray Samy I. McFarlane Vidhi H. Patel Vidhi H. Patel Vidhi H. Patel Jennifer Polo Roman Zeltser Renee Pekmezaris Renee Pekmezaris Renee Pekmezaris |
| author_sort | Myia S. Williams |
| collection | DOAJ |
| description | Background and aimDuring the early stages of the COVID-19 pandemic, nationwide lockdowns caused disruption in the diets, physical activities, and lifestyles of patients with type 2 diabetes. Previous reports on the possible association between race/ethnicity, COVID-19, and mortality have shown that Hispanic/Latino patients with type 2 diabetes who are socioeconomically disadvantaged are disproportionately affected by this novel virus. The aim of this study was to explore stressors associated with changes in diabetes self-management behaviors. Our goal was to highlight the health disparities in these vulnerable racial/ethnic minority communities and underscore the need for effective interventions.Methods and participantsParticipants were enrolled in part of a larger randomized controlled trial to compare diabetes telehealth management (DTM) with comprehensive outpatient management (COM) in terms of critical patient-centered outcomes among Hispanic/Latino patients with type 2 diabetes. We conducted a thematic analysis using patient notes collected from two research nurses between March 2020 and March 2021. Two authors read through the transcripts independently to identify overarching themes. Once the themes had been identified, both authors convened to compare themes and ensure that similar themes were identified within the transcripts. Any discrepancies were discussed by the larger study team until a consensus was reached.ResultsSix themes emerged, each of which can be categorized as either a source or an outcome of stress. Sources of stress associated with the COVID-19 pandemic were (1) fear of contracting COVID-19, (2) disruptions from lockdowns, and (3) financial stressors (e.g., loss of income). Outcomes of COVID-19 stressors were (1) reduced diabetes management (e.g., reduced diabetes monitoring and physical activity), (2) suboptimal mental health outcomes (e.g., anxiety and depression), and (3) outcomes of financial stressors.ConclusionThe findings indicated that underserved Hispanic/Latino patients with type 2 diabetes encountered a number of stressors that led to the deterioration of diabetes self-management behaviors during the pandemic. |
| first_indexed | 2024-04-09T15:33:18Z |
| format | Article |
| id | doaj.art-66499cff43854d8c81e201b403378a9a |
| institution | Directory Open Access Journal |
| issn | 2673-6616 |
| language | English |
| last_indexed | 2024-04-09T15:33:18Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Clinical Diabetes and Healthcare |
| spelling | doaj.art-66499cff43854d8c81e201b403378a9a2023-04-28T05:28:56ZengFrontiers Media S.A.Frontiers in Clinical Diabetes and Healthcare2673-66162023-04-01410.3389/fcdhc.2023.10705471070547COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative studyMyia S. Williams0Myia S. Williams1Myia S. Williams2Edgardo Cigaran3Sabrina Martinez4Jose Marino5Paulina Barbero6Alyson K. Myers7Ralph J. DiClemente8Ralph J. DiClemente9Nicole Goris10Valeria Correa Gomez11Dilcia Granville12Dilcia Granville13Josephine Guzman14Yael T. Harris15Myriam Kline16Martin L. Lesser17Martin L. Lesser18Amgad N. Makaryus19Lawrence M. Murray20Samy I. McFarlane21Vidhi H. Patel22Vidhi H. Patel23Vidhi H. Patel24Jennifer Polo25Roman Zeltser26Renee Pekmezaris27Renee Pekmezaris28Renee Pekmezaris29Department of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesFeinstein Institute for Medical Research, Northwell Health, Manhasset, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesNorthwell Health, Manhasset, NY, United StatesDepartment of Medicine, Division of Endocrinology, Albert Einstein/Montefiore, Bronx, NY, United StatesDepartment of Social and Behavioral Sciences, New York University (NYU) School of Global Public Health, New York, NY, United StatesHispanic Counseling Center, Hempstead, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDepartment of Social and Behavioral Sciences, New York University (NYU) School of Global Public Health, New York, NY, United StatesHispanic Counseling Center, Hempstead, NY, United StatesNorthwell Health, Manhasset, NY, United StatesDepartment of Medicine, Division of Endocrinology, North Shore University Hospital, Manhasset, NY, United StatesFeinstein Institute for Medical Research, Northwell Health, Manhasset, NY, United StatesDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesFeinstein Institute for Medical Research, Northwell Health, Manhasset, NY, United StatesDepartment of Cardiology, Nassau University Medical Center, East Meadow, NY, United States0Annie E. Casey Foundation Children and Family Fellowship, Baltimore, MD, United States1Division of Infectious Disease, College of Medicine, SUNY-Downstate Health Sciences University, Brooklyn, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesFeinstein Institute for Medical Research, Northwell Health, Manhasset, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDepartment of Cardiology, Nassau University Medical Center, East Meadow, NY, United StatesDepartment of Medicine, Division of Health Services Research, Northwell Health, Manhasset, NY, United StatesDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United StatesFeinstein Institute for Medical Research, Northwell Health, Manhasset, NY, United StatesBackground and aimDuring the early stages of the COVID-19 pandemic, nationwide lockdowns caused disruption in the diets, physical activities, and lifestyles of patients with type 2 diabetes. Previous reports on the possible association between race/ethnicity, COVID-19, and mortality have shown that Hispanic/Latino patients with type 2 diabetes who are socioeconomically disadvantaged are disproportionately affected by this novel virus. The aim of this study was to explore stressors associated with changes in diabetes self-management behaviors. Our goal was to highlight the health disparities in these vulnerable racial/ethnic minority communities and underscore the need for effective interventions.Methods and participantsParticipants were enrolled in part of a larger randomized controlled trial to compare diabetes telehealth management (DTM) with comprehensive outpatient management (COM) in terms of critical patient-centered outcomes among Hispanic/Latino patients with type 2 diabetes. We conducted a thematic analysis using patient notes collected from two research nurses between March 2020 and March 2021. Two authors read through the transcripts independently to identify overarching themes. Once the themes had been identified, both authors convened to compare themes and ensure that similar themes were identified within the transcripts. Any discrepancies were discussed by the larger study team until a consensus was reached.ResultsSix themes emerged, each of which can be categorized as either a source or an outcome of stress. Sources of stress associated with the COVID-19 pandemic were (1) fear of contracting COVID-19, (2) disruptions from lockdowns, and (3) financial stressors (e.g., loss of income). Outcomes of COVID-19 stressors were (1) reduced diabetes management (e.g., reduced diabetes monitoring and physical activity), (2) suboptimal mental health outcomes (e.g., anxiety and depression), and (3) outcomes of financial stressors.ConclusionThe findings indicated that underserved Hispanic/Latino patients with type 2 diabetes encountered a number of stressors that led to the deterioration of diabetes self-management behaviors during the pandemic.https://www.frontiersin.org/articles/10.3389/fcdhc.2023.1070547/fullhealth disparitiesCOVID-19, telemonitoringracial/ethnic minoritieshealth equitystakeholder engagement |
| spellingShingle | Myia S. Williams Myia S. Williams Myia S. Williams Edgardo Cigaran Sabrina Martinez Jose Marino Paulina Barbero Alyson K. Myers Ralph J. DiClemente Ralph J. DiClemente Nicole Goris Valeria Correa Gomez Dilcia Granville Dilcia Granville Josephine Guzman Yael T. Harris Myriam Kline Martin L. Lesser Martin L. Lesser Amgad N. Makaryus Lawrence M. Murray Samy I. McFarlane Vidhi H. Patel Vidhi H. Patel Vidhi H. Patel Jennifer Polo Roman Zeltser Renee Pekmezaris Renee Pekmezaris Renee Pekmezaris COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study Frontiers in Clinical Diabetes and Healthcare health disparities COVID-19, telemonitoring racial/ethnic minorities health equity stakeholder engagement |
| title | COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study |
| title_full | COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study |
| title_fullStr | COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study |
| title_full_unstemmed | COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study |
| title_short | COVID-19 stressors for Hispanic/Latino patients living with type 2 diabetes: a qualitative study |
| title_sort | covid 19 stressors for hispanic latino patients living with type 2 diabetes a qualitative study |
| topic | health disparities COVID-19, telemonitoring racial/ethnic minorities health equity stakeholder engagement |
| url | https://www.frontiersin.org/articles/10.3389/fcdhc.2023.1070547/full |
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