Evidence map›Paper›PMID 35150752›Full record

ArticlePreventive medicine2022

Forgoing healthcare during the COVID-19 pandemic in Geneva, Switzerland - A cross-sectional population-based study.

Lakshmi Krishna Menon, Viviane Richard, Carlos de Mestral, Hélène Baysson, Ania Wisniak, Idris Guessous, Silvia Stringhini, Specchio-COVID19 Study Group

Abstract read
In one paragraph

Article in Preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lakshmi Krishna MenonUnit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205 Genève, Switzerland; Institute of Global Health, University of Geneva, Chemin des Mines 9, 1202 Genève, Switzerland. Electronic address: lakshmi.menon@etu.unige.ch.
Viviane RichardUnit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205 Genève, Switzerland. Electronic address: vivianeadissa.richard@hcuge.ch.
Carlos de MestralUnit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205 Genève, Switzerland. Electronic address: carlos.demestral@hcuge.ch.
Hélène BayssonUnit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205 Genève, Switzerland; Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1211 Genève, Switzerland. Electronic address: helene.baysson@unige.ch.
Ania WisniakUnit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205 Genève, Switzerland; Institute of Global Health, University of Geneva, Chemin des Mines 9, 1202 Genève, Switzerland. Electronic address: ania.wisniak@hcuge.ch.
Idris GuessousDepartment of Health and Community Medicine, Faculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1211 Genève, Switzerland; Division of Primary Care Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205 Genève, Switzerland. Electronic address: idris.guessous@hcuge.ch.
Silvia StringhiniUnit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Rue Jean-Violette 29, 1205 Genève, Switzerland; Division of Primary Care Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205 Genève, Switzerland; University Center for General Medicine and Public Health, University of Lausanne, Rue du Bugnon 44, 1011 Lausanne, Switzerland. Electronic address: silvia.stringhini@hcuge.ch.
Specchio-COVID19 Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth systems around the world continue to navigate through operational challenges surfaced by the coronavirus disease 2019 (COVID-19) pandemic; these have implications for access to healthcare. In this study, we estimate the prevalence and reasons for forgoing healthcare during the pandemic in Geneva, Switzerland; a country with a universal and mandatory private health insurance coverage.

methodsParticipants from a randomly selected population-based sample of the adult population living in the Canton of Geneva completed an online socio-demographic and lifestyle questionnaire between November 2020 and January 2021. The prevalence and reasons for forgoing healthcare since the beginning of the COVID-19 pandemic were examined descriptively, and logistic regression models were used to assess determinants for forgoing healthcare.

resultsThe study included 5397 participants, among which 8.0% reported having forgone healthcare since the beginning of the COVID-19 pandemic; participants with a disadvantaged financial situation (OR = 2.04; 95% CI: 1.56-2.65), and those reporting an average (OR = 2.54; 95% CI: 1.94-3.31) or poor health (OR = 4.40; 95% CI: 2.39-7.67) were more likely to forgo healthcare. The most common reasons to forgo healthcare were appointment cancellations by healthcare providers (53.9%), fear of infection (35.3%), and personal organizational issues (11.1%).

conclusionOur paper highlights the effects of the COVID-19 pandemic on access to healthcare and identifies population sub-groups at-risk for forgoing healthcare. These results necessitate public health efforts to ensure equitable and accessible healthcare as the COVID-19 pandemic continues.

Indexed as

COVID-19AdultCross-Sectional StudiesDelivery of Health CareHumansPandemicsSARS-CoV-2SwitzerlandAccess to healthcareCOVID-19 pandemicForgoing healthcareHealth equity

Identifiers

PMID35150752
PMCPMC8828292

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.