Evidence map›Paper›PMID 38559803›Full record

ArticleJournal of clinical & translational endocrinology2024

COVID-19 impacts and inequities among underserved communities with diabetes.

Jennifer L Maizel, Michael J Haller, David M Maahs, Ananta Addala, Rayhan A Lal, Stephanie L Filipp, Matthew J Gurka, Sarah Westen, Brittney N Dixon, Lauren Figg and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical & translational endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
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

13 authors at 3 institutions in 1 country.

Jennifer L MaizelNova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Department of Public Health, 3300 South University Drive, Fort Lauderdale, FL 33328, USA.
Michael J HallerUniversity of Florida College of Medicine, Department of Pediatrics, 1600 Southwest Archer Road, Gainesville, FL 32610, USA.
David M MaahsStanford University School of Medicine, Department of Pediatrics and Division of Diabetes and Endocrinology, 291 Campus Drive, Stanford, CA 94305, USA.
Ananta AddalaStanford University School of Medicine, Department of Pediatrics and Division of Diabetes and Endocrinology, 291 Campus Drive, Stanford, CA 94305, USA.
Rayhan A LalStanford University School of Medicine, Department of Pediatrics and Division of Diabetes and Endocrinology, 291 Campus Drive, Stanford, CA 94305, USA.
Stephanie L FilippUniversity of Florida College of Medicine, Department of Pediatrics, 1600 Southwest Archer Road, Gainesville, FL 32610, USA.
Matthew J GurkaUniversity of Florida College of Medicine, Department of Pediatrics, 1600 Southwest Archer Road, Gainesville, FL 32610, USA.
Sarah WestenUniversity of Florida College of Public Health and Health Professions, Department of Clinical and Health Psychology, 1225 Center Drive, Gainesville, FL 32611, USA.
Brittney N DixonUniversity of Florida College of Public Health and Health Professions, Department of Health Services Research, Management, and Policy, 1225 Center Drive, Gainesville, FL 32611, USA.
Lauren FiggStanford University School of Medicine, Department of Pediatrics and Division of Diabetes and Endocrinology, 291 Campus Drive, Stanford, CA 94305, USA.
Melanie HechavarriaUniversity of Florida College of Medicine, Department of Pediatrics, 1600 Southwest Archer Road, Gainesville, FL 32610, USA.
Keilecia G MaldenUniversity of Florida College of Medicine, Department of Pediatrics, 1600 Southwest Archer Road, Gainesville, FL 32610, USA.
Ashby F WalkerUniversity of Florida College of Public Health and Health Professions, Department of Health Services Research, Management, and Policy, 1225 Center Drive, Gainesville, FL 32611, USA.
University of Florida · USStanford University · USNova Southeastern University · US

Funding

Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4M
NIDDK NIH HHS P30 DK111024
6 · The paper itself

Abstract

Background: People with diabetes have higher COVID-19 morbidity and mortality. These risks are amplified for underserved communities including racial/ethnic minorities and people with lower socioeconomic status. However, limited research has examined COVID-19 outcomes specifically affecting underserved communities with diabetes. Methods: From November 2021 to July 2022, adults with insulin-requiring diabetes at federally qualified health centers in Florida and California (n = 450) completed surveys examining COVID-19 outcomes and demographics. Surveys assessed COVID-19 severity, vaccination uptake, mask-wearing habits, income changes, and healthcare access changes. Surveys also included the full Coronavirus Anxiety Scale (CAS-19). Descriptive statistics were computed for all outcomes. Between-group comparisons for state and race/ethnicity were evaluated via Chi-Squared, Fisher's Exact, Cochran-Mantel-Haenszel, One-Way ANOVA, and Results: Overall, 29.7 % reported contracting COVID-19; of those, 45.3 % sought care or were hospitalized. Most (81.3 %) received ≥ 1 vaccine. Hispanics had the highest vaccination rate (91.1 %); Non-Hispanic Blacks (NHBs) had the lowest (73.9 %; p =.0281). Hispanics had 4.63x greater vaccination odds than Non-Hispanic Whites ([NHWs]; 95 % CI = [1.81, 11.89]). NHWs least often wore masks (18.8 %; p <.001). Participants reported pandemic-related healthcare changes (62 %) and higher costs of diabetes medications (41 %). Income loss was more frequent in Florida (76 %; p <.001). NHBs most frequently reported "severe" income loss (26.4 %; p =.0124). Loss of health insurance was more common among NHBs (13.3 %; p =.0416) and in Florida (9.7 %; p =.039). COVID-19 anxiety was highest among NHBs and Hispanics (IQR = [0.0, 3.0]; p =.0232) and in Florida (IQR = [0.0, 2.0]; p =.0435). Conclusions: Underserved communities with diabetes had high COVID-19 vaccine uptake but experienced significant COVID-19-related physical, psychosocial, and financial impacts. NHBs and those in Florida had worse outcomes than other racial/ethnic groups and those in California. Further research, interventions, and policy changes are needed to promote health equity for this population.

Indexed as

CoronavirusCOVID-19DiabetesHealth DisparitiesHealth EquityPandemic

Identifiers

PMID38559803
PMCPMC10973684
OpenAlexW4392947316

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.