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The COVID-19 Pandemic in a Hispanic Population: A Primary Care Perspective. | LitMetric

AI Article Synopsis

  • The study examines the unique COVID-19-related healthcare needs of Hispanic patients at a primary care clinic during the pandemic, highlighting disparities in care among different ethnic groups.
  • A total of 6616 patients were seen, with 378 tested for COVID-19, revealing that 42.6% tested positive; symptomatic patients showcased higher age, temperature, and pulse rates.
  • The findings suggest that the pandemic's impact is multifaceted, with a significant number of patients being essential workers, uninsured, and experiencing prolonged symptoms, indicating diverse healthcare needs and implications for their well-being.

Article Abstract

Introduction: The COVID-19 global pandemic has affected all ethnic and minority groups although not equally. The goals of the present study are twofold: describe the diverse COVID-19-related care needs Hispanic patients presenting to a primary care facility and the symptom clusters and socioeconomic factors that may impact their wellbeing.

Methods: This is a retrospective cohort of Hispanic patients in an outpatient clinic serving an urban lower socioeconomic demographic, between May 9 and July 31, 2020. COVID-19 infection was confirmed by polymerase chain reaction or rapid antibody test. Student's t-test was used for means and the chi was used for comparisons of proportions.

Results: A total of 6616 patients visited Alivio, 409 were triaged to a containment area, and 378 were tested for COVID-19; 230 with, 148 without symptoms. Of those tested, 161(42.6%) were positive, representing 2.4% of total patients seen. Age, temperature, and pulse rate were all significantly higher in patients with symptoms compared with those without. Symptoms were grouped into 5 clusters: constitutional, n = 143(62%), respiratory, n = 136 (59%), and somatic, n = 97(42%) were most common. No single cluster was particularly diagnostic of COVID-19, although those with symptoms in multiple clusters were more likely to test positive, < .001. The majority worked in essential jobs, were uninsured, and had more than half had prolonged symptoms.

Conclusions: Hispanic patients have diverse reasons for seeking health care and for testing in a pandemic. COVID-19 is a syndromic disease as evidenced from the clustering of symptoms. Essential workers and uninsured health status may lead to more prolonged disease course.

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Source
http://dx.doi.org/10.3122/jabfm.2022.04.210163DOI Listing

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