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Blasingame M, Mallett V, Cook M, Im W, Wilus D, Kimbrough R, Ikwuezunma G, Orok E, Reed B, Akanbi V, Amoo-Asante A, Sanderson M. Association of Psychosocial Factors on COVID-19 Testing among YWCA Service Recipients. Int J Environ Res Public Health 2023; 20:1297. [PMID: 36674054 PMCID: PMC9859612 DOI: 10.3390/ijerph20021297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/06/2023] [Accepted: 01/09/2023] [Indexed: 06/17/2023]
Abstract
The purpose of this study was to examine how psychosocial factors affect receipt of COVID-19 testing among Black and Hispanic women. In this cross-sectional study of Black and Hispanic women who received services from the YWCAs in Atlanta, El Paso, Nashville, and Tucson between 2019 and 2021 (n = 662), we used Patient-Reported Outcomes Measurement Information Systems (PROMIS) item bank 1.0 short forms to examine the impact of psychosocial factors (i.e., depression, anxiety, social isolation, instrumental support, emotional support, and companionship) on COVID-19 testing. Multivariable logistic regression models were used to estimate odds ratios and 95% confidence intervals for receipt of a COVID-19 test associated with psychosocial factors while adjusting for confounders. There was little effect of moderate/severe depressions or anxiety on receipt of COVID-19 testing. Black (odds ratio [OR] 0.58, 95% confidence interval [CI] 0.26-1.29) and Hispanic (OR 0.61, 95% CI 0.38-0.96) women with high levels of emotional support were less likely to receive the COVID-19 test. While high levels of instrumental support was associated with less likely receipt of the COVID-19 test among Black women (OR 0.75, 95% CI 0.34-1.66), it was associated with more likely receipt among Hispanic women (OR 1.19, 95% CI 0.74-1.92). Our findings suggest that certain psychosocial factors influence one's decision to get a COVID-19 test which can be useful in encouraging preventive healthcare such as screening and vaccination.
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Affiliation(s)
- Miaya Blasingame
- Vanderbilt University School of Medicine, Nashville, TN 37232, USA
| | - Veronica Mallett
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Mekeila Cook
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Wansoo Im
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Derek Wilus
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Robin Kimbrough
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Gini Ikwuezunma
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Ekemini Orok
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Breia Reed
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Victoria Akanbi
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Aurdie Amoo-Asante
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
| | - Maureen Sanderson
- Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
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