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Experiences of Latinx sexual and gender minorities with access to healthcare during COVID-19 stay-at-home orders.

Authors
  • Rodriguez-Diaz, Carlos E1
  • Seager, Loxley2
  • Navalta, Cassandra2
  • Lapointe, Lauren2
  • Laino, Alanna2
  • Wilhite, Daniel2
  • Melin, Kyle3
  • Varga, Leah4
  • Zea, Maria Cecilia5
  • 1 Boston University School of Public Health, Boston, MA, USA.
  • 2 Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
  • 3 School of Pharmacy, University of Puerto Rico, San Juan, PR, USA. , (Puerto Rico)
  • 4 DC Department of Health, Washington, DC, USA.
  • 5 Department of Psychology and Brain Sciences, George Washington University, Washington, DC, USA.
Type
Published Article
Journal
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
Publication Date
Apr 03, 2024
Volume
81
Issue
8
Pages
297–305
Identifiers
DOI: 10.1093/ajhp/zxad330
PMID: 38146952
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The coronavirus disease 2019 (COVID-19) pandemic affected all social systems, but healthcare services were particularly disrupted. The pandemic also had a disproportionate impact on populations made socially vulnerable. In this study, we documented the experiences of Latinx sexual and gender minority (SGM) individuals with access to care during COVID-19 stay-at-home orders. Semistructured qualitative interviews assessing experiences during the stay-at-home orders in response to the COVID-19 pandemic and patients' experiences accessing healthcare during this period were conducted with 21 Latinx SGM individuals from the Washington, DC, area. Data were analyzed using rapid qualitative analysis (RQA), and salient themes were identified. The RQA revealed 3 themes reflecting participants' experiences with pharmaceutical care during COVID-19 stay-at-home orders: (1) challenges in accessing HIV services; (2) community engagement; and (3) providers supporting access to care. Participants experienced problems with adherence to medication, transportation, and technology, as well as delays in care and miscommunication with providers. Latinx SGM individuals demonstrated engagement in response to this emergency as a community and valued their providers and their efforts to facilitate access to care. The COVID-19 pandemic strained healthcare services. Findings from this study show that the impact of the pandemic on the provision of care increased the vulnerability of Latinx SGM people. Future research should explore the impact of public health emergencies on the health of populations historically made socially vulnerable, and innovative solutions should be identified to eliminate these barriers to health equity. © American Society of Health-System Pharmacists 2023.

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