In response to NOT-MD-20-019, this administrative supplement will examine the effects of the COVID-19 outbreak and related local public health mandates (e.g., Shelter in Place) in a population of women heavily affected by health disparities. Our parent study of health literacy and health care utilization among women in the criminal probation system (R01MD010439) maintains a cohort of 370 women, 73% of whom are African American and 82% of whom have one or more chronic health condition. Emerging research indicates that these characteristics are linked with disparities in COVID-19 risk, infection, and mortality. Our community- based study, located in Oakland (Alameda County), California, adapted to the formal Shelter-in-Place order, beginning March 17, 2020, by modifying data collection from in-person interviews to telephone-based interviews. Given the public health crisis and reports from participants about its immediate impacts, we began collecting data in May 2020 to systematically assess the medical and social consequences of the outbreak. Coupling these new data with 12 months of longitudinal data obtained prior to the COVID-19 outbreak, we propose to conduct a series of rigorous analyses to address the following Specific Aims: (1) To assess changes in health care access and utilization associated with the COVID-19 outbreak and related local public health mandates (e.g., shelter in place) (2) To examine how health literacy and social determinants (e.g., housing, income) are associated with adherence to public health mandates and participation in COVID-19 screening. The proposed supplement furthers the objectives of NOT-MD-20-019 by addressing the urgent need to understand how COVID-19 and related public health mandates are contributing to health disparities.

Public Health Relevance

This study will assess how COVID-19 impacts health care access and utilization in a group of women who have high levels of chronic illness and social disadvantages such as homelessness. It will also examine conditions that contribute to their ability to follow public health mandates like sheltering in place and social distancing.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Research Project (R01)
Project #
3R01MD010439-04S1
Application #
10156795
Study Section
Program Officer
Dagher, Rada Kamil
Project Start
2016-09-27
Project End
2021-06-30
Budget Start
2020-07-01
Budget End
2021-06-30
Support Year
4
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Research Triangle Institute
Department
Type
DUNS #
004868105
City
Research Triangle Park
State
NC
Country
United States
Zip Code
27709