Contributing Factors to Delays in COVID-19-Related Hospitalization Among Latinx and Spanish-Speaking Patients/Factores Que Contribuyen a Retrasos en Hospitalizaciones Relacionadas con COVID-19 Entre Pacientes Latinos e Hispano-Hablantes

Sofia Alejandra Ladner; Carolyn F Fisher; Ceylon Auguste-Nelson; Raquel Sofia Sandoval; Katherine McDaniel; Neha Sandeep; Yamini Saravanan

doi:10.3122/jabfm.2022.220395R2

Contributing Factors to Delays in COVID-19-Related Hospitalization Among Latinx and Spanish-Speaking Patients/Factores Que Contribuyen a Retrasos en Hospitalizaciones Relacionadas con COVID-19 Entre Pacientes Latinos e Hispano-Hablantes

J Am Board Fam Med. 2023 Oct 11;36(5):832-838. doi: 10.3122/jabfm.2022.220395R2. Epub 2023 Sep 13.

Authors

Sofia Alejandra Ladner¹, Carolyn F Fisher², Ceylon Auguste-Nelson², Raquel Sofia Sandoval², Katherine McDaniel², Neha Sandeep², Yamini Saravanan²

Affiliations

¹ From the Institute for Community Health, Malden, MA (SAL, CFF); University of Chicago Pritzker School of Medicine, Chicago, IL (CAN); Johns Hopkins Hospital, Baltimore, MD (RSS); Boston Medical Center, Boston, MA (KM); Cambridge Health Alliance, Cambridge, MA (NS, YS). sladner@icommunityhealth.org.
² From the Institute for Community Health, Malden, MA (SAL, CFF); University of Chicago Pritzker School of Medicine, Chicago, IL (CAN); Johns Hopkins Hospital, Baltimore, MD (RSS); Boston Medical Center, Boston, MA (KM); Cambridge Health Alliance, Cambridge, MA (NS, YS).

PMID: 37704393
DOI: 10.3122/jabfm.2022.220395R2

Abstract

Background: Latinx populations have been more heavily impacted by the COVID-19 pandemic than the general population of the US, including higher rates of hospitalization due to COVID-19 in eastern Massachusetts. We conducted a qualitative study to better understand the experiences of Latinx and Spanish-speaking patients who had clinically significant COVID-19 in the early months of the pandemic.

Methods: Thirteen qualitative, semistructured, phone interviews were conducted between December 2020 and April 2021 with Latinx and Spanish-speaking patients who had experienced clinically significant COVID-19 in the metro-north Boston area. Interviews were recorded and transcribed in their original languages. An a priori code tree was developed which was later iteratively revised based on emerging themes. Transcripts were thematically analyzed.

Results: Participants discussed their overall experiences contracting the COVID-19 infection, as well as their experiences with the disease and with being hospitalized and the months after in recovery. Family and social networks were a common support, both emotional and financial. Although they survived the disease, hospitalization had serious impacts on the mental and physical health of participants, including the remnants of trauma from hospitalization itself.

Implications: Latinx and Spanish-speaking patients in eastern Massachusetts had specific experiences in the early months of the COVID-19 pandemic that were shaped by their living conditions and culture. It is important for health care professionals to understand these experiences so that they can design appropriate medical interventions as well as target outreach efforts that are culturally appropriate. Finally, serious attention should be paid to the mental health-related consequences of hospitalization and policies that can alleviate them.

Keywords: COVID-19; Community-Based Research; Culturally Sensitive Research; Health Services Accessibility; Hispanics; Hospitalization; Latinx; Massachusetts; Mental Health; Qualitative Research.