View in EDS HTML Full Text PDF Full Text

Mediation of Latinx health status disparities during the COVID-19 pandemic by social determinants of health.

Saved in:
Bibliographic Details
Title: Mediation of Latinx health status disparities during the COVID-19 pandemic by social determinants of health.
Authors: Ramírez García, Jorge I. (AUTHOR), Oro, Veronica (AUTHOR), Budd, Elizabeth L. (AUTHOR), Mauricio, Anne Marie (AUTHOR), Anda, Stephanie De (AUTHOR), McWhirter, Ellen H. (AUTHOR), Leve, Leslie D. (AUTHOR), DeGarmo, David S. (AUTHOR)
Source: Social Psychiatry & Psychiatric Epidemiology. Dec2025, Vol. 60 Issue 12, p2785-2796. 12p.
Subjects: Social determinants of health, Food security, Educational attainment, Unemployment, Health equity, Psychological distress, Housing stability, COVID-19
Abstract: Purpose: The hypothesis that health status disparities exist because of high levels of social disadvantages, the Social Determinants of Health - Health Disparities (SDOH-HD) hypothesis by Ramírez García [1], was investigated among adults (N = 1,833) attending SARS-CoV-2 testing events at 71 community sites. Methods: A Multilevel Structural Equation Model (CFI = 1.0, SRMRs ≤ 0.03), with cross-sectional self-reported data, operationalized health status with latent individual level and latent community site level variables. At the individual level, health variables met full or partial metric equivalence between participants who answered the survey in Spanish versus in English (CFIs = 0.99, SRMRs ≤ 0.03). Results: Consistent with the SDOH-HD, high food insecurity and/or low levels of education among Latinxs putatively mediated (abs = 0.01 to 0.08, ps < 0.05) worse individual level general health (Within Level Model R2 = 0.10, p <.05) or worse individual level psychological distress (Within Level Model R2 = 0.11, p <.05) compared to non-Latinx Whites. However, three SDOH - unemployment, housing instability, and discrimination - did not support the SDOH-HD. Community site level SDOH - social vulnerability, and minority status indices - were not significantly related to site level health status, but site level psychological distress was lower in rural than in urban sites (γ = − 0.39, p <.05). Conclusion: Taken together, the results delineate that equitable implementation of food security and education interventions may mitigate health status Latinx disparities. The SDOH-HD was partially supported, underscoring the need to investigate further these and additional SDOH-HD pathways. [ABSTRACT FROM AUTHOR]
Copyright of Social Psychiatry & Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 189211260
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Mediation of Latinx health status disparities during the COVID-19 pandemic by social determinants of health.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ram&#237;rez+Garc&#237;a%2C+Jorge+I%2E%22&quot;&gt;Ram&#237;rez Garc&#237;a, Jorge I.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Oro%2C+Veronica%22&quot;&gt;Oro, Veronica&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Budd%2C+Elizabeth+L%2E%22&quot;&gt;Budd, Elizabeth L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mauricio%2C+Anne+Marie%22&quot;&gt;Mauricio, Anne Marie&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Anda%2C+Stephanie+De%22&quot;&gt;Anda, Stephanie De&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McWhirter%2C+Ellen+H%2E%22&quot;&gt;McWhirter, Ellen H.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Leve%2C+Leslie+D%2E%22&quot;&gt;Leve, Leslie D.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22DeGarmo%2C+David+S%2E%22&quot;&gt;DeGarmo, David S.&lt;/searchLink&gt; (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Social+Psychiatry+%26+Psychiatric+Epidemiology%22&quot;&gt;Social Psychiatry &amp; Psychiatric Epidemiology&lt;/searchLink&gt;. Dec2025, Vol. 60 Issue 12, p2785-2796. 12p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Social+determinants+of+health%22&quot;&gt;Social determinants of health&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Food+security%22&quot;&gt;Food security&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Educational+attainment%22&quot;&gt;Educational attainment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Unemployment%22&quot;&gt;Unemployment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+equity%22&quot;&gt;Health equity&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+distress%22&quot;&gt;Psychological distress&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Housing+stability%22&quot;&gt;Housing stability&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22COVID-19%22&quot;&gt;COVID-19&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The hypothesis that health status disparities exist because of high levels of social disadvantages, the Social Determinants of Health - Health Disparities (SDOH-HD) hypothesis by Ram&#237;rez Garc&#237;a [1], was investigated among adults (N = 1,833) attending SARS-CoV-2 testing events at 71 community sites. Methods: A Multilevel Structural Equation Model (CFI = 1.0, SRMRs ≤ 0.03), with cross-sectional self-reported data, operationalized health status with latent individual level and latent community site level variables. At the individual level, health variables met full or partial metric equivalence between participants who answered the survey in Spanish versus in English (CFIs = 0.99, SRMRs ≤ 0.03). Results: Consistent with the SDOH-HD, high food insecurity and/or low levels of education among Latinxs putatively mediated (abs = 0.01 to 0.08, ps &lt; 0.05) worse individual level general health (Within Level Model R2 = 0.10, p &lt;.05) or worse individual level psychological distress (Within Level Model R2 = 0.11, p &lt;.05) compared to non-Latinx Whites. However, three SDOH - unemployment, housing instability, and discrimination - did not support the SDOH-HD. Community site level SDOH - social vulnerability, and minority status indices - were not significantly related to site level health status, but site level psychological distress was lower in rural than in urban sites (γ = − 0.39, p &lt;.05). Conclusion: Taken together, the results delineate that equitable implementation of food security and education interventions may mitigate health status Latinx disparities. The SDOH-HD was partially supported, underscoring the need to investigate further these and additional SDOH-HD pathways. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Social Psychiatry &amp; Psychiatric Epidemiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=189211260
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00127-025-02890-8
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 2785
    Subjects:
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Food security
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Unemployment
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Psychological distress
        Type: general
      – SubjectFull: Housing stability
        Type: general
      – SubjectFull: COVID-19
        Type: general
    Titles:
      – TitleFull: Mediation of Latinx health status disparities during the COVID-19 pandemic by social determinants of health.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Ramírez García, Jorge I.
      – PersonEntity:
          Name:
            NameFull: Oro, Veronica
      – PersonEntity:
          Name:
            NameFull: Budd, Elizabeth L.
      – PersonEntity:
          Name:
            NameFull: Mauricio, Anne Marie
      – PersonEntity:
          Name:
            NameFull: Anda, Stephanie De
      – PersonEntity:
          Name:
            NameFull: McWhirter, Ellen H.
      – PersonEntity:
          Name:
            NameFull: Leve, Leslie D.
      – PersonEntity:
          Name:
            NameFull: DeGarmo, David S.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 12
              Text: Dec2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 09337954
          Numbering:
            – Type: volume
              Value: 60
            – Type: issue
              Value: 12
          Titles:
            – TitleFull: Social Psychiatry & Psychiatric Epidemiology
              Type: main
ResultId 1