Mediation of Latinx health status disparities during the COVID-19 pandemic by social determinants of health.
Saved in:
| 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.
Login for full access.
|
|
Be the first to leave a comment!
