Health disparity in the spread of COVID-19: Evidence from social distancing, risk of interactions, and access to testing

Wei, Ran; Zhang, Yujia; Gao, Song; Brown, Brandon; Hu, Songhua; Link, Bruce G.

doi:10.1016/j.healthplace.2023.103031

Cited by 5 publications

(1 citation statement)

References 34 publications

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“…Since the occurrence of coronavirus disease 2019 (COVID-19), the lives of people worldwide have undergone extensive changes. 1 2 Especially, patients with cancer experienced difficulty with the utility of the healthcare system. 3 Although physical distancing was an effective policy to prevent viral transmission, 4 at some point, this led to the delay in the treatment of patients with cancer.…”

Section: Introductionmentioning

confidence: 99%

Adherence to Physical Distancing and Health Beliefs About COVID-19 Among Patients With Cancer

Hammoudi,

Ahmed,

et al. 2023

J Korean Med Sci

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Background This study aimed to validate questionnaires on adherence to physical distancing and health beliefs about coronavirus disease 2019 (COVID-19) among patients with cancer and explore their interaction with depression or viral anxiety among them. Methods Through an online survey, data from 154 cancer patients (female: 82.5%, breast cancer: 66.2%, current cancer treatment, presence: 65.6%) were collected from March to June 2022. The survey gathered responses to questionnaires on adherence to physical distancing, health beliefs about COVID-19, perceived social norms, Stress and Anxiety to Viral Epidemics-6 items, and Patient Health Questionnaire-2. Confirmatory factor analysis (CFA) for construct validity and structural equation model (SEM) were performed. Results The CFA showed a good model fit for adherence to physical distancing (comparative fit index [CFI] = 1.000, Tucker–Lewis index [TLI] = 0.930, root-mean-square-error of approximation [RMSEA] = 0.000, and standardized root-mean-square residual [SRMR] = 0.050) and a satisfactory model fit for health beliefs about COVID-19 (CFI = 0.978, TLI = 0.971, RMSEA = 0.061, and SRMR = 0.089). Through SEM, we found that personal injunctive norms were the main mediators linking health beliefs with physical distancing in patients with cancer. Depression also mediated the effects of viral anxiety and perceived severity on physical distancing (χ 2 = 20.073, df = 15, P = 0.169; CFI = 0.984; RMSEA = 0.047). Conclusion The questionnaires are reliable and valid. Patients with cancer may be able to adhere to physical distancing by addressing perceived severity, viral anxiety, perceived benefits, self-efficacy, perceived barriers, as well as personal injunctive norms.

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