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Exploring Barriers to Effective COVID-19 Risk Mitigation, Recovery, and Chronic Disease Self-Management: A
Gayenell S Magwood1,2, Charles Ellis3, Chanita Hughes Halbert4
1Department of Biobehavioral Health and Nursing Science, University of South Carolina, Columbia, SC, USA.
Racial inequities in COVID-19 care highlight systemic barriers. Addressing social determinants and ensuring equitable support for survivors and care partners is crucial for recovery and chronic disease management.
Area of Science:
- Public Health
- Health Disparities
- Qualitative Research
Background:
- COVID-19 pandemic exacerbated existing racial and ethnic disparities in health.
- Disparities in COVID-19 outcomes mirrored those seen in other diseases, highlighting systemic issues.
- Awareness grew regarding the impact of risk exposure and healthcare access on vulnerable populations.
Purpose of the Study:
- To investigate social and structural determinants of health among COVID-19 survivors and their care partners.
- To explore the perspectives of healthcare stakeholders on pandemic-related disruptions.
- To understand the intersectionality of race, ethnicity, geography, and health within healthcare systems.
Main Methods:
- Conducted purposive sampling for interviews (n=9) and focus groups (n=10).
- Collected data on barriers to COVID-19 risk mitigation, recovery, and chronic disease self-management.
- Included diverse participants: nurses, physicians, COVID-19 survivors, care partners, public health officials, and community leaders in rural South Carolina.
Main Results:
- Identified five major themes: COVID-19's added health challenges, lack of access to care, need for survivor/care partner support, equitable distribution of support, and the impact of racism/structural issues on stress.
- Highlighted strengths, opportunities, and inequities perceived by study groups.
- Revealed significant challenges in risk mitigation, recovery, and chronic disease self-management.
Conclusions:
- This is the first qualitative study on COVID-19 survivor-carepartner dyads examining race, ethnicity, geography, and health interactions.
- Findings underscore the need for infectious disease prevention across all socioecological levels.
- Emphasized the necessity of addressing systemic and structural inequities in healthcare delivery and support systems.
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