Cargando…

Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging

BACKGROUND: The COVID-19 pandemic affected access to health care services in Canada; however, limited research examines the influence of the social determinants of health on unmet health care needs during the first year of the pandemic. The objectives of this study were to describe unmet health care...

Descripción completa

Detalles Bibliográficos
Autores principales: Khattar, Jayati, Anderson, Laura N., De Rubeis, Vanessa, de Groh, Margaret, Jiang, Ying, Jones, Aaron, Basta, Nicole E., Kirkland, Susan, Wolfson, Christina, Griffith, Lauren E., Raina, Parminder
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CMA Impact Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933993/
https://www.ncbi.nlm.nih.gov/pubmed/36787988
http://dx.doi.org/10.9778/cmajo.20210320
_version_ 1784889786879705088
author Khattar, Jayati
Anderson, Laura N.
De Rubeis, Vanessa
de Groh, Margaret
Jiang, Ying
Jones, Aaron
Basta, Nicole E.
Kirkland, Susan
Wolfson, Christina
Griffith, Lauren E.
Raina, Parminder
author_facet Khattar, Jayati
Anderson, Laura N.
De Rubeis, Vanessa
de Groh, Margaret
Jiang, Ying
Jones, Aaron
Basta, Nicole E.
Kirkland, Susan
Wolfson, Christina
Griffith, Lauren E.
Raina, Parminder
author_sort Khattar, Jayati
collection PubMed
description BACKGROUND: The COVID-19 pandemic affected access to health care services in Canada; however, limited research examines the influence of the social determinants of health on unmet health care needs during the first year of the pandemic. The objectives of this study were to describe unmet health care needs during the first year of the pandemic and to investigate the association of unmet needs with the social determinants of health. METHODS: We conducted a prospective cohort study of 23 972 adults participating in the Canadian Longitudinal Study on Aging (CLSA) COVID-19 Study (April–December 2020) to identify the social determinants of health associated with unmet health care needs during the pandemic. Using logistic regression, we assessed the association between several social determinants of health on the following 3 outcomes (separately): experiencing any challenges in accessing health care services, not going to a hospital or seeing a doctor when needed, and experiencing barriers to accessing testing for SARS-CoV-2 infection. RESULTS: From September to December 2020, 25% of participants experienced challenges accessing health care services, 8% did not go to a hospital or see a doctor when needed and 4% faced barriers accessing testing for SARS-CoV-2 infection. The prevalence of all 3 unmet need outcomes was lower among older age groups. Differences were observed by sex, region, education, income and racial background. Immigrants (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.09–1.27) or people with chronic conditions (OR 1.35, 95% CI 1.27–1.43) had higher odds of experiencing challenges accessing health care services and had higher odds of not going to a hospital or seeing a doctor (immigrants OR 1.26, 95% CI 1.11–1.43; chronic conditions OR 1.45, 95% CI 1.31–1.61). Prepandemic unmet health care needs were strongly associated with all 3 outcomes. INTERPRETATION: Substantial unmet health care needs were reported by Canadian adults during the first year of the pandemic. The results of this study have important implications for health equity.
format Online
Article
Text
id pubmed-9933993
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher CMA Impact Inc.
record_format MEDLINE/PubMed
spelling pubmed-99339932023-02-17 Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging Khattar, Jayati Anderson, Laura N. De Rubeis, Vanessa de Groh, Margaret Jiang, Ying Jones, Aaron Basta, Nicole E. Kirkland, Susan Wolfson, Christina Griffith, Lauren E. Raina, Parminder CMAJ Open Research BACKGROUND: The COVID-19 pandemic affected access to health care services in Canada; however, limited research examines the influence of the social determinants of health on unmet health care needs during the first year of the pandemic. The objectives of this study were to describe unmet health care needs during the first year of the pandemic and to investigate the association of unmet needs with the social determinants of health. METHODS: We conducted a prospective cohort study of 23 972 adults participating in the Canadian Longitudinal Study on Aging (CLSA) COVID-19 Study (April–December 2020) to identify the social determinants of health associated with unmet health care needs during the pandemic. Using logistic regression, we assessed the association between several social determinants of health on the following 3 outcomes (separately): experiencing any challenges in accessing health care services, not going to a hospital or seeing a doctor when needed, and experiencing barriers to accessing testing for SARS-CoV-2 infection. RESULTS: From September to December 2020, 25% of participants experienced challenges accessing health care services, 8% did not go to a hospital or see a doctor when needed and 4% faced barriers accessing testing for SARS-CoV-2 infection. The prevalence of all 3 unmet need outcomes was lower among older age groups. Differences were observed by sex, region, education, income and racial background. Immigrants (odds ratio [OR] 1.18, 95% confidence interval [CI] 1.09–1.27) or people with chronic conditions (OR 1.35, 95% CI 1.27–1.43) had higher odds of experiencing challenges accessing health care services and had higher odds of not going to a hospital or seeing a doctor (immigrants OR 1.26, 95% CI 1.11–1.43; chronic conditions OR 1.45, 95% CI 1.31–1.61). Prepandemic unmet health care needs were strongly associated with all 3 outcomes. INTERPRETATION: Substantial unmet health care needs were reported by Canadian adults during the first year of the pandemic. The results of this study have important implications for health equity. CMA Impact Inc. 2023-02-14 /pmc/articles/PMC9933993/ /pubmed/36787988 http://dx.doi.org/10.9778/cmajo.20210320 Text en © 2023 CMA Impact Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Research
Khattar, Jayati
Anderson, Laura N.
De Rubeis, Vanessa
de Groh, Margaret
Jiang, Ying
Jones, Aaron
Basta, Nicole E.
Kirkland, Susan
Wolfson, Christina
Griffith, Lauren E.
Raina, Parminder
Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging
title Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging
title_full Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging
title_fullStr Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging
title_full_unstemmed Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging
title_short Unmet health care needs during the COVID-19 pandemic among adults: a prospective cohort study in the Canadian Longitudinal Study on Aging
title_sort unmet health care needs during the covid-19 pandemic among adults: a prospective cohort study in the canadian longitudinal study on aging
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933993/
https://www.ncbi.nlm.nih.gov/pubmed/36787988
http://dx.doi.org/10.9778/cmajo.20210320
work_keys_str_mv AT khattarjayati unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT andersonlauran unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT derubeisvanessa unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT degrohmargaret unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT jiangying unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT jonesaaron unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT bastanicolee unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT kirklandsusan unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT wolfsonchristina unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT griffithlaurene unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging
AT rainaparminder unmethealthcareneedsduringthecovid19pandemicamongadultsaprospectivecohortstudyinthecanadianlongitudinalstudyonaging