Association of Psychosocial Factors on COVID-19 Testing among YWCA Service Recipients

Miaya Blasingame, Veronica Mallett, Mekeila Cook, Wansoo Im, Derek Wilus, Robin Kimbrough, Gini Ikwuezunma, Ekemini Orok, Breia Reed, Victoria Akanbi, Aurdie Amoo-Asante and Maureen Sanderson ()
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Miaya Blasingame: Vanderbilt University School of Medicine, Nashville, TN 37232, USA
Veronica Mallett: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Mekeila Cook: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Wansoo Im: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Derek Wilus: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Robin Kimbrough: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Gini Ikwuezunma: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Ekemini Orok: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Breia Reed: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Victoria Akanbi: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Aurdie Amoo-Asante: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA
Maureen Sanderson: Center for Women’s Health Research, Meharry Medical College, Nashville, TN 37208, USA

IJERPH, 2023, vol. 20, issue 2, 1-12

Abstract: The purpose of this study was to examine how psychosocial factors affect receipt of COVID-19 testing among Black and Hispanic women. In this cross-sectional study of Black and Hispanic women who received services from the YWCAs in Atlanta, El Paso, Nashville, and Tucson between 2019 and 2021 ( n = 662), we used Patient-Reported Outcomes Measurement Information Systems (PROMIS) item bank 1.0 short forms to examine the impact of psychosocial factors (i.e., depression, anxiety, social isolation, instrumental support, emotional support, and companionship) on COVID-19 testing. Multivariable logistic regression models were used to estimate odds ratios and 95% confidence intervals for receipt of a COVID-19 test associated with psychosocial factors while adjusting for confounders. There was little effect of moderate/severe depressions or anxiety on receipt of COVID-19 testing. Black (odds ratio [OR] 0.58, 95% confidence interval [CI] 0.26–1.29) and Hispanic (OR 0.61, 95% CI 0.38–0.96) women with high levels of emotional support were less likely to receive the COVID-19 test. While high levels of instrumental support was associated with less likely receipt of the COVID-19 test among Black women (OR 0.75, 95% CI 0.34–1.66), it was associated with more likely receipt among Hispanic women (OR 1.19, 95% CI 0.74–1.92). Our findings suggest that certain psychosocial factors influence one’s decision to get a COVID-19 test which can be useful in encouraging preventive healthcare such as screening and vaccination.

Keywords: psychosocial factors; COVID-19 testing; YWCA (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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