COVID‐19 and vulnerable populations

Lewis, Robin J.; Martin, Pamela P.; Guzmán, Bianca L.

doi:10.1002/jcop.22880

Cited by 30 publications

(21 citation statements)

References 15 publications

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“…Specifically, most of the sample was White European or North American, married, well-educated, and they had on average middle to high income. These specific demographic groups typically experience lower risk than those with low income, limited education, single-parenthood, and/or individuals from racialized groups ( Radey et al, 2021 ; Lewis et al, 2022 ). This has potential consequences for the cultural sensitivity of the measure and applicability to diverse groups.…”

Section: Discussionmentioning

confidence: 99%

Assessing positive adaptation during a global crisis: The development and validation of the family positive adaptation during COVID-19 scale

et al. 2022

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The COVID-19 pandemic has negatively impacted the psychosocial functioning of children and families. It is important to consider adversity in relation to processes of positive adaptation. To date, there are no empirically validated multi-item scales measuring COVID-related positive adaptation within families. The aim of the current study was to develop and validate a new measure: the Family Positive Adaptation during COVID-19 Scale (Family PACS). The sample included 372 female and 158 male caregivers (73% White-European/North American; median 2019 income = $50,000 to $74,999 USD) of children ages 5–18 years old from the United Kingdom (76%), the United States (19%), Canada (4%), and Australia (1%), who completed measures in May 2020. Participants responded to a 14-item survey indexing a range of perceived coping and adaptation behaviors at the beginning of the pandemic. An exploratory factor analysis yielded an optimal one-factor solution comprised of seven items related to family cohesion, flexibility, routines, and meaning-making (loadings from 0.44 to 0.67). Multigroup confirmatory factor analysis demonstrated measurement invariance across female and male caregivers, demonstrating that the factor structure, loadings, and thresholds did not vary by caregiver sex. There was evidence for concurrent validity with significant bivariate correlations between the Family PACS scores and measures of caregiver positive coping, parenting practices, couple satisfaction, and family functioning (correlations from 0.10 to 0.23), but not negatively-valenced constructs. Findings inform our conceptualization of how families have adapted to adverse pandemic-related conditions. Further, we provide preliminary support for the Family PACS as a practical tool for evaluating positive family adaptation during this global crisis, with implications for future widespread crises.

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Section: Discussionmentioning

confidence: 99%

Assessing positive adaptation during a global crisis: The development and validation of the family positive adaptation during COVID-19 scale

et al. 2022

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“…In the syndemic context, the role of gender inequalities must also be considered, according to evidence showing increased vulnerability in sexual and gender minorities[ 29 , 30 ], and a sex-based difference in COVID-19 clinical outcomes[ 31 , 32 ].…”

Section: The Pandemic As a Component Of A Syndemicmentioning

confidence: 99%

Environmental health, COVID-19, and the syndemic: internal medicine facing the challenge

Ciaula

Moshammer

Lauriola³

et al. 2022

Intern Emerg Med

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Internists are experts in complexity, and the COVID-19 pandemic is disclosing complex and unexpected interactions between communicable and non-communicable diseases, environmental factors, and socio-economic disparities. The medicine of complexity cannot be limited to facing comorbidities and to the clinical management of multifaceted diseases. Evidence indicates how climate change, pollution, demographic unbalance, and inequalities can affect the spreading and outcomes of COVID-19 in vulnerable communities. These elements cannot be neglected, and a wide view of public health aspects by a “one-health” approach is strongly and urgently recommended. According to World Health Organization, 35% of infectious diseases involving the lower respiratory tract depend on environmental factors, and infections from SARS-Cov-2 is not an exception. Furthermore, environmental pollution generates a large burden of non-communicable diseases and disabilities, increasing the individual vulnerability to COVID-19 and the chance for the resilience of large communities worldwide. In this field, the awareness of internists must increase, as privileged healthcare providers. They need to gain a comprehensive knowledge of elements characterizing COVID-19 as part of a syndemic. This is the case when pandemic events hit vulnerable populations suffering from the increasing burden of chronic diseases, disabilities, and social and economic inequalities. Mastering the interplay of such events requires a change in overall strategy, to adequately manage not only the SARS-CoV-2 infection but also the growing burden of non-communicable diseases by a “one health” approach. In this context, experts in internal medicine have the knowledge and skills to drive this change.

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“…Since March 11, 2020, when the World Health Organization announced coronavirus 2019 (COVID‐19) a pandemic, individuals across the globe have endured this health emergency, and for many communities of Color (COC), they have been navigating a syndemic, meaning the impact of two concurrent epidemics (Cokley et al, 2022; Grills et al, 2022; Lewis et al, 2022). The first pandemic of white supremacy involves the enduring subjugation of COC into racial hierarchies that contributes to marginalization and negative, lifelong health outcomes (Cokley et al, 2022; Grills et al, 2022; Lewis et al, 2022; Zhou et al, 2022). Historically, COC experienced various forms of marginalization including, scientific racism to justify racial superiority, displacement of indigenous people from their homelands, and centuries of discrimination and unequal treatment (Lea, 2020).…”

mentioning

confidence: 99%

Racial reckoning, resistance, and the revolution: A call to community psychology to move forward

Martin

Lewis

Guzmán

2023

American J of Comm Psychol

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This article introduces a special issue of the American Journal of Community Psychology that features racial reckoning, resistance and the revolution in the context of a syndemic, the historical subjugation of communities of Color (COC) to racial hierarchies and the coronavirus (COVID‐19). More specifically, this special issue underscores the need for community psychology and other allied disciplines to address this syndemic facing COC. The special issue delivers on the stories of the lived experiences from researchers and community members as it relates to COVID‐19 and COC. Twelve articles are illuminated to challenge the field to create social change.

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COVID‐19 and vulnerable populations

Cited by 30 publications

References 15 publications

Assessing positive adaptation during a global crisis: The development and validation of the family positive adaptation during COVID-19 scale

Assessing positive adaptation during a global crisis: The development and validation of the family positive adaptation during COVID-19 scale

Environmental health, COVID-19, and the syndemic: internal medicine facing the challenge

Racial reckoning, resistance, and the revolution: A call to community psychology to move forward

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