The influence of COVID-19 on healthcare seeking behaviors among students attending a minority-serving institution: A cross-sectional study (Preprint)

Abstract

BACKGROUND COVID-19 may influence healthcare seeking behaviors among university students due to their beliefs about the virus, disruptions in access to care, or both. This has not been studied among university students, particularly those attending a minority-serving institution (MSI). OBJECTIVE To examine the effects of COVID-19 on healthcare seeking behaviors among students attending an MSI. METHODS An online survey was sent to all registered students at a public MSI between February and March 2021. Frequency of in-person and virtual contacts with a healthcare professional across a sample of months in 2019 and 2020 were compared using Wilcoxon Signed Rank Tests. RESULTS Approximately 52.5% reported no in-person visits during the pandemic compared to 47.8% pre-pandemic (Z = -1.800, P = .07). Approximately 47.7% reported no virtual contact during the pandemic compared to 77.5% reporting no virtual contact with a medical provider pre-pandemic (Z = 11.011, P < .001). When in-person and virtual contacts were combined, 43.5% of respondents reported no virtual or in-person contact with medical providers pre-pandemic compared with 34.1% during the pandemic (Z = 3.918, P <.001). CONCLUSIONS Among university students attending a public MSI, in-person visits and contact with their respective healthcare providers decreased during the current COVID-19 pandemic. These results are of particular importance given the relationship between seeking healthcare and the maintenance of health behaviors.