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Changes in Self-management During the COVID-19 Pandemic Among Adults with Type 2 Diabetes at a Federally Qualified Health Center |
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| Authors: | Zupa Margaret F. Perez Stephanie Palmisano Gloria Kieffer Edith C. Piatt Gretchen A. Valbuena Felix M. Deverts Denise J. Yabes Jonathan G. Heisler Michele Rosland Ann-Marie |
| Affiliation: | 1.Division of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, 3601 Fifth Ave, Suite 3A, 200 Lothrop Street, Pittsburgh, PA, 15213, USA ;2.Community Health and Social Services Center, Inc, 5635 West Fort Street, Detroit, MI, 48209, USA ;3.University of Michigan School of Social Work, 1080 South University Avenue, Ann Arbor, MI, 48109, USA ;4.University of Michigan School of Medicine, 1301 Catherine St., Ann Arbor, MI, 48109, USA ;5.University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA ;6.Division of General Internal Medicine, University of Pittsburgh School of Medicine, 230 McKee Place, Suite 600, Pittsburgh, PA, 15213, USA ;7.VA Ann Arbor Center for Clinical Management Research, 2215 Fuller Rd, Ann Arbor, MI, 48105, USA ;8.VA Pittsburgh Center for Health Equity Research and Promotion, 4100 Allequippa St, Pittsburgh, PA, 15240, USA ; |
| Abstract: | The COVID-19 pandemic affected how adults with diabetes perform self-management, and impacts may be greater among vulnerable populations. We assessed the impact of the pandemic on diabetes self-management among adults with type 2 diabetes at a Federally Qualified Health Center. Participants were surveyed by phone in Spanish and English from July to October of 2020. Most respondents (74%) were Latino and preferred to speak Spanish, with mean age of 54 years and mean HbA1c of 9.2%. Fifty-three percent reported less physical activity during the pandemic. While 43% had more difficulty obtaining healthy food, 38% reported eating more healthfully. Sixty-one percent had increased difficulty accessing medical care. Many felt more socially isolated (49%) and stressed (51%). Changes in diabetes self-management were both positive and negative for majority Latino patients in this low-resource community, which may require tailored approaches to mitigate negative impacts of the pandemic on physical and mental health. |
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