Objective: This cross-sectional study quantified differences in 1) social determinants of health (SDOH) and perceived changes in SDOH during COVID-19 and 2) COVID-19 psychosocial impacts across four groups: 1) non-Hispanic White (NHW) parents of children with asthma, 2) Black, Indigenous, or other People of Color (BIPOC) parents of healthy children, 3) BIPOC parents of children with asthma, and 4) NHW parents of healthy children (referent). The NIMHD Framework was used to identify SDOHs that may change for families during COVID-19.
Methods: Parents were recruited via Prolific (N=321) and completed questions about COVID-19 family impacts on employment, income, access to food and healthcare, and psychosocial functioning, including discrimination. It was hypothesized that NHW families of children with asthma and BIPOC families would endorse greater negative outcomes relative to NHW parents of healthy children.
Results: BIPOC families experienced greater food insecurity and discrimination relative to NHW parents of healthy children. Compared to the NHW healthy group, COVID-19 resulted in greater parent-reported resource losses for both BIPOC groups and greater reductions in healthcare access for both asthma groups. Children with asthma and BIPOC children had greater distress surrounding COVID-19. BIPOC and NHW parents of children with asthma reported greater worries about resource losses due to COVID-19.
Conclusions: The pandemic is widening inequities for BIPOC families, especially for families of children with asthma. These results highlight the need for interventions that address the needs of underserved communities, providing the infrastructure, policies, and supports needed to reduce health inequities during and after COVID-19.