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The SHOW COVID-19 cohort: methods and rationale for examining the statewide impact of COVID-19 on the social determinants of health
Amy Schultz
Erin Nelson-Bakkum
Maria Nikodemova
Sarah M. Luongo
Jodi Barnet
Matthew Walsh
Andrew Bersch
Lisa Cadmus_Bertram
Corinne Engelman
Julia Lubsen
Paul Peppard
Ajay Sethi
Kristen Malecki
Acceso Abierto
Atribución-NoComercial-SinDerivadas
https://doi.org/10.1101/2023.10.17.23297146
https://www.medrxiv.org/content/10.1101/2023.10.17.23297146v1
Background National and large city mortality and morbidity data emerged during the early years of the COVID-19 pandemic, yet statewide data to assess the impact COVID-19 had across urban and rural landscapes on subpopulations was lacking. The SHOW COVID-19 cohort was established to provide descriptive and longitudinal data to examine the influence the social determinants of health had on COVID-19 related outcomes. Methods Participants were recruited from the 5,742 adults in the Survey of the Health of Wisconsin (SHOW) cohort who were all residents of Wisconsin, United States when they joined the cohort between 2008-2019. Online surveys were administered at three timepoints during 2020-2021. Survey topics included COVID-19 exposure, testing and vaccination, COVID-19 impact on economic wellbeing, healthcare access, mental and emotional health, caregiving, diet, lifestyle behaviors, social cohesion, and resilience. Results A total of 2,304 adults completed at least one COVID-19 online survey, with n=1,090 completing all three survey timepoints. Non-Whites were 2-3 times more likely to report having had COVID-19 compared to Whites, females were more likely than males to experience disruptions in their employment, and those with children in the home were more likely to report moderate to high levels of stress compared to adults without children. Conclusion Longitudinal, statewide cohorts are important for investigating how the social determinants of health affect people’s lives, health, and well-being during the first years of a pandemic and offer insight into future pandemic preparation. The data are available for researchers and cohort is active for continued and future follow-up.
bioRxiv
18-10-2023
Preimpreso
Inglés
Público en general
VIRUS RESPIRATORIOS
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