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Listening to Latinx Patient Perspectives on COVID-19 to Inform Future Prevention Efforts

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Although Latinx populations continue to experience higher rates of coronavirus disease 2019 (COVID-19) and related hospitalizations and deaths compared with White individuals,1,2 the perspectives of Latinx COVID-19 survivors and their families, particularly immigrants, have not been well appreciated. In a qualitative study, Cervantes and colleagues3 conducted interviews of Latinx individuals hospitalized for COVID-19 to identify factors associated with disparities in rates of COVID-19 and related hospitalizations and deaths and to inform public health and health care efforts to control the pandemic. The authors presented themes from 60 interviews with a diverse group of Latinx individuals, including Spanish-speaking persons and immigrants, who experienced the disease first hand. Their findings highlight the important need to address factors that contribute to distrust in the health care system and misinformation about COVID-19 to successfully prevent and treat the disease in Latinx communities. Building trust requires engaging Latinx communities, and this engagement will be especially important as we move toward vaccinating those who have been most impacted by COVID-19.

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Article Information

Published: March 11, 2021. doi:10.1001/jamanetworkopen.2021.0737

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Ornelas IJ et al. JAMA Network Open.

Corresponding Author: India J. Ornelas, PhD, MPH, Department of Health Services, University of Washington, Box 351622, Seattle, WA 98195 (iornelas@uw.edu).

Conflict of Interest Disclosures: Drs Ornelas and Ogedegbe reported being co-chairs on a National Institutes of Health Community Engaged Alliance Against COVID-19 Disparities workgroup and receiving funding from the National Institute on Minority Health and Health Disparities and the National Heart, Lung, and Blood Institute during the conduct of the study.

References
1.
Centers for Disease Control and Prevention.  Coronavirus Disease 2019 (COVID-19): COVID-19 in Racial and Ethnic Minority Groups. US Department of Health Human Services; 2020.
2.
Podewils  LJ , Burket  TL , Mettenbrink  C ,  et al.  Disproportionate incidence of COVID-19 infection, hospitalizations, and deaths among persons identifying as Hispanic or Latino—Denver, Colorado March-October 2020.   MMWR Morb Mortal Wkly Rep. 2020;69(48):1812-1816. doi:10.15585/mmwr.mm6948a3 PubMedGoogle ScholarCrossref
3.
Cervantes  L , Martin  M , Frank  MG ,  et al.  Experiences of Latinx individuals hospitalized for COVID-19: a qualitative study.   JAMA Netw Open. 2021;4(3):e210684. doi:10.1001/jamanetworkopen.2021.0684Google Scholar
4.
Macias Gil  R , Marcelin  JR , Zuniga-Blanco  B , Marquez  C , Mathew  T , Piggott  DA .  COVID-19 pandemic: disparate health impact on the Hispanic/Latinx population in the United States.   J Infect Dis. 2020;222(10):1592-1595. doi:10.1093/infdis/jiaa474 PubMedGoogle ScholarCrossref
5.
Rodriguez-Diaz  CE , Guilamo-Ramos  V , Mena  L ,  et al.  Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics.   Ann Epidemiol. 2020;52:46-53.e2. doi:10.1016/j.annepidem.2020.07.007PubMedGoogle ScholarCrossref
6.
Ornelas  IJ , Yamanis  TJ , Ruiz  RA .  The health of undocumented Latinx immigrants: what we know and future directions.   Annu Rev Public Health. 2020;41:289-308. doi:10.1146/annurev-publhealth-040119-094211 PubMedGoogle ScholarCrossref
7.
National Institutes of Health.  Community Engaged Alliance (CEAL) Against COVID-19 Disparities. U.S. Department of Health and Human Services; 2020.
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