Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional study
Objective To assess factors associated with positive COVID-19 tests, perspectives on health-related care delivery during pandemic and factors supporting resilience among members of the Navajo Nation.Methods and analysis From May through October 2021, a multi-institutional team recruited participants...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-07-01
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| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000061.full |
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| author | Robin B Harris Carmenlita Chief Heidi E Brown Rachelle L Begay Priscilla R Sanderson Breanna Lameman |
| author_facet | Robin B Harris Carmenlita Chief Heidi E Brown Rachelle L Begay Priscilla R Sanderson Breanna Lameman |
| author_sort | Robin B Harris |
| collection | DOAJ |
| description | Objective To assess factors associated with positive COVID-19 tests, perspectives on health-related care delivery during pandemic and factors supporting resilience among members of the Navajo Nation.Methods and analysis From May through October 2021, a multi-institutional team recruited participants (n=154) to complete a 49-item questionnaire or participate in a focus group (n=14) about their experience with COVID-19 and the effects on their use and access to allopathic and traditional healthcare. A multi-investigator, phenomenological approach summarised focus group experiences.Results While 73% had been tested for COVID-19, only 27.8% reported a positive test. Positive tests were not associated with household size or multigenerational homes, though time to grocery store was (p=0.04). There were no significant differences in allopathic or traditional medical care experiences from before and during the pandemic. Despite limited internet access, 28.8% chose a telehealth appointment and 42% expressed satisfaction with their experience. Discussion themes revealed perceived disruptions of healthcare needs with acknowledgement that healthcare providers were supportive throughout the Navajo Nation quarantine.Conclusion Presence of comorbidities and living in multigenerational homes do not explain the disproportionate effects of COVID-19 among American Indian communities. Strengthening family and community bonds supported resilience in these communities. |
| format | Article |
| id | doaj-art-a5a39b580cb945808c7b40dc9ff17f0f |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-a5a39b580cb945808c7b40dc9ff17f0f2025-01-28T20:25:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-07-012110.1136/bmjph-2023-000061Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional studyRobin B Harris0Carmenlita Chief1Heidi E Brown2Rachelle L Begay3Priscilla R Sanderson4Breanna Lameman5Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USACenter for Health Equity Research, Northern Arizona University, Flagstaff, Arizona, USADepartment of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USADepartment of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USADepartment of Health Sciences, Northern Arizona University, Flagstaff, Arizona, USAMel and Enid Zuckerman College of Public Health, Tucson, Arizona, USAObjective To assess factors associated with positive COVID-19 tests, perspectives on health-related care delivery during pandemic and factors supporting resilience among members of the Navajo Nation.Methods and analysis From May through October 2021, a multi-institutional team recruited participants (n=154) to complete a 49-item questionnaire or participate in a focus group (n=14) about their experience with COVID-19 and the effects on their use and access to allopathic and traditional healthcare. A multi-investigator, phenomenological approach summarised focus group experiences.Results While 73% had been tested for COVID-19, only 27.8% reported a positive test. Positive tests were not associated with household size or multigenerational homes, though time to grocery store was (p=0.04). There were no significant differences in allopathic or traditional medical care experiences from before and during the pandemic. Despite limited internet access, 28.8% chose a telehealth appointment and 42% expressed satisfaction with their experience. Discussion themes revealed perceived disruptions of healthcare needs with acknowledgement that healthcare providers were supportive throughout the Navajo Nation quarantine.Conclusion Presence of comorbidities and living in multigenerational homes do not explain the disproportionate effects of COVID-19 among American Indian communities. Strengthening family and community bonds supported resilience in these communities.https://bmjpublichealth.bmj.com/content/2/1/e000061.full |
| spellingShingle | Robin B Harris Carmenlita Chief Heidi E Brown Rachelle L Begay Priscilla R Sanderson Breanna Lameman Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional study BMJ Public Health |
| title | Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional study |
| title_full | Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional study |
| title_fullStr | Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional study |
| title_full_unstemmed | Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional study |
| title_short | Healthcare access, attitudes and behaviours among Navajo adults during the COVID-19 pandemic: a cross-sectional study |
| title_sort | healthcare access attitudes and behaviours among navajo adults during the covid 19 pandemic a cross sectional study |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000061.full |
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