Objective This cross-sectional study quantified differences in (a) social determinants of health (SDOH) and perceived changes in SDOH during the 2019 novel coronavirus (COVID-19) pandemic and (b) COVID-19 psychosocial impacts across four groups: (a) non-Hispanic White (NHW) parents of children with asthma, (b) Black, Indigenous, or other People of Color (BIPOC) parents of healthy children, (c) BIPOC parents of children with asthma, and (d) 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. When compared with 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.

中文翻译：

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COVID-19 对有色人种家庭和哮喘儿童家庭的影响

目的 这项横断面研究量化了 (a) 健康的社会决定因素 (SDOH) 和 2019 年新型冠状病毒 (COVID-19) 大流行期间 SDOH 的感知变化和 (b) COVID-19 对四组人群的社会心理影响的差异：(a ) 哮喘儿童的非西班牙裔白人 (NHW) 父母，(b) 健康儿童的黑人、土著或其他有色人种 (BIPOC) 父母，(c) 哮喘儿童的 BIPOC 父母，以及 (d) NHW 父母的健康儿童（参考）。NIMHD 框架用于识别在 COVID-19 期间可能对家庭发生变化的 SDOH。方法 通过 Prolific (N = 321) 招募父母，并完成有关 COVID-19 家庭对就业、收入、获得食物和医疗保健以及心理社会功能（包括歧视）的影响的问题。据推测，与健康儿童的 NHW 父母相比，患有哮喘儿童的 NHW 家庭和 BIPOC 家庭会认可更大的负面结果。结果 与健康儿童的 NHW 父母相比，BIPOC 家庭经历了更大的粮食不安全和歧视。与 NHW 健康组相比，COVID-19 导致两个 BIPOC 组的父母报告的资源损失更大，并且两个哮喘组的医疗保健获得更大减少。患有哮喘的儿童和 BIPOC 儿童对 COVID-19 的困扰更大。BIPOC 和 NHW 哮喘儿童的父母报告了对 COVID-19 造成的资源损失的更大担忧。结论 大流行正在扩大 BIPOC 家庭的不平等，特别是对于患有哮喘儿童的家庭。