{"doi":"10.4081/gh.2023.1222","title":"The impact of COVID-19 on healthcare coverage and access in racial and ethnic minority populations in the United States","abstract":"This study described spatiotemporal changes in health insurance coverage, healthcare access, and reasons for non-insurance among racial/ethnic minority populations in the United States during the COVID-19 pandemic using four national survey datasets. Getis-Ord Gi* statistic and scan statistics were used to analyze geospatial clusters of health insurance coverage by race/ethnicity. Logistic regression was used to estimate odds of reporting inability to access healthcare across two pandemic time periods by race/ethnicity. Racial/ethnic differences in insurance were observed from 2010 through 2019, with the lowest rates being among Hispanic/Latino, African American, American Indian/Alaska Native, and Native Hawaiian/Pacific Islander populations. Pre-pandemic insurance coverage rates were geographically clustered. The percentage of adults citing change in employment status as the reason for non-insurance increased by about 7% after the start of the pandemic, with a small decrease observed among African American adults. Almost half of adults reported reduced healthcare access in June 2020, with 38.7% attributing reduced access to the pandemic; however, by May 2021, the percent of respondents reporting reduced access for any reason and due to the pandemic fell to 26.9% and 12.7%, respectively. In general, racial/ethnic disparities in health insurance coverage and healthcare access worsened during the pandemic. Although coverage and access improved over time, pre-COVID disparities persisted with African American and Hispanic/Latino populations being the most affected by insurance loss and reduced healthcare access. Cost, unemployment, and eligibility drove non-insurance before and during the pandemic.","journal":"Geospatial health","year":2023,"id":365044,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8584,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":699520,"name":"David S. Rickless","orcid":"0000-0001-5531-2878","position":1,"is_corresponding":false},{"id":1120559,"name":"Cory Anderson","orcid":"0000-0002-4008-0936","position":2,"is_corresponding":false},{"id":607825,"name":"Frank C. Curriero","orcid":"0000-0001-8252-0648","position":3,"is_corresponding":false},{"id":1120560,"name":"Sarah Rockhill","orcid":"0000-0003-3197-2825","position":4,"is_corresponding":false},{"id":1121029,"name":"Amir Mirsajedin","orcid":null,"position":5,"is_corresponding":false},{"id":1121030,"name":"Caleb J. Colón","orcid":null,"position":6,"is_corresponding":false},{"id":1121031,"name":"Jasmine Lusane","orcid":null,"position":7,"is_corresponding":false},{"id":1121032,"name":"Alexander Vigo-Valentín","orcid":null,"position":8,"is_corresponding":false},{"id":536319,"name":"David Wong","orcid":"0000-0001-8117-9193","position":9,"is_corresponding":false},{"id":1121028,"name":"Lauren Freelander","orcid":null,"position":0,"is_corresponding":true}],"reference_count":28,"raw_metadata":null,"created_at":"2026-07-19T01:14:46.760245Z","pmid":"38150046","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}