Experiences of Hispanic Safety Net Clinic Patients With Diabetes During the COVID-19 Pandemic
The Science of Diabetes Self-Management and Care 2022
Hispanic adults with type 2 diabetes faced major challenges during the COVID-19 pandemic, including financial strain, reduced access to medical care, and increased stress. Many participants lost jobs or insurance, struggled to afford food and medications, and experienced anxiety about attending clinic visits. Despite these hardships, most maintained their diabetes self-care routines. While physical activity and healthy eating declined for some, overall diabetes management behaviors remained stable. Participants reported low levels of COVID-related anxiety, even though many had family members who were infected.
Measures of diabetes self-efficacy and quality of life improved during the pandemic. People felt more confident in managing their condition and reported better emotional and physical well-being. However, outpatient visits for diabetes care decreased, especially with primary care and behavioral health providers. The study highlights the resilience of Hispanic patients who continued to prioritize their health despite systemic barriers. It also underscores the need for culturally responsive support systems that address both medical and social needs during public health crises.