Gerontology and Geriatric Medicine (Mar 2022)

Socioeconomic Effects on Psychosocial Factors Among Low-Income Older Adults

  • Lana Sargent PhD, RN, CRNP,
  • Faika Zanjani PhD,
  • Jodi Winship PhD, OTR,L,
  • Tracey Gendron MS, PhD,
  • Marissa Mackiewicz PhD, RN, CNS,
  • Ana Diallo PhD, MPH, RN,
  • Leland Waters PhD,
  • Kimberly Battle PhD, RN, CRNP,
  • Gregory Ford MSW,
  • Katherine Falls MSN, RN,
  • Jane Chung PhD, RN,
  • Elvin T. Price PharmD, PhD,
  • Melissa Cisewski BA,
  • Pamela Parsons PhD, RN, CRNP,
  • VCU iCubed Health,

DOI
https://doi.org/10.1177/23337214221084866
Journal volume & issue
Vol. 8

Abstract

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Objectives: Older adults have been disproportionately affected by COVID-19. The primary goal of this study is to determine the socioeconomic effects on psychosocial factors among low-income independent-living older adults, in an urban setting, during the COVID-pandemic. Methods: Participants were recruited through Virginia Commonwealth University’s Richmond Health and Wellness Program. Telephone surveys ( n =100) were conducted using the Epidemic – Pandemic Impacts Inventory Geriatric with the Racial/Ethnic Discrimination addendum. Responses were analyzed for income and education effects across seven domains: home life, social activities/isolation, economic, emotional health-wellbeing, physical health, COVID-infection history, and positive change behaviors/experiences. Results: The sample population was between 51 and 87 years of age, 88% were Black, 57% reported incomes of $10,000/year or less, and 60% reported a high-school education or less. There were income effects for social activities/isolation (f = 3.69, p <.05) and positive change (f = 8.40, p <.01), and education effects for COVID History (f = 4.20, p <.04). Discussion: Overall results highlight the social patterns for a diverse sample of low-income urban older adults; education and income are identified as risk factors for social losses, COVID-infection experiences, racial/ethnic discrimination during the COVID-pandemic, and positive change behaviors.