Digital Commons Network^™

Association Between Post-Hospital Clinic And Telephone Follow-Up Provider Visits With 30-Day Readmission Risk In An Integrated Health System, Huong Q. Nguyen, Aileen Baecker, Timothy Ho, Dan N. Huynh, Heather L. Watson, Jing Li, Ernest Shen

Center for Health Services Research Faculty Publications

BACKGROUND: Follow-up visits with clinic providers after hospital discharge may not be feasible for some patients due to functional limitations, transportation challenges, need for physical distancing, or fear of exposure especially during the current COVID-19 pandemic.

METHODS: The aim of the study was to determine the effects of post-hospital clinic (POSH) and telephone (TPOSH) follow-up provider visits versus no visit on 30-day readmission. We used a retrospective cohort design based on data from 1/1/2017 to 12/31/2019 on adult patients (n = 213,513) discharged home from 15 Kaiser Permanente Southern California hospitals. Completion of POSH or TPOSH provider visits within …

A Review On Corona Virus Disease (Covid-19), Hatem Hejaz, Dalia Abo Arqoup, Rezq Basheer, Hiba Abu Znaid, Hiba Swaity, Thara’A Thara’A Rabai

Hebron University Research Journal-A (Natural Sciences) - (مجلة جامعة الخليل للبحوث- أ (العلوم الطبيعيه

Novel Coronavirus (COVID-19) is a new strain of coronavirus that may cause illness in animals or humans. SARS-CoV-2 was first identified in late December 2019, in Wuhan, China. The coronavirus infected patients ‘who suffering from Immundeficient or chronic inflammation are at higher risk of getting a severe infection from COVID-19. The symptoms such as proinflammatory and hypercoagulable, non-cardiac pneumonia, multi-organ failure, and ARDS resulting in sudden death have been seen in those patients. Supportive treatment is still the main strategy in treating this disease since there is no evidence that current medicine can prevent or cure the infection resulting from …

Developing Methods To Detect And Diagnose Chronic Traumatic Encephalopathy During Life: Rationale, Design, And Methodology For The Diagnose Cte Research Project, Michael L Alosco, Daniel S Marcus, Et Al.

2020-Current year OA Pubs

BACKGROUND: Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease that has been neuropathologically diagnosed in brain donors exposed to repetitive head impacts, including boxers and American football, soccer, ice hockey, and rugby players. CTE cannot yet be diagnosed during life. In December 2015, the National Institute of Neurological Disorders and Stroke awarded a seven-year grant (U01NS093334) to fund the "Diagnostics, Imaging, and Genetics Network for the Objective Study and Evaluation of Chronic Traumatic Encephalopathy (DIAGNOSE CTE) Research Project." The objectives of this multicenter project are to: develop in vivo fluid and neuroimaging biomarkers for CTE; characterize its clinical presentation; refine …

Effects Of Covid-19 On Global Research In Stem, Michelle Hoang, Santanu De

Biology Faculty Articles

A global public health emergency like the Coronavirus Infectious Disease 2019 (COVID-19) pandemic requires accurate and timely data collection in the research community. High impact research in science, technology, engineering, and mathematics (STEM) has been prioritized in the fight against COVID-19. The present study investigated the impact of COVID-19 on STEM research and the collaboration between global research institutions and industries. It was noted that COVID-19 had caused significant delays in non-COVID-19-related research projects and the onset of several remote studies. Most importantly, researchers in the STEM fields directed their attention and expertise to help mitigate virus transmission, treat patients, …

Covid-19 Disrupted Provision And Utilization Of Health And Nutrition Services In Uttar Pradesh, India: Insights From Service Providers, Household Phone Surveys, And Administrative Data, Phuong H. Nguyen, Shivani Kachwaha, Anjali Pant, Lan M. Tran, Monika Walia, Sebanti Ghosh, Praveen K. Sharma, Jessica Escobar-Alegria, Edward A. Frongillo Jr., Purnima Menon, Rasmi Avula

Faculty Publications

BACKGROUND: The coronavirus (COVID-19) pandemic may substantially affect health systems, but little primary evidence is available on disruption of health and nutrition services. OBJECTIVES: This study aimed to 1) determine the extent of disruption in provision and utilization of health and nutrition services induced by the pandemic in Uttar Pradesh, India; and 2) identify how adaptations were made to restore service provision in response to the pandemic. METHODS: We conducted longitudinal surveys with frontline workers (FLWs, n = 313) and mothers of children < 2 y old (n = 659) in December 2019 (in-person) and July 2020 (by phone). We also interviewed block-level managers and obtained administrative data. We examined changes in service provision and utilization using Wilcoxon matched-pairs signed-rank tests. RESULTS: Compared with prepandemic, service provision reduced substantially during lockdown (83-98 percentage points, pp), except for home visits and take-home rations (∼ 30%). Most FLWs (68%-90%) restored service provision in July 2020, except for immunization and hot cooked meals (< 10%). Administrative data showed similar patterns of disruption and restoration. FLW fears, increased workload, inadequate personal protective equipment (PPE), and manpower shortages challenged service provision. Key adaptations made to provide services were delivering services to beneficiary homes (∼ 40%-90%), social distancing (80%), and using PPE (40%-50%) and telephones for communication (∼ 20%). On the demand side, service utilization reduced substantially (40-80 pp) during the lockdown, but about half of mothers received home visits and food supplementation. Utilization for most services did not improve after the lockdown, bearing the challenges of limited travel (30%), nonavailability of services (26%), and fear of catching the virus when leaving the house (22%) or meeting service providers (14%). CONCLUSIONS: COVID-19 disrupted the provision and use of health and nutrition services in Uttar Pradesh, India, despite adaptations to restore services. Strengthening logistical support, capacity enhancement, performance management, and demand creation are needed to improve service provision and utilization during and post-COVID-19.

Perceptions And Experiences Of Healthcare Providers During Covid-19 Pandemic In Karachi, Pakistan: An Exploratory Qualitative Study, Anam Shahil Feroz, Nousheen Pradhan, Zarak Hussain Ahmed, Mashal Murad Shah, Nargis Asad, Sarah Saleem, Sameen Siddiqi

Community Health Sciences

Objective: To explore healthcare provider's perspectives and experiences of the barriers and facilitators to treat and manage COVID-19 cases.
Design and setting: We conducted an exploratory qualitative study using a purposive sampling approach, at a private tertiary care teaching hospital in Karachi, Pakistan. Study data were analysed manually using the conventional content analysis technique.
Participants: Key-informant interviews (KIIs) were conducted with senior management and hospital leadership and in-depth interviews (IDIs) were conducted with front-line healthcare providers.
Results: A total of 31 interviews (KIIs=19; IDIs=12) were conducted, between April and May 2020. Three overarching themes emerged. The first was 'challenges faced …

Probiotics In Prevention And Treatment Of Covid-19: Current Perspective And Future Prospects, Shilia Jacob Kurian, Mazhuvancherry Kesavan Unnikrishnan, Sonal Sekhar Miraj, Debasis Bagchi, Mithu Banerjee, B. Shrikar Reddy, Gabriel Sunil Rodrigues, Mohan K. Manu, Kavitha Saravu, Chiranjay Mukhopadhyay, Mahadev Rao

Faculty Publications

Saving lives and flattening the curve are the foremost priorities during the ongoing pandemic spread of SARS-CoV-2. Developing cutting-edge technology and collating available evidence would support frontline health teams. Nutritional adequacy improves general health and immunity to prevent and assuage infections. This review aims to outline the potential role of probiotics in fighting the COVID-19 by covering recent evidence on the association between microbiota, probiotics, and COVID-19, the role of probiotics as an immune-modulator and antiviral agent. The high basic reproduction number (R0) of SARS-CoV-2, absence of conclusive remedies, and the pleiotropic effect of probiotics in fighting influenza and other …

Understanding The Impact Of Covid-19 On Agriculture And Food Supply Chains: System Dynamics Modeling For The Resilience Of Smallholder Farmers, Busra Atamer Balkan, Andreas Nicolaidis Lindqvist, Kelechi Odoemena, Robert Lamb, Monique Ann Tiongco, Stueti Gupta, Arpitha Peteru, Hector Manuel Menendez Iii

Quantitative Methods and Information Technology Faculty Publications

COVID-19 has caused severe agriculture and food supply chain disruptions; significantly affecting smallholder farmers who supply most of the world’s food; specifically their changes in vulnerability; resilience; and food loss and waste. Therefore; the objective of this study was to understand the complex causal and feedback relationships for this system by developing a dynamic hypothesis and causal loop diagrams utilizing the System Dynamics methodology. Results provide a roadmap for dialogue and a framework for case-specific model development and help to guide policy decisions for smallholder farmers’ survival during health crises.

Sars-Cov-2 Concentrations In A Wastewater Collection System Indicated Potential Covid-19 Hotspots At The Zip Code Level, Renys E. Barrios, Chin Lim, Megan S. Kelley, Xu Li

Department of Nutrition and Health Sciences: Faculty Publications

Wastewater based epidemiology (WBE) has been successfully applied for SARS-CoV-2 surveillance at the city and building levels. However, sampling at the city level does not provide sufficient spatial granularity to identify COVID-19 hotspots, while data from building-level sampling are too narrow in scope for broader public health application. The objective of this study was to examine the feasibility of using wastewater from wastewater collection systems (WCSs) to monitor COVID-19 hotspots at the zip code level. In this study, 24-hr composite wastewater samples were collected from five manholes and two wastewater treatment plants (WWTPs) in the City of Lincoln, Nebraska. By …

Factors Associated With Mortality Among Hospitalized Adults With Covid-19 Pneumonia At A Private Tertiary Hospital In Tanzania: A Retrospective Cohort Study, Nadeem Kassam, Eric Aghan, Omar Aziz, Hanifa Mbithe, Kamran Hamid, Reena Shah, Salim Surani, James Orwa, Samina Somji

Internal Medicine, East Africa

Background: The emergence of the novel coronavirus disease 2019 (COVID-19) has caused millions of deaths worldwide. There has been paucity of data for hospitalized African patients suffering from COVID-19. This study aimed to identify factors associated with in-hospital mortality in patients suffering from COVID-19 in Tanzania.

Methods: This was a single center, retrospective, observational cohort study in adult patients hospitalized with confirmed COVID-19 infection. Demographics, clinical pattern, laboratory and radiological investigations associated with increased odds of mortality were analyzed.

Results: Of the 157 patients, 107 (68.1%) patients survived and 50 (31.8%) died. Mortality was highest in patients …

August 2021, Swosu Bulldog Wellness Committee

SWOSU BULLDOG WELLNESS

SWOSU COVID-19 Vaccination Opportunities

• The Delta variant is nearly twice as contagious as previous variants.

• Some data suggest the Delta variant might cause more severe illness than previous strains in unvaccinated persons.
• Unvaccinated people remain the greatest concern.

• The greatest risk of transmission is among unvaccinated people who are much more likely to contract, and therefore transmit the virus.

A Portrait Of Latino Children: The Gap With Non-Latinos In Massachusetts, Phillip Granberry, Alejandro Alvarez, Vishakha Agarwal, Fabián Torres-Ardila, Gaston Institute, University Of Massachusetts Boston

Gastón Institute Publications

Latino children are one of Massachusetts' fastest-growing segments of the population. However, evidence suggests that the social and economic context in which Latino children live does not adequately support their development and overall wellbeing. Nearly a third of Latino children in the United States live in very low-opportunity neighborhoods as defined by a scale of educational, health, environmental, and socioeconomic outcomes. Compared to non-Latino children, Latinos are more likely to grow up in households below the federal poverty threshold and less likely to have a mother with at least a Bachelor's degree. The research included in this report aims to …

Food Insecurity And Older Adults: An Analysis Of Food Insecurity Among Elderly Households In The Us During The Covid-19 Pandemic, Stephanie Alexandra Morales

Open Access Theses & Dissertations

Past research has shown that food insecurity rates among the elderly have significantly increased during the COVID-19 pandemic. Nonetheless, there are yet to be peer-reviewed articles that specifically address food insecurity among the elderly during the COVID-19 pandemic. This cross-sectional study utilized a nationally representative sample (50 states and the District of Columbia, n = 29,779) using data derived from the Household Pulse Survey (HPS). One generalized estimating equation (GEE) was estimated along with bivariate analyses. The GEE revealed that Hispanics, Asians, and those who identified as other race were significantly more likely to be food insecure in comparison to …

Strengthening The Strategic And Operational Response For Reducing Covid-19 Transmission In Indonesia, Sumengen Sutomo, Salord Sagala, Bebi Sutomo, William Liem, Hamzah Al Hamid

Kesmas

Indonesia reported the first two cases of COVID-19 from Depok City, West Java, on March 2, 2020. This study aimed to evaluate the strategic response for reducing the COVID-19 transmission which mainly comprised case management, large-scale social restrictions, including micro-scale social restrictions, and the development of drugs and vaccines. The data were collected from the Indonesian Government’s official websites and the latest information from March 2020 to May 2021. A logical framework approach and a theory of change were used to describe, evaluate, and strengthen the strategic response. The current strategic response has not reduce the COVID-19 transmission. As of …

Outdoor Activity: Benefits And Risks To Recreational Runners During The Covid-19 Pandemic, Aswar Makruf, Doni Hikmat Ramdhan

Kesmas

Running has become one of the most popular recreational sports worldwide. It is an easily accessible form of exercise as there are minimal equipment andsport structure requirements. Aerodynamic simulation experiments showed a risk of droplet exposure between runners when two people run in a straight lineat a close distance (slipstream). Thus, running activities require a safe physical distance of 10 meters to avoid droplet exposure, which can be a source oftransmission of COVID-19 infection. However, running outdoors during the COVID-19 pandemic is still often done in pairs and even in groups without wearinga mask. Open window theory stated that changes …

Knowledge, Attitude, And Practice Regarding Covid-19 Among Residents Of Pesantren, Milla Herdayati, Juliana Karniastuti

Kesmas

Islamic boarding schools (pesantren) run the risk of COVID-19 transmission. The pesantren learning system is generally carried out collectively, with an all-day-long interaction between teachers and students. This paper presented a lesson on controlling COVID-19 outbreak in pesantren through Community Service Activities (CSA). The CSA was designed to empower the pesantren to prevent and control COVID-19 to become a safe place protected from COVID-19 spread. This was a relevant case study in a traditional Islamic boarding school (salafiah) in Lebak District, Banten. The study population (a total of 97 participants) consisted of the pesantren leader, the teachers (“Ustaz/Ustazah”) , and …

Burundi’S ‘Worst Enemy’: The Country’S Fight Against Covid-19, Emery Manirambona, Henna Reddy, Emmanuel Uwiringiyimana, Theogene Uwizeyimana, Archith Kamath, Sai Arathi Parepalli, Salvador Sun Ruzats, Blaise Ntacyabukura, Sheikh M. S. Islam, Attaullah Ahmadi, Don E. Lucero-Prisno Iii

Kesmas

Coronavirus disease 2019 (COVID-19) has proved to be a severe global public health threat, causing high infection rates and mortality worldwide. Burundiwas not spared the adverse health outcomes of COVID-19. Although Burundi’s initial response to the COVID-19 pandemic was criticized, hope arose in June2020 when the new government instituted a plan to slow virus transmission that included public health campaigns, international travel restrictions, and masstesting, all of which proved effective. Burundi has faced many challenges in containing the virus, the first of which was the lack of initial preparedness and appropriate response to COVID-19. This was exacerbated by factors including …

The Psychological And Sleep-Related Impact Of Coronavirus Disease 2019 (Covid-19): A Systematic Review, Tetti Solehati, Cecep Eli Kosasih, Yanti Hermayanti, Henny Suzana Mediani

Kesmas

The coronavirus disease 2019 (COVID-19) pandemic has had a global impact on mental health and sleeps quality that is unprecedented in the 21st century.This systematic review aimed to assess the psychological impact of COVID-19 and its effect on people’s sleep. Systematic searches were conducted viaPubMed, ScienceDirect, and ProQuest from 2019 to August 2020, following PRISMA guidelines. Articles were selected based on eligibility criteria such as having a cross-sectional study design, assessing the general public’s mental health status or sleep problems, medical workers and non-medical workers duringthe COVID-19 pandemic, and using standardized and validated scales for measurement. The keywords: COVID-19 OR …

Covid-19 And The City: A Healthy City Strategy For Pandemic Challenges, From Planning To Action, Hamzah Hasyim, Patricia Dale

Kesmas

COVID-19 is a respiratory disease caused by SARS-CoV-2, a new coronavirus discovered in 2019. WHO declared COVID-19 is a respiratory disease causedby SARS-CoV-2 as a pandemic that the detection level of cases changed daily, and it can track almost in real-time. This paper used a narrative literaturereview to address issues of urban quality and lack of exercise. The specific aim was to discuss the concept of a healthy city, indicate a new urban model, andadvocate for the increased use of bicycles, outdoor gym/outdoor exercise, walking to reducing pollution, and improving physical, psychological, and social fitness. A healthy city can improve …

Covid-19: Engaging The Most Vulnerable, Hurriyet Babacan, Narayan Gopalkrishnan

ASEAN Journal of Community Engagement

The COVID-19 pandemic has had large-scale global effects across all segments of society, affecting large and diverse population cohorts in many ways. COVID-19 is not just a global health emergency but also a health-driven socioeconomic disaster. The prevalence of socioeconomic stressors that existed prior to the pandemic is exacerbated by the effects of the pandemic. The effects of COVID-19 vary across communities and are disproportionate on vulnerable groups. People with the least resources are most affected and are least able to recover. Contemporary thinking on development focuses on “bottom-up” approaches and “top-down” critique development. A key dimension of inclusiveness is …

Health Disparity And Covid-19—A Retrospective Analysis, Sanjay Sarkar, Archie Taylor, Pratik Dutta, Bidisha Sengupta, Debarshi Roy

Faculty Publications

Background and Aims

According to the World Health Organization (WHO), more than 75.7 million confirmed cases of coronavirus disease 2019 (COVID-19), a global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), have been reported so far. Researchers are working relentlessly to find effective solutions to this catastrophe, using genomic sequence-based investigation, immunological analysis, and more. The role of health disparity has also emerged as an intriguing factor that made a huge impact on the lives of people.

Methods

We analyzed various factors that triggered the health disparity in the United States of America along with the rate of …

Use Of Mobile Technologies For Accessing Health-Related Information Among Librarians In Osun State, Nigeria, Yemisi Oluremi Oladapo, Jacob Kehinde Opele, Moses Oladele Adeoye

Library Philosophy and Practice (e-journal)

Objectives: This is an exploratory study that focused on identifying the contemporary health related information needs of librarians in Osun State; types of mobile technology used for accessing health related information as well as identifying challenges experienced in using mobile technology for accessing health related information.

Methodology: This study adopted a survey research design. The population of the study consisted of 133 librarians in Osun State. Total enumeration of all the population was adopted. From the total 133 questionnaire that were administered, 126 (representing 94.74%) were duly completed and used for analysis. Frequency counts and percentage calculation were used to …

Impact Of Social Isolation In Hiv-Positive Individuals During A Pandemic, Corina Jane Bakoylis

Dissertations

Problem: The global pandemic of COVID-19 caused concern for immunocompromised individuals. The purpose of this quality improvement initiative was to assess the impact of social isolation on feelings of loneliness, depression, and social isolation experiences in HIV-positive individuals residing in a long-term care facility.

Methods: A mixed-method convergent design with a purposeful sample of HIV-positive adult residents residing in a long-term care facility was utilized. An evaluation of loneliness using the University of California Los Angeles (UCLA) Loneliness Scale (Version 3) and depression using the Patient Health Questionnaire-8 (PHQ-8) were completed. Personal experiences were also assessed with five predetermined open-ended …

Persistent Dyspnea, Declined Moderate To Vigorous Physical Activity, Functional Status, And Quality Of Life During The Post-Acute Phase Of Covid-19 Infection: A Pilot Case Control Study., Hussain Aslan Mph. Ed., Msc., Corey Tomczak Phd, Darcy Marciniuk Md, Scotty Butcher Phd

Journal for Sports Neuroscience

Abstract

Purpose: The purpose of this study was to explore the multifaceted impacts of post-acute phase of COVID-19 infection on the sense of dyspnea, select intensities of physical activity, functional, and psychological variables among survivors compared to age matched healthy participants and their implications for rehabilitation programs in this population.

Methods: Seventy-eight (male, female age 30-70 yrs.) participants (39 COVID-infected, CI and 39 age-matched healthy controls, HC). Four questionnaires were used to assess the variables in this study: dyspnea scale of the Modified Medical Research Council (mMRC), International Physical Activity Questionnaire (IPAQ), Functional Status Questionnaire (FSQ), and the RAND-36 measure …

Newsletter, Summer 2021

Newsletter

No abstract provided.

Experiences And Coping Strategies During The Covid-19 Pandemic Among Fishers And Farmers In The Island Province Of Guimaras, Philippines, Gay Margarett A. Gange, Louie Marie T. Eluriaga, Alice Joan G. Ferrer

Journal of Economics, Management and Agricultural Development

This study describes the experiences and coping strategies related with the COVID-19 threat and the community quarantine policy by the fishers and farmers in the island province of Guimaras. Both food producers faced marketrelated problems such as low demand, low prices of catch and produce, and logistical problems. While the in-kind support (e.g., food provisions) received and adaptive measures (e.g., continued with fishing or adjusted harvest schedule; use of social media or delivery services in marketing) allowed them to get by during the pandemic, there is a need to develop more resilient farming and fishing households. Short-term support can be …

Why New Diseases Keep Popping Up, Alan L. Gillen, Jason Conrad

Faculty Publications and Presentations

New and reemerging diseases are terrifying and concerning problems. Not only do they carry a financial and emotional toll, but they account for significant numbers of death. Emerging diseases are usually zoonotic and highly virulent in nature. These are pathogenic and parasitic diseases of high consequence and impact. Why would a good Creator allow these new diseases? Why do new diseases keep popping up? Mutation and displacement of original types of microbes account for many new diseases; however, the answer is more complex than just these two factors. Zoonoses are the most common type of infection, specifically from viral pathogens, …

Jefferson Digital Commons Quarterly Report: April-June 2021, Kelsey Duinkerken, Msi, Larissa Gordon, Mslis, Med, Ma

Jefferson Digital Commons Reports

This quarterly report includes:

• Articles
• CREATE Day Capstone Projects
• Department of Surgery Resident Research Day
• Dissertations
• Grand Rounds and Lectures
• House Staff Quality Improvement and Patient Safety Conference
• JCPH Capstone Presentations
• Journals and Newsletters
• Know Diabetes by Heart Meetings
• MPH Course Projects
• Occupational Therapy Doctorate Capstones
• Posters and Conference Presentations:
• Promotional Video
• Scholarly Inquiry Abstracts
• What People are Saying About the Jefferson Digital Commons

Physical Activity Among Adults Residing In 11 Countries During The Covid-19 Pandemic Lockdown, Kele Ding, Jingzhen Yang, Ming-Kai Chin, Lindsay Sullivan, J. Larry Durstine, Verónica Violant-Holz, Giyasettin Demirhan, Nara R.C. Oliveira, Biljana Popeska, Garry Kuan, Waheeda Khan, Jianhui Dai, Xia Xu, Zornitza Mladenova, Govindasamy Balasekaran, Gary A. Smith, Global Community Health-Covid-19 Collaborative Research Team

Faculty Publications

During the novel coronavirus (COVID-19) pandemic, physical activity (PA) behaviors were altered worldwide due to public health measures such as “lockdown.” This study described PA among adults residing in 11 countries during COVID-19 lockdown and examined factors associated with PA engagement. We conducted a cross-sectional anonymous survey among adults (≥18 years old) in 11 countries (Brazil, Bulgaria, China, India, Ireland, Malaysia, North Macedonia, Singapore, Spain, Turkey, United States). Of 11,775 participants, 63.7% were female and 52.8% were 18–34 years old. More than 40% of participants were insufficiently active (43.9%) and reported a decrease in their PA during lockdown (44.8%). Statistically …

Impact Of Covid-19 On The Mental Health And Well-Being Of Latinx Caregivers Of Children With Intellectual And Developmental Disabilities, Yolanda Suarez-Balcazar, Mansha Mirza, Vanessa L. Errisuriz, Weiwen Zeng, Jasmine P. Brown, Sandra Vanegas, Nazanin M. Heydarian, Deborah Parra-Medina, Paula Morales, Hilda Torres, Sandy Magaña

School of Social Work Faculty Publications

The COVID-19 pandemic has impacted the entire world in unprecedented ways. However, populations that have had a history of marginalization have experienced a more profound impact. One such group is Latinx families of children with intellectual and developmental disabilities (IDD) in the Unites States. In this study, we used a mixed methods approach to explore the impact of the pandemic on the mental health and well-being of Latinx caregivers of children with IDD. Specifically, we (1) identified which social determinants of health are correlated with maternal caregivers perceived general health, mental health, and well-being; (2) explored the impact of the …