Skip to main content
Log in

Financial, Social, and Health Impacts from the COVID-19 Pandemic: Findings from the Healthy Chicago Survey

  • Brief Report
  • Published:
International Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Background

This study examines self-reported impacts of the COVID-19 pandemic among Chicago residents and disparities of these impacts across demographic characteristics. Six logistic regression models were developed to identify demographic and socioeconomic factors associated with each COVID-19 impact.

Method

The study used de-identified and weighted data from the 2020 Healthy Chicago Survey (HCS). HCS is an annual survey using an address-based random sampling method administered by the Chicago Department of Public Health (CDPH) across the city of Chicago on adults aged 18 or older living between July 17 and November 11, 2020, and received 4517 responses.

Results

Chicago residents with lower socioeconomic status had a higher likelihood of food and housing insecurity. Non-Hispanic (NH) Black residents were more likely to report being unable to obtain food (OR: 2.996; 95% CI: 2.268–2.324); being unable to pay for rent, mortgage, or bills (OR: 2.352; 95% CI: 2.325–2.380); and grief from a loss of someone to COVID-19 (OR: 2.037; 95% CI: 2.013–2.061) compared to NH White residents. NH White residents were more likely than other racial/ethnic groups to report loss of social connections, worsened mental health, and canceling or postponing medical care.

Conclusions

The analysis showed higher odds of social contact loss and worsened mental health from COVID-19 in NH White and higher education populations. By implementing strategies to address specific challenges faced by different racial groups, Chicago may effectively mitigate pandemic’s adverse effects. These strategies can promote a more inclusive approach to distributing COVID investments for programs and policies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Data Availability

The de-identified data underlying this article can potentially be accessed by researchers upon request and after undergoing a review process by the Chicago Department of Public Health.

References

  1. Orsi JM, Margellos-Anast H, Whitman S. Black-White health disparities in the United States and Chicago: a 15-year progress analysis. Am J Public Health. 2010;100(2):349–56. https://doi.org/10.2105/AJPH.2009.165407.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Rajan SI, Cherian AP. COVID-19: urban vulnerability and the need for transformations. Environ Urban ASIA. 2021;12(2):310–22. https://doi.org/10.1177/09754253211040195.

    Article  Google Scholar 

  3. van Dorn A, Cooney RE, Sabin ML. COVID-19 exacerbating inequalities in the US. The Lancet. 2020;395(10232):1243–4. https://doi.org/10.1016/S0140-6736(20)30893-X.

    Article  CAS  Google Scholar 

  4. Nelson E, Bangham C, Modi S, et al. Understanding the impacts of COVID-19 on the determinants of food insecurity: a state-specific examination. Prev Med Reports. 2022;28:101871. https://doi.org/10.1016/j.pmedr.2022.101871.

  5. Hewitt RM, Carrier J, Jennings S, et al. Covid-19 coping survey: an in-depth qualitative analysis of free-text responses from people with and without existing health conditions in the UK. Int J Behav Med. 2022;29(6):743–51. https://doi.org/10.1007/S12529-022-10055-Z/METRICS.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Maroko AR, Nash D, Pavilonis BT. COVID-19 and inequity: a comparative spatial analysis of New York City and Chicago hot spots. J Urban Health. 2020;97(4):461–70. https://doi.org/10.1007/s11524-020-00468-0.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Miller S, Wherry LR, Mazumder B. Estimated mortality increases during the COVID-19 pandemic by socioeconomic status, race, and ethnicity. Health Aff. 2021;40(8):1252–60. https://doi.org/10.1377/hlthaff.2021.00414.

    Article  Google Scholar 

  8. Hege A, Lane S, Spaulding T, Sugg M, Iyer LS. County-level social determinants of health and COVID-19 in nursing homes, United States, June 1, 2020–January 31, 2021. Public Health Rep. 2022;137(1):137–48. https://doi.org/10.1177/00333549211053666.

    Article  PubMed  Google Scholar 

  9. CDPH. Covid-19 impacts on life expectancy in Chicago, 2019–2020. Published 2020. https://www.chicago.gov/city/en/sites/covid-19/home/impact-on-chicago-2020.html.

  10. RTI International. 2020 Healthy Chicago Survey (HCS): Methodology Report. 2020.

  11. Egger D, Miguel E, Warren SS, et al. Falling living standards during the COVID-19 crisis: quantitative evidence from nine developing countries. Sci Adv. 2021;7(6). https://doi.org/10.1126/SCIADV.ABE0997/SUPPL_FILE/ABE0997_SM.PDF.

  12. Nelson E, Bangham C, Modi S, et al. Understanding the impacts of COVID-19 on the determinants of food insecurity: a state-specific examination. Prev Med Rep. 2022;28:101871. https://doi.org/10.1016/j.pmedr.2022.101871.

  13. CDPH. Chicago COVID-19 Community Vulnerability Index: Chicago CCVI. 2021.

  14. Wolkin A, Collier S, House JS, et al. Comparison of national vulnerability indices used by the Centers for Disease Control and Prevention for the COVID-19 response. Public Health Rep. 2022;137(4):803–12. https://doi.org/10.1177/00333549221090262.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Jones AL, Cochran SD, Rafferty J, Taylor RJ, Mays VM. Lifetime and twelve-month prevalence, persistence, and unmet treatment needs of mood, anxiety, and substance use disorders in African American and U.S. versus foreign-born Caribbean women. Int J Environ Res Public Health. 2020;17(19):7007. https://doi.org/10.3390/ijerph17197007.

  16. Eden D. Social distancing isn’t a nuisance – it’s a privilege. ABC News. 2020.

  17. CDPH. City Of Chicago awards $24 million to the Chicago Cook workforce partnership to aid in mobilizing and sustaining a Chicago community health response corps team. Published 2022. https://www.chicago.gov/city/en/depts/mayor/press_room/press_releases/2022/july/CommunityHealthResponseCorps.html.

  18. Kim SJ, Bostwick W. Social vulnerability and racial inequality in COVID-19 deaths in Chicago. Health Educ Behav. 2020;47(4):509–13. https://doi.org/10.1177/1090198120929677.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wonjin Jeong.

Ethics declarations

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The Office for the Protection of Research Subjects at the University of Illinois at Urbana-Champaign has reviewed and determined that the research study does not meet the definition of Human Subjects Research as defined in 45CFR46(d)(f) or 21CFR56.102(c)(e) and does not require IRB approval.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 633 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jeong, W., Kang, H., Patel, A. et al. Financial, Social, and Health Impacts from the COVID-19 Pandemic: Findings from the Healthy Chicago Survey. Int.J. Behav. Med. (2023). https://doi.org/10.1007/s12529-023-10220-y

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12529-023-10220-y

Keywords

Navigation