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. 2021 Apr 22;68(5):873–881. doi: 10.1016/j.jadohealth.2021.02.015

Table 2.

Themes and representative quotes regarding perceived impact of contracting COVID-19 on participants' lives (n = 752 participants)

Category Themesa Quote Participant characteristics
Significant or moderate impact (n = 679, 90.3%) Self-isolation (n = 371, 54.6%) …if I did contract the virus I would be unable to see my family members until I fully recovered. This would be really challenging emotionally for me, and for them 23, female, white, Midwest
I would have to self-isolate as I cannot risk giving it to my at-risk loved ones 19, male, American Indian, South
Impact on work (n = 135, 19.9%) It would prevent me from working which is what my life consists of so it would be negative impact 19, male, white, Northeast
It would upend pretty much everything, even just by forcing me to take time off work 21, transgender, white, West
Impact on education (n = 91, 13.4%) It would be rough as a college student having to self-isolate at home and not be able to actually attend class and participate in study groups 19, male, white, West
I wouldn't be able to do school work or worry about college. I would be scared cuz there's no cure 16, female, black, South
Impact on personal and family finances (n = 63, 9.3%) I'd have to stay home from work and so would my parents. I wouldn't mind but they would be stressed out about money 18, female, black, Northeast
I would not have the money to afford health care 20, male, white, Midwest
Physical health consequences (n = 184, 27.1%) Well. I could die, it could cause irreparable damage to my lungs or maybe some other important organ in my body… 20, transgender, white, Midwest
Since I'm young hopefully not much but there's a risk I'll get long lasting effects 17, male, American Indian/Hispanic, West
Mental health consequences (n = 69, 10.2%) I would become very depressed 17, female, black, South
I would need to quarantine for 2 weeks, which would negatively impact my mental health due to loneliness 20, male, white, South
High-risk, including self or family (n = 94, 13.8%) I could experience complications because I have a congenital heart disease. I would also not be able to see my friends or go to work… 16, female, white, Northeast
I have asthma, so it could probably kill me. My mother also has asthma and a number of other illnesses that could easily contribute to it being fatal to her as well if I were to spread it to her. Quite frankly, this virus could ruin my family's life 21, nonbinary, black, Midwest
Little or no impact (n = 50, 6.6%) Illness would not be serious (n = 19, 38.0%) I think it would be like a cold and I'd stay home get better and move on like the flu 16, female, Hispanic white, South
I'm thinking that I will most likely be asymptomatic 23, male, white, Midwest
Already staying home and taking precautions (n = 9, 18.0%) It wouldn't really [impact me]. I'll probably be doing the same thing I'm doing now 16, female, black, South
Nothing would change, I stay home 99% of the time anyway 24, male, Asian, Midwest
a

Percentages refer to percentage of participants in the category.