Assessing the Impact of Neighborhood Socioeconomic Characteristics on COVID-19 Prevalence Across Seven States in the United States.
Assessing the Impact of Neighborhood Socioeconomic Characteristics on COVID-19 Prevalence Across Seven States in the United States.
复制标题
DOI：
10.3389/fpubh.2020.571808
复制
发表时间：
2020
影响因子：
5.2
通讯作者：
Kharrazi H
中科院分区：
文献类型：
--
作者：
Hatef E;Chang HY;Kitchen C;Weiner JP;Kharrazi H
导言：2019年冠状病毒病(新冠肺炎)在美国的传播突显了长期存在的全国性健康不平等，社会经济困难的社区经历了更高的疾病负担。我们评估了社区社会经济特征对七个选定州(即亚利桑那州、佛罗里达州、伊利诺伊州、马里兰州、北卡罗来纳州、南卡罗来纳州和弗吉尼亚州)新冠肺炎流行率的影响。方法：获取选定州卫生部门在两个日期(2020年5月3日和2020年5月30日)在社区聚集层报告的累积新冠肺炎病例，并评估新冠肺炎患病率与社区特征的相关性。我们使用2018年美国人口普查美国社区调查开发了区域剥夺指数(ADI)，这是一种根据社区的社会经济特征对社区进行排名的综合衡量标准。ADI排名越高，代表的社区越不利。结果：在控制了年龄、性别和每个社区的平方里程后，我们利用5月3日的数据发现，与全国和同一州ADI较低的州相比，伊利诺伊州和马里兰州的邮政编码具有更高的ADI(贫困程度较高的社区)的新冠肺炎流行率更高。我们使用2020年5月30日的数据在除佛罗里达州和弗吉尼亚州以外的所有州检测到了同样的模式。结论：我们的研究提供的证据表明，并不是所有美国人患新冠肺炎的风险都是一样的。社区的社会经济特征似乎与他们对新冠肺炎的易感性有关，至少在那些发病率较高的研究州是这样。
Introduction: The spread of Coronavirus Disease 2019 (COVID-19) across the United States has highlighted the long-standing nationwide health inequalities with socioeconomically challenged communities experiencing a higher burden of the disease. We assessed the impact of neighborhood socioeconomic characteristics on the COVID-19 prevalence across seven selected states (i.e., Arizona, Florida, Illinois, Maryland, North Carolina, South Carolina, and Virginia). Methods: We obtained cumulative COVID-19 cases reported at the neighborhood aggregation level by Departments of Health in selected states on two dates (May 3rd, 2020, and May 30th, 2020) and assessed the correlation between the COVID-19 prevalence and neighborhood characteristics. We developed Area Deprivation Index (ADI), a composite measure to rank neighborhoods by their socioeconomic characteristics, using the 2018 US Census American Community Survey. The higher ADI rank represented more disadvantaged neighborhoods. Results: After controlling for age, gender, and the square mileage of each community we identified Zip-codes with higher ADI (more disadvantaged neighborhoods) in Illinois and Maryland had higher COVID-19 prevalence comparing to zip-codes across the country and in the same state with lower ADI (less disadvantaged neighborhoods) using data on May 3rd. We detected the same pattern across all states except for Florida and Virginia using data on May 30th, 2020. Conclusion: Our study provides evidence that not all Americans are at equal risk for COVID-19. Socioeconomic characteristics of communities appear to be associated with their COVID-19 susceptibility, at least among those study states with high rates of disease.
影响因子：
1.4
作者：
Braithwaite, Ronald;Warren, Rueben
通讯作者：
Warren, Rueben
影响因子：
12.7
作者：
Singh, GK
通讯作者：
Singh, GK
DOI：
10.1001/jama.2020.6775
发表时间：
2020-01-01
期刊：
JAMA, Journal of the American Medical Association
影响因子：
--
作者：
Richardson, Safiya;Hirsch, Jamie S.;,
通讯作者：
,