Neighborhood disparities in COVID-19 outcomes in New York city over the first two waves of the outbreak.

Neighborhood disparities in COVID-19 outcomes in New York city over the first two waves of the outbreak.
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DOI:
10.1016/j.annepidem.2022.04.008
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发表时间:
2022-06
影响因子:
5.6
通讯作者:
--
中科院分区:
医学3区
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评估纽约市(NYC)前两波疫情期间社区人口统计学和社会经济学特征与COVID-19发病率和死亡率的关联。这项回顾性研究使用了2020年3月1日至2021年4月30日期间纽约市177个修改后的邮政编码列表区域的社区数据。在第一波中受到最严重影响的社区在第二波中也受到更大的影响。在第一波中,老年人(≥75岁)、男性、黑人和西班牙裔人口以及大家庭比例较高的社区,COVID-19的发病率较高,但在第二波中则不然。黑人和西班牙裔人口比例较高且保险覆盖率较低的社区在第1波中的人均死亡率和病死率较高,黑人和亚裔人口比例较高的社区在第2波中的病死率较高。家庭收入中位数与发病率和人均死亡率呈负相关,但与两波的病死率无关。两波中,老年人较多的社区死亡率和病死率较高。在前两波疫情爆发期间,纽约市各社区的COVID-19发病率和死亡率的社区差异是动态的。
To assess the association of neighborhood demographic and socioeconomic characteristics with COVID-19 incidence and mortality in New York City (NYC) over the first two waves of outbreak. This retrospective study used neighborhood-level data from 177 modified ZIP code tabulation areas in NYC between March 01, 2020 and April 30, 2021. Neighborhoods that were most severely impacted in wave 1 were also more affected in wave 2. Neighborhoods with a higher percentage of seniors (≥75 years), males, Black and Hispanic population, and large-size households had higher incidence rates of COVID-19 in wave 1 but not in wave 2. Neighborhoods with higher percentage of Black and Hispanic population and lower insurance coverage had higher death rate per capita and case fatality ratio in wave 1, and neighborhoods with higher percentage of Black and Asian population had elevated case fatality ratio in wave 2. Median household income was negatively associated with incidence rate and death rate per capita but not associated with case fatality ratio in both waves. Neighborhoods with more seniors had higher death rate and case fatality ratio in both waves. Neighborhood disparities in COVID-19 incidence and mortality across NYC neighborhoods were dynamic during the first two waves of outbreak.
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