Disparities in COVID-19 Testing and Positivity in New York City
Disparities in COVID-19 Testing and Positivity in New York City
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DOI：
10.1016/j.amepre.2020.06.005
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发表时间：
2020-09-01
影响因子：
5.5
通讯作者：
Taioli, Emanuela
中科院分区：
文献类型：
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作者：
Lieberman-Cribbin, Wil;Tuminello, Stephanie;Taioli, Emanuela
简介：纽约市现有的社会经济和种族差异可能影响了对COVID-19的公共卫生应对。进行了一项生态学研究，以通过邮政编码制表区域确定COVID-19检测的空间分布，并调查检测是否与种族或SES相关。方法：数据来自纽约市冠状病毒数据存储库和2018年美国社区调查5年估计值。使用主成分分析创建了一个SES综合指数，并将家庭收入、总租金、贫困、教育、工人阶级地位、失业和每间房的居住者纳入其中。使用SES指数、种族构成和西班牙裔构成作为预测因子，进行多变量泊松回归以预测总检测次数和阳性检测与总检测的比率。总检测次数随着白色居民比例的增加而显著增加（β =0.004，SE=0.001，p=0.0032），但与西班牙裔组成或SES指数评分的增加无关。阳性检出率随白色居民比例的增加而显著下降（β =-0.003，SE = 0.0006，p
Introduction: Existing socioeconomic and racial disparities in healthcare access in New York City have likely impacted the public health response to COVID-19. An ecological study was performed to determine the spatial distribution of COVID-19 testing by ZIP code Tabulation Area and investigate if testing was associated with race or SES.Methods: Data were obtained from the New York City coronavirus data repository and 2018 American Community Survey 5-year estimates. A combined index of SES was created using principal component analysis and incorporated household income, gross rent, poverty, education, working class status, unemployment, and occupants per room. Multivariable Poisson regressions were performed to predict the number of total tests and the ratio of positive tests to total tests performed, using the SES index, racial composition, and Hispanic composition as predictors.Results: The number of total tests significantly increased with the increasing proportion of white residents (beta =0.004, SE=0.001, p=0.0032) but not with increasing Hispanic composition or SES index score. The ratio of positive tests to total tests significantly decreased with the increasing pro-portion of white residents in the ZIP code Tabulation Area (beta= -0.003, SE=0.000 6, p