Descriptive analysis of social determinant factors in urban communities affected by COVID-19

Descriptive analysis of social determinant factors in urban communities affected by COVID-19
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DOI:
10.1093/pubmed/fdaa078
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发表时间:
2020-09-01
影响因子:
4.4
通讯作者:
Harlem, Gunness
Harlem, Gunness
中科院分区:
医学4区
文献类型:
--
作者:
Harlem, Gunness

文献摘要

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目的对受COVID-19严重影响的社区和受COVID-19中度影响的社区进行描述性分析,重点是其中的社会决定因素。方法为了比较COVID-19极高发病率社区和COVID-19中度病例社区,我们选择了皇后区的六个社区区,纽约使用来自纽约市卫生局的公开数据,该数据提供了2020年3月1日至4月17日按邮政编码划分的COVID-19阳性病例的百分比,2020年。结果研究结果显示,在极高病例的社区,COVID-19病例比中度病例的社区多30%。在COVID-19病例极高的社区,也发现了几个突出的社会决定因素共性。这些因素包括严重过度拥挤、教育水平较低、获得医疗保健的机会较少以及慢性病发病率较高。结论本研究补充了有关受COVID-19影响的脆弱城市社区的现有文献。未来的研究应关注本研究中讨论的每个社会决定因素的潜在因素,以更好地了解其与COVID-19传播的关联。
Objectives To provide a descriptive analysis of communities severely impacted by COVID-19 to that of communities moderately affected by COVID-19, with an emphasis on the social determinant factors within them.Methods To compare the communities with extremely high COVID-19 rates to that of communities with moderate COVID-19 cases, we selected six community districts in Queens, New York using public data from New York City Health Department that provides the percentage of positive COVID-19 cases by zip codes from March 1st, 2020 to April 17th, 2020.Results The results of the study showed that COVID-19 cases were 30% greater in communities with extremely high cases than in communities with moderate cases. There were also the several outstanding social determinants commonalities that were found in communities with extremely high COVID-19 cases. These include severe overcrowding, lower educational status, less access to healthcare, and more chronic diseases.Conclusion This study adds to existing literature on vulnerable urban communities affected by COVID-19. Future studies should focus on the underlying factors in each social determinant discussed in this study to better understand its association with the spread of COVID-19.