Social Determinants of Health Mediate COVID-19 Disparities in South Florida.
Social Determinants of Health Mediate COVID-19 Disparities in South Florida.
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DOI：
10.1007/s11606-020-06341-9
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发表时间：
2021-03
影响因子：
5.7
通讯作者：
Tamariz L
中科院分区：
文献类型：
--
作者：
Palacio A;Tamariz L
There are several reports of health disparities related to COVID-19. Understanding social determinants of health (SDoH) could help develop mitigation strategies to prevent further COVID-19 spread. Our aim is to evaluate self-reported and census-based SDoH as a mediator of health disparities in COVID-19. We conducted a cross-sectional ecological study and included all COVID-19 cases report by the COVID-19 Florida dashboard as the dependent variable. The independent variables were census-based median household income, population and household size, and self-reported SDoH using a validated survey. We calculated the incidence rate ratio (IRR) of COVID-19 by zip code using Poisson regression and structured equation modelling to evaluate the mediation effect of income and SDoH on COVID-19 cases. We included 97,594 COVID-19 positive cases across 79 Miami-Dade ZIP codes with a median age of 43 years; females represented 50.7% of the cases. The highest IRR (4.44) were for ZIP code 33125 (income $21,106, 6% Black, 93% Hispanic), while the lowest IRR (0.86) was for ZIP code 33146 (median household incomes $96,609, 3% Black and 53% Hispanic). In structured equation models, the indirect coefficient of income in the relationship between race/ethnicity and COVID-19 were only significant for Blacks and not Hispanics. This ecological analysis using ZIP code and aggregate individual-level SDoH shows that in Miami-Dade county, COVID infection is associated with economic disadvantage in a particular geographical area and not with racial/ethnic distribution. The online version contains supplementary material available at 10.1007/s11606-020-06341-9.
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影响因子：
3.6
作者：
Damas OM;Gomez L;Quintero MA;Rampersaud E;Slifer S;Beecham GW;Kerman DH;Deshpande AR;Sussman DA;Abreu MT;McCauley JL
通讯作者：
McCauley JL
影响因子：
3.3
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Luchsinger JA;Cabral R;Eimicke JP;Manly JJ;Teresi J
通讯作者：
Teresi J
影响因子：
12.7
作者：
Pantell, Matthew;Rehkopf, David;Adler, Nancy
通讯作者：
Adler, Nancy
影响因子：
2.5
作者：
Palacio, Ana;Seo, David;Tamariz, Leonardo
通讯作者：
Tamariz, Leonardo
DOI：
10.1037/lat0000056
发表时间：
2016-05
期刊：
Journal of Latina/o psychology
影响因子：
--
作者：
Balfour PC Jr;Ruiz JM;Talavera GA;Allison MA;Rodriguez CJ
通讯作者：
Rodriguez CJ