The Impact of Socioeconomic Status on the Clinical Outcomes of COVID-19; a Retrospective Cohort Study.
The Impact of Socioeconomic Status on the Clinical Outcomes of COVID-19; a Retrospective Cohort Study.
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DOI：
10.1007/s10900-020-00944-3
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发表时间：
2021-08
影响因子：
5.9
通讯作者：
van Gerwen M
中科院分区：
文献类型：
--
作者：
Little C;Alsen M;Barlow J;Naymagon L;Tremblay D;Genden E;Trosman S;Iavicoli L;van Gerwen M
评估美国不同社区中弱势社会经济地位（SES）对COVID-19患者发病率和临床结局影响的数据有限。在此，我们旨在调查贫困水平（作为SES的指标）与COVID-19相关临床结局（包括住院和全因死亡率）之间的关系。这项回顾性队列研究纳入了2020年3月1日至2020年4月1日期间在纽约市大型卫生系统就诊的3528例实验室确诊的COVID-19患者。邻里贫困的数据来自2014-2018年美国社区调查，定义为每个邮政编码中家庭收入低于联邦贫困线（FPT）的居民百分比：低于FPT 0%至< 20%（低贫困）和低于FPT 20%（高度贫困）。居住在高度贫困地区的COVID-19阳性患者明显更年轻，与生活在低贫困地区的个人相比，患有合并症的患病率更高，更有可能是女性或少数种族。居住在高度贫困地区与COVID-19相关住院风险增加无关，但发现与住院死亡风险降低相关。这项研究表明，COVID-19患者的人口统计学和临床表现存在不平等的社会经济梯度，包括贫困群体之间的年龄，性别和种族差异。需要进一步研究以全面评估SES与COVID-19大流行的交叉性。本文的在线版本（10.1007/s10900-020-00944-3）包含补充材料，可供授权用户使用。
There have been limited data assessing the influence of disadvantaged socioeconomic status (SES) on the incidence and clinical outcomes of COVID-19 patients within the diverse communities of the United States. Here, we aim to investigate the association between poverty level, as an indicator of SES, and COVID-19 related clinical outcomes including hospitalization and all-cause mortality. This retrospective cohort study included 3528 patients with laboratory confirmed COVID-19 seen at a large New York City health system between March 1, 2020 and April 1, 2020. Data for neighborhood level poverty was acquired from the American Community Survey 2014–2018 and defined as the percent of residents in each ZIP code whose household income was below the federal poverty threshold (FPT): 0% to < 20% below FPT (low poverty) and > 20% below FPT (high poverty). COVID-19 positive patients who resided in high poverty areas were significantly younger, had a higher prevalence of comorbidities and were more likely to be of female gender or a racial minority when compared to individuals living in low poverty areas. Residence in a high poverty area was not associated with an increased risk of COVID-19 related hospitalization and was found to be associated with a decreased risk of in-hospital mortality. This study suggests the existence of an unequal socioeconomic gradient in the demographic and clinical presentation of COVID-19 patients including differences in age, gender and race between poverty groups. Further studies are needed to fully assess the intersectionality of SES with the COVID-19 pandemic. The online version of this article (10.1007/s10900-020-00944-3) contains supplementary material, which is available to authorized users.
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影响因子：
3.7
作者：
Oestergaard LB;Schmiegelow MD;Bruun NE;Skov RL;Petersen A;Andersen PS;Torp-Pedersen C
通讯作者：
Torp-Pedersen C
影响因子：
6.3
作者：
Khalatbari-Soltani, Saman;Cumming, Robert G.;Kelly-Irving, Michelle
通讯作者：
Kelly-Irving, Michelle
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：
,
影响因子：
3.4
作者：
Berkowitz, Seth A.;Traore, Carine Y.;Atlas, Steven J.
通讯作者：
Atlas, Steven J.
影响因子：
4.3
作者：
Hawker, JI;Olowokure, B;Wilson, RC
通讯作者：
Wilson, RC