Association of Lower Socioeconomic Status and SARS-CoV-2 Positivity in Los Angeles, California

Allan-Blitz Lao-Tzu; Goldbeck Cameron; Hertlein Fred; Turner Isaac; Klausner Jeffrey D.

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저자정보: Allan-Blitz Lao-Tzu (Division of Global Health Equity Department of Medicine Brigham and Women’s Hospital Boston MA) Goldbeck Cameron (Department of Preventive MedicineKeck School of Medicine University of Southern California Los An) Hertlein Fred (Curative Inc. San Dimas CA USA) Turner Isaac (Curative Inc. San Dimas CA USA) Klausner Jeffrey D. (Keck School of Medicine University of Southern California Los Angeles CA USA)

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제54권 제3호

발행연도: 2021.1

수록면: 161 - 165 (5page)

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Objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads heterogeneously, disproportionately impacting poor and minority communities. The relationship between poverty and race is complex, with a diverse set of structural and systemic factors driving higher rates of poverty among minority populations. The factors that specifically contribute to the disproportionate rates of SARS-CoV-2 infection, however, are not clearly understood. Methods: We evaluated SARS-CoV-2 test results from community-based testing sites in Los Angeles, California, between June and December, 2020. We used tester zip code data to link those results with United States Census report data on average annual household income, rates of healthcare coverage, and employment status by zip code. Results: We analyzed 2 141 127 SARS-CoV-2 test results, of which 245 154 (11.4%) were positive. Multivariable modeling showed a higher likelihood of SARS-CoV-2 test positivity among Hispanic communities than among other races. We found an increased risk for SARS-CoV-2 positivity among individuals from zip codes with an average annual household income <US$65 000 (adjusted odds ratio [aOR], 1.77; 95% confidence interval [CI], 1.72 to 1.82), as well as from zip codes with <85% of individuals with health insurance (aOR, 1.29; 95% CI, 1.25 to 1.33), and <60% of individuals employed (aOR, 1.42; 95% CI, 1.41 to 1.44). Conclusions: Residence in zip codes with lower average annual household income, lower rates of employment, or lower rates of health insurance was associated with SARS-CoV-2 positivity. Further research is needed into how those factors increase the spread of SARS-CoV-2 infection among populations of lower socioeconomic status in order to develop targeted public health interventions.

#SARS-CoV-2 #Socioeconomic factors #Los Angeles

참고문헌 (16)

참고문헌 신청

Macias Gil R / 2020 / COVID-19 pandemic : disparate health impact on the Hispanic/Latinx population in the United States / J Infect Dis 222(10):1592~1595

Killerby ME / 2020 / Characteristics associated with hospitalization among patients with COVID-19 - Metropolitan Atlanta, Georgia, March-April 2020 / MMWR Morb Mortal Wkly Rep 69(25):790~794

Price-Haywood EG / 2020 / Hospitalization and mortality among black patients and white patients with Covid-19 / N Engl J Med 382(26):2534~2543

Millett GA / 2020 / Assessing differential impacts of COVID-19 on black communities / Ann Epidemiol 47:37~44

Ogedegbe G / 2020 / Assessment of racial/ethnic disparities in hospitalization and mortality in patients with COVID-19 in New York City / JAMA Netw Open 3(12):e2026881

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Allan-Blitz Lao-Tzu

소속기관 Division of Global Health Equity Department of Medicine Brigham and Women’s Hospital Boston MA