The Impact of Socioeconomic Status on the Clinical Outcomes of COVID-19; a Retrospective Cohort Study
Autor: | Joshua Barlow, Maaike van Gerwen, Samuel J. Trosman, Mathilda Alsen, Eric M. Genden, Leonard Naymagon, Christine Little, Laura Iavicoli, Douglas Tremblay |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
Male Health (social science) 03 medical and health sciences 0302 clinical medicine Residence Characteristics Ethnicity Medicine Humans 030212 general & internal medicine Socioeconomic status Poverty Pandemics Aged Retrospective Studies Original Paper 030505 public health business.industry SARS-CoV-2 Reverse Transcriptase Polymerase Chain Reaction Incidence (epidemiology) Incidence Public Health Environmental and Occupational Health COVID-19 Retrospective cohort study Middle Aged Disadvantaged Hospitalization Treatment Outcome Social Class Household income Residence Female New York City 0305 other medical science business Demography Poverty threshold |
Zdroj: | Journal of Community Health |
ISSN: | 1573-3610 0094-5145 |
Popis: | 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 (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. Electronic supplementary material The online version of this article (10.1007/s10900-020-00944-3) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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