The Effect of Race, Socioeconomic Status, and Comorbidity on Patients Afflicted with COVID 19: A Local Perspective

Autor: Spenser S. Souza, Nicholas L. Mankowski, Brandon Mauldin, Joshua L. Denson, Jerry S Zifodya, Paul Friedlander, Zaid Al-Qurayshi, Christine M. Bojanowski, Adam Beighley, Brett Campbell
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Aging
Multivariate analysis
Epidemiology
BMI
body mass index
Comorbidity
Medical and Health Sciences
PCR
polymerase chain reaction
Pandemic
Medicine
2.2 Factors relating to the physical environment
Aetiology
SES
socioeconomic status
COVID-19
novel coronavirus-2019
ICU
intensive care unit
Hospitalization
Community health
Female
Adult
Healthcare disparities
Socioeconomic factors
SARS-CoV-2
severe acute respiratory syndrome coronavirus 2
White People
Article
Racial Factors
Clinical Research
EHR
electronic health record
Humans
Obesity
Healthcare Disparities
Socioeconomic status
Pandemics
Retrospective Studies
Aged
CCI
Charlson Comorbidity Index
business.industry
SARS-CoV-2
Prevention
COVID-19
Retrospective cohort study
medicine.disease
Underinsured
Black or African American
CI
confidence interval
OR
odds ratio
Good Health and Well Being
IMV
invasive mechanical ventilation
Social Class
Socioeconomic Factors
business
Demography
Zdroj: Annals of Epidemiology
ISSN: 1873-2585
1047-2797
Popis: Purpose The aim of this study is to further examine the associations of race, socioeconomic factors, and comorbidity with COVID-19 health outcomes. Methods This is a retrospective cohort study of 309 PCR confirmed COVID-19 positive adults who presented to Tulane Medical Center in New Orleans, LA, from March 9 to May 29, 2020. The primary outcomes investigated were need for invasive mechanical ventilation (IMV) and in-hospital mortality. A multivariate analysis was performed to determine socioeconomic and medical risk factors for IMV and in-hospital mortality. Results Compared to white patients, Black patients were more likely to present younger, female, obese, unemployed, and underinsured. However, when controlled for common risk factors, Black and white patients had similar risk for IMV and mortality. Increased age (≥65 years), obesity, and increased comorbidity were associated with increased risk for IMV and mortality. Conclusions Race and socioeconomic factors may increase risk for COVID-19 infection but did not affect health outcomes within the hospital setting. Therefore, the higher rates of COVID-19 infection and mortality in vulnerable populations may be better explained by lower socioeconomic status, with subsequent higher comorbidity, in these populations. Community health initiatives should be prioritized in response to the COVID-19 pandemic.
Databáze: OpenAIRE
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