Pandemic Highlights Disparities in Health Care
| Autor: | Camille Frazier-Mills, Jonathan Chrispin, Elaine Wan, Felix Sogade, Walter K. Clair |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
poverty biometry Physiology (medical) Pandemic Health care medicine Humans population density Intensive care medicine Death sudden cardiac Pandemics health disparities business.industry Racial Groups death sudden cardiac Health Status Disparities Original Articles ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Cardiology and Cardiovascular Medicine business Delivery of Health Care |
| Zdroj: | Circulation. Arrhythmia and Electrophysiology |
| ISSN: | 1941-3084 1941-3149 |
| DOI: | 10.1161/circep.121.009908 |
| Popis: | Supplemental Digital Content is available in the text. Background: Social influencers of health namely race, ethnicity, and structural inequities are known to affect the incidence of out of hospital sudden death (OHSD). We sought to examine the association between social influencers of health and the incidence of OHSD in the diverse neighborhoods of New York City during the first wave of coronavirus disease 2019 (COVID-19) epidemic. Methods: New York City ZIP stratified data on OHSD were obtained from the Fire Department of New York during the first wave of COVID-19 epidemic (March 1 to April 10, 2019) and the same period in 2020. To assess associates of OHSD, ZIP code-specific sociodemographic characteristics for 8 491 238 New York City residents were obtained via the US Census Bureau’s 2018 American Community Survey and the New York Police Department’s crime statistics. Results: Between March 1 and April 10, 2020, the number of OHSD rose to 4334 from 1112 compared with the year prior. Of the univariate ZIP code level variables evaluated, proportions of Black race, Hispanic/Latino ethnicity, single parent household, unemployed inhabitants, people completing less than high school education, inhabitants with no health insurance, people financially struggling or living in poverty, percent of noncitizens, and population density were associated with increased rates of OHSD within ZIP codes. In multivariable analysis, ZIP codes with higher proportions of inhabitants with less than high school education (P |
| Databáze: | OpenAIRE |
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