Differences in COVID-19 Risk by Race and County-Level Social Determinants of Health among Veterans
| Autor: | Hoda S. Abdel Magid, Jacqueline M. Ferguson, Raymond Van Cleve, Amanda L. Purnell, Thomas F. Osborne |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
SARS-CoV-2
Brief Report Health Toxicology and Mutagenesis Public Health Environmental and Occupational Health county-level COVID-19 United States humanities United States Department of Veterans Affairs social determinants of health Humans Medicine race health care economics and organizations Retrospective Studies Veterans health disparities |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 13140, p 13140 (2021) International Journal of Environmental Research and Public Health |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | COVID-19 disparities by area-level social determinants of health (SDH) have been a significant public health concern and may also be impacting U.S. Veterans. This retrospective analysis was designed to inform optimal care and prevention strategies at the U.S. Department of Veterans Affairs (VA) and utilized COVID-19 data from the VAs EHR and geographically linked county-level data from 18 area-based socioeconomic measures. The risk of testing positive with Veterans’ county-level SDHs, adjusting for demographics, comorbidities, and facility characteristics, was calculated using generalized linear models. We found an exposure–response relationship whereby individual COVID-19 infection risk increased with each increasing quartile of adverse county-level SDH, such as the percentage of residents in a county without a college degree, eligible for Medicaid, and living in crowded housing. |
| Databáze: | OpenAIRE |
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