Cumulative Impacts and COVID-19: Implications for Low-Income, Minoritized, and Health-Compromised Communities in King County, WA
| Autor: | Esther Min, Carolyn Ingram, B J Cummings, Edmund Seto, Stephanie A. Farquhar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Environmental health disparities
Washington medicine.medical_specialty Health (social science) Sociology and Political Science Logistic regression Article Social determinants of health COVID-19 Testing Epidemiology medicine Humans Social inequality Racial disparities Socioeconomic status Poverty Cumulative impacts Health Policy Environmental exposures Public Health Environmental and Occupational Health COVID-19 Odds ratio Census Geography Anthropology Community health Income Demography |
| Zdroj: | Journal of Racial and Ethnic Health Disparities |
| ISSN: | 2196-8837 2197-3792 |
| Popis: | Few studies have assessed how the intersection of social determinants of health and environmental hazards contributes to racial disparities in COVID-19. The aim of our study was to compare COVID-19 disparities in testing and positivity to cumulative environmental health impacts, and to assess how unique social and environmental determinants of health relate to COVID-19 positivity in Seattle, King County, WA, at the census tract level. Publicly available data (n = 397 census tracts) were obtained from Public Health–Seattle & King County, 2018 ACS 5-year estimates, and the Washington Tracking Network. COVID-19 testing and positive case rates as of July 12, 2020, were mapped and compared to Washington State Environmental Health Disparities (EHD) Map cumulative impact rankings. We calculated odds ratios from a series of univariable and multivariable logistic regression analyses using cumulative impact rankings, and community-level socioeconomic, health, and environmental factors as predictors and having ≥ 10% or < 10% census tract positivity as the binary outcome variable. We found a remarkable overlap between Washington EHD cumulative impact rankings and COVID-19 positivity in King County. Census tracts with ≥ 10 % COVID-19 positivity had significantly lower COVID-19 testing rates and higher proportions of people of color and faced a combination of low socioeconomic status–related outcomes, poor community health outcomes, and significantly higher concentrations of fine particulate matter (PM2.5). King County communities experiencing high rates of COVID-19 face a disproportionate cumulative burden of environmental and social inequities. Cumulative environmental health impacts should therefore systematically be considered when assessing for risk of exposure to and health complications resulting from COVID-19. Supplementary Information The online version contains supplementary material available at 10.1007/s40615-021-01063-y. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink