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International Journal for Equity in Health

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Open Access 01-12-2020 | COVID-19 | Research

A model of disparities: risk factors associated with COVID-19 infection

Authors: Yelena Rozenfeld, Jennifer Beam, Haley Maier, Whitney Haggerson, Karen Boudreau, Jamie Carlson, Rhonda Medows

Published in: International Journal for Equity in Health | Issue 1/2020

Abstract

Background

By mid-May 2020, there were over 1.5 million cases of (SARS-CoV-2) or COVID-19 across the U.S. with new confirmed cases continuing to rise following the re-opening of most states. Prior studies have focused mainly on clinical risk factors associated with serious illness and mortality of COVID-19. Less analysis has been conducted on the clinical, sociodemographic, and environmental variables associated with initial infection of COVID-19.

Methods

A multivariable statistical model was used to characterize risk factors in 34,503cases of laboratory-confirmed positive or negative COVID-19 infection in the Providence Health System (U.S.) between February 28 and April 27, 2020. Publicly available data were utilized as approximations for social determinants of health, and patient-level clinical and sociodemographic factors were extracted from the electronic medical record.

Results

Higher risk of COVID-19 infection was associated with older age (OR 1.69; 95% CI 1.41–2.02, p < 0.0001), male gender (OR 1.32; 95% CI 1.21–1.44, p < 0.0001), Asian race (OR 1.43; 95% CI 1.18–1.72, p = 0.0002), Black/African American race (OR 1.51; 95% CI 1.25–1.83, p < 0.0001), Latino ethnicity (OR 2.07; 95% CI 1.77–2.41, p < 0.0001), non-English language (OR 2.09; 95% CI 1.7–2.57, p < 0.0001), residing in a neighborhood with financial insecurity (OR 1.10; 95% CI 1.01–1.25, p = 0.04), low air quality (OR 1.01; 95% CI 1.0–1.04, p = 0.05), housing insecurity (OR 1.32; 95% CI 1.16–1.5, p < 0.0001) or transportation insecurity (OR 1.11; 95% CI 1.02–1.23, p = 0.03), and living in senior living communities (OR 1.69; 95% CI 1.23–2.32, p = 0.001).

Conclusion

sisk of COVID-19 infection is higher among groups already affected by health disparities across age, race, ethnicity, language, income, and living conditions. Health promotion and disease prevention strategies should prioritize groups most vulnerable to infection and address structural inequities that contribute to risk through social and economic policy.

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Title: A model of disparities: risk factors associated with COVID-19 infection
Authors: Yelena Rozenfeld
Jennifer Beam
Haley Maier
Whitney Haggerson
Karen Boudreau
Jamie Carlson
Rhonda Medows
Publication date: 01-12-2020
Publisher: BioMed Central
Keyword: COVID-19
Published in: International Journal for Equity in Health / Issue 1/2020
Electronic ISSN: 1475-9276
DOI: https://doi.org/10.1186/s12939-020-01242-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A model of disparities: risk factors associated with COVID-19 infection

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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