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Disparities in COVID-19 Incidence, Hospitalizations, and Testing, by Area-Level Deprivation - Utah, March 3-July 9, 2020.

Identifieur interne : 000649 ( Main/Exploration ); précédent : 000648; suivant : 000650

Disparities in COVID-19 Incidence, Hospitalizations, and Testing, by Area-Level Deprivation - Utah, March 3-July 9, 2020.

Auteurs : Nathaniel M. Lewis ; Mike Friedrichs ; Shelly Wagstaff ; Kylie Sage ; Nathan Lacross ; David Bui ; Keegan Mccaffrey ; Bree Barbeau ; Andrea George ; Carolyn Rose ; Sarah Willardson ; Amy Carter ; Christopher Smoot ; Allyn Nakashima ; Angela Dunn

Source :

RBID : pubmed:32970656

Descripteurs français

English descriptors

Abstract

Coronavirus disease 2019 (COVID-19) has had a substantial impact on racial and ethnic minority populations and essential workers in the United States, but the role of geographic social and economic inequities (i.e., deprivation) in these disparities has not been examined (1,2). As of July 9, 2020, Utah had reported 27,356 confirmed COVID-19 cases. To better understand how area-level deprivation might reinforce ethnic, racial, and workplace-based COVID-19 inequities (3), the Utah Department of Health (UDOH) analyzed confirmed cases of infection with SARS-CoV-2 (the virus that causes COVID-19), COVID-19 hospitalizations, and SARS-CoV-2 testing rates in relation to deprivation as measured by Utah's Health Improvement Index (HII) (4). Age-weighted odds ratios (weighted ORs) were calculated by weighting rates for four age groups (≤24, 25-44, 45-64, and ≥65 years) to a 2000 U.S. Census age-standardized population. Odds of infection increased with level of deprivation and were two times greater in high-deprivation areas (weighted OR = 2.08; 95% confidence interval [CI] = 1.99-2.17) and three times greater (weighted OR = 3.11; 95% CI = 2.98-3.24) in very high-deprivation areas, compared with those in very low-deprivation areas. Odds of hospitalization and testing also increased with deprivation, but to a lesser extent. Local jurisdictions should use measures of deprivation and other social determinants of health to enhance transmission reduction strategies (e.g., increasing availability and accessibility of SARS-CoV-2 testing and distributing prevention guidance) to areas with greatest need. These strategies might include increasing availability and accessibility of SARS-CoV-2 testing, contact tracing, isolation options, preventive care, disease management, and prevention guidance to facilities (e.g., clinics, community centers, and businesses) in areas with high levels of deprivation.

DOI: 10.15585/mmwr.mm6938a4
PubMed: 32970656


Affiliations:


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Le document en format XML

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<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
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<div type="abstract" xml:lang="en">Coronavirus disease 2019 (COVID-19) has had a substantial impact on racial and ethnic minority populations and essential workers in the United States, but the role of geographic social and economic inequities (i.e., deprivation) in these disparities has not been examined (1,2). As of July 9, 2020, Utah had reported 27,356 confirmed COVID-19 cases. To better understand how area-level deprivation might reinforce ethnic, racial, and workplace-based COVID-19 inequities (3), the Utah Department of Health (UDOH) analyzed confirmed cases of infection with SARS-CoV-2 (the virus that causes COVID-19), COVID-19 hospitalizations, and SARS-CoV-2 testing rates in relation to deprivation as measured by Utah's Health Improvement Index (HII) (4). Age-weighted odds ratios (weighted ORs) were calculated by weighting rates for four age groups (≤24, 25-44, 45-64, and ≥65 years) to a 2000 U.S. Census age-standardized population. Odds of infection increased with level of deprivation and were two times greater in high-deprivation areas (weighted OR = 2.08; 95% confidence interval [CI] = 1.99-2.17) and three times greater (weighted OR = 3.11; 95% CI = 2.98-3.24) in very high-deprivation areas, compared with those in very low-deprivation areas. Odds of hospitalization and testing also increased with deprivation, but to a lesser extent. Local jurisdictions should use measures of deprivation and other social determinants of health to enhance transmission reduction strategies (e.g., increasing availability and accessibility of SARS-CoV-2 testing and distributing prevention guidance) to areas with greatest need. These strategies might include increasing availability and accessibility of SARS-CoV-2 testing, contact tracing, isolation options, preventive care, disease management, and prevention guidance to facilities (e.g., clinics, community centers, and businesses) in areas with high levels of deprivation.</div>
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<AbstractText>Coronavirus disease 2019 (COVID-19) has had a substantial impact on racial and ethnic minority populations and essential workers in the United States, but the role of geographic social and economic inequities (i.e., deprivation) in these disparities has not been examined (1,2). As of July 9, 2020, Utah had reported 27,356 confirmed COVID-19 cases. To better understand how area-level deprivation might reinforce ethnic, racial, and workplace-based COVID-19 inequities (3), the Utah Department of Health (UDOH) analyzed confirmed cases of infection with SARS-CoV-2 (the virus that causes COVID-19), COVID-19 hospitalizations, and SARS-CoV-2 testing rates in relation to deprivation as measured by Utah's Health Improvement Index (HII) (4). Age-weighted odds ratios (weighted ORs) were calculated by weighting rates for four age groups (≤24, 25-44, 45-64, and ≥65 years) to a 2000 U.S. Census age-standardized population. Odds of infection increased with level of deprivation and were two times greater in high-deprivation areas (weighted OR = 2.08; 95% confidence interval [CI] = 1.99-2.17) and three times greater (weighted OR = 3.11; 95% CI = 2.98-3.24) in very high-deprivation areas, compared with those in very low-deprivation areas. Odds of hospitalization and testing also increased with deprivation, but to a lesser extent. Local jurisdictions should use measures of deprivation and other social determinants of health to enhance transmission reduction strategies (e.g., increasing availability and accessibility of SARS-CoV-2 testing and distributing prevention guidance) to areas with greatest need. These strategies might include increasing availability and accessibility of SARS-CoV-2 testing, contact tracing, isolation options, preventive care, disease management, and prevention guidance to facilities (e.g., clinics, community centers, and businesses) in areas with high levels of deprivation.</AbstractText>
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<name sortKey="Barbeau, Bree" sort="Barbeau, Bree" uniqKey="Barbeau B" first="Bree" last="Barbeau">Bree Barbeau</name>
<name sortKey="Bui, David" sort="Bui, David" uniqKey="Bui D" first="David" last="Bui">David Bui</name>
<name sortKey="Carter, Amy" sort="Carter, Amy" uniqKey="Carter A" first="Amy" last="Carter">Amy Carter</name>
<name sortKey="Dunn, Angela" sort="Dunn, Angela" uniqKey="Dunn A" first="Angela" last="Dunn">Angela Dunn</name>
<name sortKey="Friedrichs, Mike" sort="Friedrichs, Mike" uniqKey="Friedrichs M" first="Mike" last="Friedrichs">Mike Friedrichs</name>
<name sortKey="George, Andrea" sort="George, Andrea" uniqKey="George A" first="Andrea" last="George">Andrea George</name>
<name sortKey="Lacross, Nathan" sort="Lacross, Nathan" uniqKey="Lacross N" first="Nathan" last="Lacross">Nathan Lacross</name>
<name sortKey="Lewis, Nathaniel M" sort="Lewis, Nathaniel M" uniqKey="Lewis N" first="Nathaniel M" last="Lewis">Nathaniel M. Lewis</name>
<name sortKey="Mccaffrey, Keegan" sort="Mccaffrey, Keegan" uniqKey="Mccaffrey K" first="Keegan" last="Mccaffrey">Keegan Mccaffrey</name>
<name sortKey="Nakashima, Allyn" sort="Nakashima, Allyn" uniqKey="Nakashima A" first="Allyn" last="Nakashima">Allyn Nakashima</name>
<name sortKey="Rose, Carolyn" sort="Rose, Carolyn" uniqKey="Rose C" first="Carolyn" last="Rose">Carolyn Rose</name>
<name sortKey="Sage, Kylie" sort="Sage, Kylie" uniqKey="Sage K" first="Kylie" last="Sage">Kylie Sage</name>
<name sortKey="Smoot, Christopher" sort="Smoot, Christopher" uniqKey="Smoot C" first="Christopher" last="Smoot">Christopher Smoot</name>
<name sortKey="Wagstaff, Shelly" sort="Wagstaff, Shelly" uniqKey="Wagstaff S" first="Shelly" last="Wagstaff">Shelly Wagstaff</name>
<name sortKey="Willardson, Sarah" sort="Willardson, Sarah" uniqKey="Willardson S" first="Sarah" last="Willardson">Sarah Willardson</name>
</noCountry>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidSeniorV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000649 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000649 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    CovidSeniorV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:32970656
   |texte=   Disparities in COVID-19 Incidence, Hospitalizations, and Testing, by Area-Level Deprivation - Utah, March 3-July 9, 2020.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:32970656" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a CovidSeniorV1 

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This area was generated with Dilib version V0.6.37.
Data generation: Thu Oct 15 09:49:45 2020. Site generation: Wed Jan 27 17:10:23 2021