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The Impact of Socioeconomic Status on the Clinical Outcomes of COVID-19; a Retrospective Cohort Study.

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Title: The Impact of Socioeconomic Status on the Clinical Outcomes of COVID-19; a Retrospective Cohort Study.
Authors: Little, Christine1, Alsen, Mathilda2, Barlow, Joshua1, Naymagon, Leonard3, Tremblay, Douglas3, Genden, Eric2, Trosman, Samuel2, Iavicoli, Laura4, van Gerwen, Maaike2,5 maaike.vangerwen@mountsinai.org
Source: Journal of Community Health. Aug2021, Vol. 46 Issue 4, p794-802. 9p. 3 Charts, 1 Graph.
Subject Terms: *Economic status, *Retrospective studies, *Longitudinal method, *COVID-19 pandemic, COVID-19, Minorities, Socioeconomic factors, Severity of illness index, Treatment effectiveness, Income, Poverty areas, Infectious disease transmission, Hospital care, Poverty, Comorbidity
Geographic Terms: New York (State)
Abstract: There have been limited data assessing the influence of disadvantaged socioeconomic status (SES) on the incidence and clinical outcomes of COVID-19 patients within the diverse communities of the United States. Here, we aim to investigate the association between poverty level, as an indicator of SES, and COVID-19 related clinical outcomes including hospitalization and all-cause mortality. This retrospective cohort study included 3528 patients with laboratory confirmed COVID-19 seen at a large New York City health system between March 1, 2020 and April 1, 2020. Data for neighborhood level poverty was acquired from the American Community Survey 2014–2018 and defined as the percent of residents in each ZIP code whose household income was below the federal poverty threshold (FPT): 0% to < 20% below FPT (low poverty) and > 20% below FPT (high poverty). COVID-19 positive patients who resided in high poverty areas were significantly younger, had a higher prevalence of comorbidities and were more likely to be of female gender or a racial minority when compared to individuals living in low poverty areas. Residence in a high poverty area was not associated with an increased risk of COVID-19 related hospitalization and was found to be associated with a decreased risk of in-hospital mortality. This study suggests the existence of an unequal socioeconomic gradient in the demographic and clinical presentation of COVID-19 patients including differences in age, gender and race between poverty groups. Further studies are needed to fully assess the intersectionality of SES with the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The Impact of Socioeconomic Status on the Clinical Outcomes of COVID-19; a Retrospective Cohort Study.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Community+Health%22&quot;&gt;Journal of Community Health&lt;/searchLink&gt;. Aug2021, Vol. 46 Issue 4, p794-802. 9p. 3 Charts, 1 Graph.
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  Data: There have been limited data assessing the influence of disadvantaged socioeconomic status (SES) on the incidence and clinical outcomes of COVID-19 patients within the diverse communities of the United States. Here, we aim to investigate the association between poverty level, as an indicator of SES, and COVID-19 related clinical outcomes including hospitalization and all-cause mortality. This retrospective cohort study included 3528 patients with laboratory confirmed COVID-19 seen at a large New York City health system between March 1, 2020 and April 1, 2020. Data for neighborhood level poverty was acquired from the American Community Survey 2014–2018 and defined as the percent of residents in each ZIP code whose household income was below the federal poverty threshold (FPT): 0% to &lt; 20% below FPT (low poverty) and &gt; 20% below FPT (high poverty). COVID-19 positive patients who resided in high poverty areas were significantly younger, had a higher prevalence of comorbidities and were more likely to be of female gender or a racial minority when compared to individuals living in low poverty areas. Residence in a high poverty area was not associated with an increased risk of COVID-19 related hospitalization and was found to be associated with a decreased risk of in-hospital mortality. This study suggests the existence of an unequal socioeconomic gradient in the demographic and clinical presentation of COVID-19 patients including differences in age, gender and race between poverty groups. Further studies are needed to fully assess the intersectionality of SES with the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=151627859
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10900-020-00944-3
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 794
    Subjects:
      – SubjectFull: Economic status
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: COVID-19
        Type: general
      – SubjectFull: Minorities
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Income
        Type: general
      – SubjectFull: Poverty areas
        Type: general
      – SubjectFull: Infectious disease transmission
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: New York (State)
        Type: general
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      – TitleFull: The Impact of Socioeconomic Status on the Clinical Outcomes of COVID-19; a Retrospective Cohort Study.
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            – D: 01
              M: 08
              Text: Aug2021
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              Y: 2021
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