Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Lewis, Nathaniel M. ; Friedrichs, Mike ; Wagstaff, Shelly ; Sage, Kylie ; LaCross, Nathan ; ... More +
Lewis, Nathaniel M. ; Friedrichs, Mike ; Wagstaff, Shelly ; Sage, Kylie ; LaCross, Nathan ; Bui, David ; McCaffrey, Keegan ; Barbeau, Bree ; George, Andrea ; Rose, Carolyn ; Willardson, Sarah ; Carter, Amy ; Smoot, Christopher ; Nakashima, Allyn ; Dunn, Angela Less -
Description:
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.
Subject:
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Adult
Aged
Clinical Laboratory Techniques
Coronavirus Infections
COVID-19
COVID-19 Testing
Full Report
Healthcare Disparities
Health Status Disparities
Hospitalization
Humans
Incidence
Middle Aged
Pandemics
Pneumonia, Viral
Poverty Areas
Risk Factors
Young Adult

Source:
MMWR Morb Mortal Wkly Rep. 69(38):1369-1373
Pubmed ID:
32970656
Pubmed Central ID:
PMC7727491
Document Type:
Journal Article
Place as Subject:
Utah
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:5118e2b6d0603ec9a88edb660aa53ca4cb20057157be293faa429762b84616ee
File Type:

Supporting Files

• mm6938a4.nxml

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