Evidence map›Paper›PMID 32671516›Full record

ArticleJournal of community health2021

Social Determinants of Health and Risk of SARS-CoV-2 Infection in Community-Dwelling Older Adults Living in a Rural Latin American Setting.

Oscar H Del Brutto, Robertino M Mera, Bettsy Y Recalde, Aldo F Costa

Open access · bronzeAbstract read
In one paragraph

Article in Journal of community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 27 citations in OpenAlex.

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  15. The Association of Social Determinants of Health With COVID-19 Mortality in Rural and Urban Counties.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Oscar H Del BruttoSchool of Medicine, Universidad Espíritu Santo - Ecuador, Samborondón, Ecuador. oscardelbrutto@hotmail.com.ORCID 0000-0003-1917-8805
Robertino M MeraDepartment of Epidemiology, Gilead Sciences, Inc., Foster City, CA, USA.
Bettsy Y RecaldeCommunity Center, The Atahualpa Project, Atahualpa, Ecuador.
Aldo F CostaCommunity Center, The Atahualpa Project, Atahualpa, Ecuador.
Gilead Sciences (United States) · USMiami Dade College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High social risk, as measured by the social determinants of health (SDH), may increase the risk of SARS-CoV-2 infection. However, this association has not been studied in rural communities. Using the Atahualpa Project cohort, we aimed to assess the association between SDH and SARS-CoV-2 seropositivity in community-dwelling older adults living in rural Ecuador. SARS-CoV-2 antibodies were determined in 319 individuals aged ≥ 60 years that completed a validated field instrument to assess their social risk before the introduction of this novel pandemic. Multivariate models were fitted to assess the independent association between SDH-and each of their components-and SARS-CoV-2 seropositivity, after adjusting for relevant covariates. According to the Gijon scale, 102 (32%) individuals had a high social risk (≥ 10 points). A total of 141 (44%) individuals were seropositive to SARS-CoV-2. A fully-adjusted logistic regression model showed an independent) association between social risk and SARS-CoV-2 positivity (OR 1.15; 95% CI 1.04-1.27; p = 0.008). For every unit of the total SDH score, the odds of SARS-CoV-2 seropositivity increased 15% (95% CI 3.7-27%). In addition, multivariate models showed that the individual component of SDH more strongly associated with SARS-CoV-2 seropositivity was housing, which suggested that lack of basic home facilities may increase the risk of SARS-CoV-2 infection. Knowledge on the association between high social risk and SARS-CoV-2 infection is indispensable for the development of cost-effective preventive strategies for controlling modifiable factors that are in the path of SARS-CoV-2 infection among older adults living in underserved communities.

Indexed as

AgedCohort StudiesCOVID-19EcuadorFemaleHumansIndependent LivingLatin AmericaLogistic ModelsMalePopulation DensityPrevalenceRural PopulationSocial Determinants of HealthSocioeconomic FactorsOlder adultsRural communitiesSARS-CoV-2Social determinants of health

Identifiers

PMID32671516
PMCPMC7363014
OpenAlexW3040904916

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.