Evidence map›Paper›PMID 32727486›Full record

ArticleInternational journal for equity in health2020

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

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

Abstract read
In one paragraph

Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 169 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

169 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Incorporating Social Determinants of Health in Infectious Disease Models: A Systematic Review of Guidelines.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
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  4. Methods Used in the Spatial and Spatiotemporal Analysis of COVID-19 Epidemiology: A Systematic Review.International journal of environmental research and public health · 2022
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109 more citing papers are in PubMed but not listed here.

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

7 authors.

Yelena RozenfeldProvidence Health System (Providence), 1801 Lind Avenue S.W. Valley Office Park - Morin Bldg, 1st Floor Renton, Washington, 98057-9016, USA. Yelena.Rozenfeld@providence.org.ORCID 0000-0002-1801-9928
Jennifer BeamProvidence Health System (Providence), 1801 Lind Avenue S.W. Valley Office Park - Morin Bldg, 1st Floor Renton, Washington, 98057-9016, USA.
Haley MaierProvidence Health System (Providence), 1801 Lind Avenue S.W. Valley Office Park - Morin Bldg, 1st Floor Renton, Washington, 98057-9016, USA.
Whitney HaggersonProvidence Health System (Providence), 1801 Lind Avenue S.W. Valley Office Park - Morin Bldg, 1st Floor Renton, Washington, 98057-9016, USA.
Karen BoudreauProvidence Health System (Providence), 1801 Lind Avenue S.W. Valley Office Park - Morin Bldg, 1st Floor Renton, Washington, 98057-9016, USA.
Jamie CarlsonProvidence Health System (Providence), 1801 Lind Avenue S.W. Valley Office Park - Morin Bldg, 1st Floor Renton, Washington, 98057-9016, USA.
Rhonda MedowsProvidence Health System (Providence) and Ayin Health Solutions, 1801 Lind Avenue S.W. - Valley Office Park - Gamelin Bldg, Executive Office, Renton, Washington, 98057-9016, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBy 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.

methodsA 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.

resultsHigher 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).

conclusionsisk 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.

Indexed as

Health Status DisparitiesAdolescentAdultAgedAged, 80 and overCoronavirus InfectionsCOVID-19FemaleHumansMaleMiddle AgedModels, StatisticalPandemicsPneumonia, ViralRisk FactorsSocial Determinants of HealthCOVID-19DisparitiesInfectionMultivariable modelRisk factorsSocial determinants of health

Identifiers

PMID32727486
PMCPMC7387879

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.