ArticleJournal of community health2021
The Association Between Neighborhood Social Vulnerability and COVID-19 Testing, Positivity, and Incidence in Alabama and Louisiana.
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 25 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence.International journal of environmental research and public health · 2022Pooled it
- Trial
- Start from the end: Policy exploration to inform effective and consistent interventions applied to COVID-19 in St. Louis.PNAS nexus · 2026Article
- Low SARS-CoV-2 Positivity in a Large, Diverse US-Based Study of Persons Affected by HIV.AIDS and behavior · 2026Article
- Diagnostic Testing Preferences in Rural and Vulnerable Populations During a Pandemic: Discrete Choice Experiment.JMIR public health and surveillance · 2025Article
- The Dynamic Impact of Community Social Vulnerability on COVID-19 Outcomes: A Census Tract-level Analysis of Fulton County, Georgia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- The Role of Testing and Vaccination in Mediating Social Vulnerability and COVID-19 Prevalence in Southern Nevada.International journal of environmental research and public health · 2025Article
- Adaption and Validation of Scales to Measure COVID-19 Stigma Attitudes and Perceptions.Stigma and health · 2024Article
- State variation in neighborhood COVID-19 burden across the United States.Communications medicine · 2024Article
- Understanding social risk factors of county-level disparities in COVID-19 tests per confirmed case in South Carolina using statewide electronic health records data.BMC public health · 2023Article
- Adoption of a National Prophylactic Anticoagulation Guideline for Hospitalized Pregnant Women With COVID-19: Retrospective Cohort Study.JMIR public health and surveillance · 2023Article
- Socioeconomic disparities and concentration of the spread of the COVID-19 pandemic in the province of Quebec, Canada.BMC public health · 2023Article
- Place, Race, and Case: Examining Racialized Economic Segregation and COVID-19 in Louisiana.Journal of racial and ethnic health disparities · 2023Article
- Inclusion of Race and Ethnicity With Neighborhood Socioeconomic Deprivation When Assessing COVID-19 Hospitalization Risk Among California Veterans Health Administration Users.JAMA network open · 2023Article
- A neighborhood-level analysis of association between social vulnerability and COVID-19 in ahvaz, Iran.International journal of disaster risk reduction : IJDRR · 2023Article
- A county-level analysis of association between social vulnerability and COVID-19 cases in Khuzestan Province, Iran.International journal of disaster risk reduction : IJDRR · 2023Article
- Community vulnerability to the COVID-19 pandemic: A narrative synthesis from an ecological perspective.Journal of global health · 2022Article
- Article
- Exploring spatial distribution of social vulnerability and its relationship with the Coronavirus disease 2019: the Capital region of South Korea.BMC public health · 2022Article
- Ryan White programming that primarily supports clinical care falls short when core people needs are not met: further evidence from the medical monitoring project.AIDS (London, England) · 2022Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
Racial/ethnic and socioeconomic disparities in COVID-19 burden have been widely reported. Using data from the state health departments of Alabama and Louisiana aggregated to residential Census tracts, we assessed the relationship between social vulnerability and COVID-19 testing rates, test positivity, and incidence. Data were cumulative for the period of February 27, 2020 to October 7, 2020. We estimated the association of the 2018 Social Vulnerability Index (SVI) overall score and theme scores with COVID-19 tests, test positivity, and cases using multivariable negative binomial regressions. We adjusted for rurality with 2010 Rural-Urban Commuting Area codes. Regional effects were modeled as fixed effects of counties/parishes and state health department regions. The analytical sample included 1160 Alabama and 1105 Louisiana Census tracts. In both states, overall social vulnerability and vulnerability themes were significantly associated with increased COVID-19 case rates (RR 1.57, 95% CI 1.45-1.70 for Alabama; RR 1.36, 95% CI 1.26-1.46 for Louisiana). There was increased COVID-19 testing with higher overall vulnerability in Louisiana (RR 1.26, 95% CI 1.14-1.38), but not in Alabama (RR 0.95, 95% CI 0.89-1.02). Consequently, test positivity in Alabama was significantly associated with social vulnerability (RR 1.66, 95% CI 1.57-1.75), whereas no such relationship was observed in Louisiana (RR 1.05, 95% CI 0.98-1.12). Social vulnerability is a risk factor for COVID-19 infection, particularly among racial/ethnic minorities and those in disadvantaged housing conditions without transportation. Increased testing targeted to vulnerable communities may contribute to reduction in test positivity and overall COVID-19 disparities.
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Registered trials
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.