ArticleLancet regional health. Americas2022
Racial/ethnic and neighbourhood social vulnerability disparities in COVID-19 testing positivity, hospitalization, and in-hospital mortality in a large hospital system in Pennsylvania: A prospective study of electronic health records.
Article in Lancet regional health. Americas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 41 citations in OpenAlex.
- Longitudinal Patterns and Predictors of Racial Disparities of HIV Retention in Care: A Statewide Cohort Analysis.AIDS and behavior · 2025Article
- Where you live and where you receive care: Using cross-classified multilevel modeling to examine hospital and neighborhood variation in in-hospital mortality and mortality disparities.Annals of epidemiology · 2025Article
- Final assessment of the COVID-19 pandemic impact between the different social and economic strata population of the city of Buenos Aires.Public health in practice (Oxford, England) · 2024Article
- Social Vulnerability, Intervention Utilization, and Outcomes in US Adults Hospitalized With Influenza.JAMA network open · 2024Article
- Age and urban-rural disparities in cutaneous melanoma mortality rates in the United States during the COVID-19 pandemic.Pigment cell & melanoma research · 2024Article
- Social Disparities and Critical Illness during the Coronavirus Disease 2019 Pandemic: A Narrative Review.Critical care clinics · 2024Review
- Implementation of an Approach to Equitable Allocation of SARS-CoV-2 Monoclonal Antibodies for Preexposure Prophylaxis: Experience From a Single Medical Center.Open forum infectious diseases · 2024Article
- The Impact of the COVID-19 Pandemic on Staffing Levels in Philadelphia Nursing Homes: Disparities Based on the Racial Composition of Geographical Areas.Policy, politics & nursing practice · 2024Article
- One size doesn't fit all: methodological reflections in conducting community-based behavioural science research to tailor COVID-19 vaccination initiatives for public health priority populations.BMC public health · 2024Article
- Breaking Barriers: A Single-Center Real-World Experience With Recruitment and Administration of COVID-19 Monoclonal Antibodies and Opportunities for Improvement.Open forum infectious diseases · 2024Article
- Health equity in COVID-19 testing among patients of a large national pharmacy chain.Frontiers in public health · 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
- Social inequalities and COVID-19 mortality between neighborhoods of Bariloche city, Argentina.International journal for equity in health · 2023Article
- Weighted Lottery to Equitably Allocate Scarce Supply of COVID-19 Monoclonal Antibody.JAMA health forum · 2023Article
- Psychosocial impact of COVID-19 on caregivers and adolescents and young adult survivors of childhood cancer.Pediatric blood & cancer · 2023Article
- The Association of Reported Experiences of Racial and Ethnic Discrimination in Health Care with COVID-19 Vaccination Status and Intent - United States, April 22, 2021-November 26, 2022.MMWR. Morbidity and mortality weekly report · 2023Article
- Health disparities in past influenza pandemics: A scoping review of the literature.SSM - population health · 2023Article
- Racial/ethnic and socioeconomic disparities in COVID-19 infections among working-age women with precancerous cervical lesion in Louisiana: analysis of more than two years of COVID-19 data.Frontiers in epidemiology · 2023Article
- Effect Modification by Social Determinants of Pharmacogenetic Medication Interactions on 90-Day Hospital Readmissions within an Integrated U.S. Healthcare System.Journal of personalized medicine · 2022Article
- Validation of a neighborhood-level COVID Local Risk Index in 47 large U.S. cities.Health & place · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Background: Disparities in COVID-19 mortality by race/ethnicity or neighborhood have been documented using surveillance data. We aimed to describe disparities by race/ethnicity and neighbourhood social vulnerability in COVID-19 positivity, hospitalization, and mortality. Methods: We obtained data from the electronic health records of all individuals who tested positive for COVID-19 in the University of Pennsylvania Health System (UPHS) or were hospitalized with confirmed COVID-19 infection in five UPHS hospitals from March 1, 2020, to March 31, 2021. The main predictors were race/ethnicity and neighbourhood-level social vulnerability. The main outcomes were COVID-19 test positivity, hospitalization with COVID-19, and 30-day in-hospital mortality following hospitalization with COVID-19. Findings: A total of 225,129 unique individuals received COVID-19 testing and 18,995 had a positive test result. A total of 5,794 unique patients were hospitalized with COVID-19 and 511 died in-hospital within 30 days. Racial/ethnic minority groups and residents of higher social vulnerability neighbourhoods had higher test positivity and risk of hospitalization. We did not see in-hospital mortality disparities during the first wave but observed 75% and 68% higher odds of death among Hispanic and Asians compared to Whites during subsequent waves. Interpretation: We observed significant racial/ethnic and neighbourhood disparities in COVID-19 outcomes, especially test positivity and odds of hospitalization, highlighting the importance of equitably improving access to preventive measures to reduce SARS-CoV-2 infection, including reducing exposure to the virus and ensuring equity in vaccination. Funding: National Institutes of Health.
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