Evidence map›Paper›PMID 35538564›Full record

ArticleBMC public health2022

Urban and sub-urban disparities in health outcomes among patients with COVID-19; a cross-sectional study of 234 418 patients in Iran.

Mohammad-Reza Sohrabi, Rozhin Amin, Ali Maher, Khatereh Hannani, Hossein Alimohammadi, Ali-Reza Zali

Abstract read
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Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mohammad-Reza SohrabiCommunity Medicine Department, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Rozhin AminCommunity Medicine Department, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ali MaherSchool of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Khatereh HannaniStatistics & Information Technology Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hossein AlimohammadiEmergency Department, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ali-Reza ZaliFunctional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. drazali@sbmu.ac.ir.ORCID 0000-0002-9600-1520

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt remains crucial to understand socio-demographic determinants of COVID-19 infection to improve access to care and recovery rates from the disease. This study aimed to investigate the urban and sub-urban disparities associated with COVID-19 in patients visiting healthcare facilities in the province of Tehran, Iran.

methodsData from 234 418 patients who were diagnosed with COVID-19 infection from March 2020 to March 2021 in the province of Tehran were used in this analysis. Descriptive statistics were used to describe the characteristics of the study population. Chi-Squared test was applied to examine the association of study variables with residing area. Independent samples t-test was performed to compare mean age of patients in urban and sub-urban areas. Multiple Logistic Regression model was applied to examine the association of study variables with disease outcome.

resultsOverall, most patients resided in the urban settings (73%). Mean age of patients was significantly lower in sub-urban areas compared to their counterparts in urban settings (49 ± 23.1 years versus 53 ± 21.1 years, P < 0.001). Positive PCR test results were more common in urban areas (48.5% versus 41.3%, P < 0.001). Yet, sub-urban settings had higher rates of positive chest CT scan reports (62.8% versus 53.4%, P < 0.001). After accounting for age and sex covariates, residing in urban areas was associated with higher likelihood of being admitted to an ICU (OR = 1.27, CI: 1.240-1.305). Yet, a greater vulnerability to fatal outcome of COVID-19 infection was shown in patients living in sub-urban areas (OR = 1.13, CI: 1.105-1.175).

conclusionsThis study revealed a clear disparity in the health outcome of patients infected with COVID-19 between urban and sub-urban areas.

Indexed as

COVID-19AdultAgedCross-Sectional StudiesHumansIranMiddle AgedOutcome Assessment, Health CareSARS-CoV-2Covid-19DeterminantsDisparitiesHealth outcomeIranPandemicSARS-CoV-2SpatialSub-urbanUrban

Identifiers

PMID35538564
PMCPMC9086413

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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.