1. COVID-19 treatment resource disparities and social disadvantage in New York City
- Author
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Andrew M. Subica and Jason A. Douglas
- Subjects
Male ,Epidemiology ,Hospital bed ,Ethnic group ,01 natural sciences ,Health Services Accessibility ,law.invention ,0302 clinical medicine ,Social disadvantage ,law ,Health care ,80 and over ,Ethnicity ,030212 general & internal medicine ,Aged, 80 and over ,Hospital resources ,Hispanic or Latino ,Middle Aged ,Intensive care unit ,Health equity ,Race Factors ,Public Health and Health Services ,Viral testing ,Female ,Public Health ,Adult ,medicine.medical_specialty ,Resource (biology) ,Race ,Short Communication ,White People ,03 medical and health sciences ,medicine ,Humans ,0101 mathematics ,Healthcare Disparities ,Pandemics ,Aged ,business.industry ,SARS-CoV-2 ,Prevention ,Public health ,010102 general mathematics ,Public Health, Environmental and Occupational Health ,COVID-19 ,Human Movement and Sports Sciences ,Disadvantaged ,COVID-19 Drug Treatment ,Black or African American ,Good Health and Well Being ,Socioeconomic Factors ,New York City ,Health disparities ,business ,Demography - Abstract
Black and Hispanic communities in the U.S. have endured a disproportionate burden of COVID-19-related morbidity and mortality. Racial and ethnic health disparities such as these are frequently aggravated by inequitable access to healthcare resources in disadvantaged communities. Yet, no known studies have investigated disadvantaged communities' access to COVID-19-related healthcare resources. The current study accordingly examined racial and ethnic differences in (1) April 2020 COVID-19 total and positive viral test rates across 177 New York City (NYC) ZIP Code Tabulation Areas (ZCTA); and (2) November 2019-April 2020 licensed and intensive care unit (ICU) hospital bed access across 194 NYC ZCTAs. Pairwise analyses indicated higher COVID-19 total and positive test rates per 1000 persons in majority Black and Hispanic vs. majority White ZCTAs (CI [0.117, 4.55]; CI [2.53, 5.14]). Multiple linear regression analyses indicated that higher percentage of Black and Hispanic residents predicted more total COVID-19 tests per 1000 persons (p 
- Published
- 2020