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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Soc+Sci+Med 2021 ; 268 (ä): 113554 Nephropedia Template TP
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Socioeconomic inequalities in the spread of coronavirus-19 in the United States: A examination of the emergence of social inequalities #MMPMID33308911
Clouston SAP; Natale G; Link BG
Soc Sci Med 2021[Jan]; 268 (ä): 113554 PMID33308911show ga
OBJECTIVES: To quantify the contribution variation in socioeconomic status in predicting the distribution of COVID-19 cases and deaths. METHODS: Analyses used incidence data on daily COVID + case counts from all counties from the initial wave of infections, merged with data from the U.S. census data to measure county-level SES and confounders. Multivariable analyses relied on survival analyses and Poisson regression to examine timing of county-level index cases and of COVID-19 incidence and mortality in infected counties to examine the spread and severity of COVID-19 while adjusting for adjusted for Black race, Hispanic ethnicity, age, gender, and urbanicity. Effect moderation by social distancing parameters was examined. RESULTS: Results indicate that higher SES was associated with earlier incidence of index cases, but that as social distancing took place inequalities in SES inverted so that growth in incidence was slower in higher SES counties, where case-fatality rates were lower. CONCLUSIONS: This study is the first to date to show what happens when an opportunistic disease that could affect anyone meets the American system of inequality and is powerfully shaped by it.
|*Health Status Disparities[MESH]
|Aged[MESH]
|Black or African American/statistics & numerical data[MESH]
|COVID-19/*epidemiology/ethnology[MESH]
|Female[MESH]
|Hispanic or Latino/statistics & numerical data[MESH]