Files and links (1)
Published, Version of Record (VoR)CC BY V4.0, Open
Journal article
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
The Lancet Regional Health - Americas, v 10, 100220
Jun 2022
PMID: 35262038
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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.
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.
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.
National Institutes of Health.
Metrics
Details
- Title
- 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
- Creators
- Usama Bilal - Drexel University, Urban Health CollaborativeJohn B. Jemmott - Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaAlina Schnake-Mahl - Drexel University, Urban Health CollaborativeKathleen Murphy - Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaFlorence Momplaisir - Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania
- Publication Details
- The Lancet Regional Health - Americas, v 10, 100220
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics; Health Management and Policy
- Web of Science ID
- WOS:000904628000012
- Scopus ID
- 2-s2.0-85126953453
- Other Identifier
- 991019189129004721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Public, Environmental & Occupational Health