Persistent disparities in SARS-CoV-2 test percent positivity by neighborhood in New York City, March 1-July 25, 2020.
Ann Epidemiol
; 63: 46-51, 2021 11.
Article
in English
| MEDLINE | ID: covidwho-1351545
ABSTRACT
PURPOSE:
To examine neighborhood-level disparities in SARS-CoV-2 molecular test percent positivity in New York City (NYC) by demographics and socioeconomic status over time to better understand COVID-19 inequities.METHODS:
Across 177 neighborhoods, we calculated the Spearman correlation of neighborhood characteristics with SARS-CoV-2 molecular test percent positivity during March 1-July 25, 2020 by five periods defined by trend in case counts increasing, declining, and three plateau periods to account for differential testing capacity and reopening status.RESULTS:
Percent positivity was positively correlated with neighborhood racial and ethnic characteristics and socioeconomic status, including the proportion of the population who were Latino and Black non-Latino, uninsured, Medicaid enrollees, transportation workers, or had low educational attainment. Correlations were generally consistent over time despite increasing testing rates. Neighborhoods with high proportions of these correlates had median percent positivity values of 62.6%, 28.7%, 6.4%, 2.8%, and 2.2% in the five periods, respectively, compared with 40.6%, 11.7%, 1.7%, 0.9%, and 1.0% in neighborhoods with low proportions of these correlates.CONCLUSIONS:
Disparities in SARS-CoV-2 molecular test percent positivity persisted in disadvantaged neighborhoods during multiple phases of the first few months of the COVID-19 epidemic in NYC. Mitigation of the COVID-19 burden is still urgently needed in disproportionately affected communities.Keywords
ACS, American community survey; CI, confidence interval; COVID-19, SARS-CoV-2, Health status disparities, Race factors, Residence characteristics, Socioeconomic factors, Population surveillance, Epidemiology, Abbreviations, SES, socioeconomic status; NYC DOHMH, New York City Department of Health and Mental Hygiene; NYC, New York City; modZCTA, modified ZIP Code tabulation area
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
SARS-CoV-2
/
COVID-19
Type of study:
Observational study
Limits:
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Ann Epidemiol
Journal subject:
Epidemiology
Year:
2021
Document Type:
Article
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