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Differences in COVID-19 Risk by Race and County-Level Social Determinants of Health among Veterans.
Abdel Magid, Hoda S; Ferguson, Jacqueline M; Van Cleve, Raymond; Purnell, Amanda L; Osborne, Thomas F.
  • Abdel Magid HS; VA Palo Alto Healthcare System, US Department of Veterans Affairs, Palo Alto, CA 94304, USA.
  • Ferguson JM; Department of Epidemiology and Population Health, Stanford University, Stanford, CA 94305, USA.
  • Van Cleve R; Stanford Center for Population Health Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA.
  • Purnell AL; Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, MDP-152, 705 Willow Road, Menlo Park, CA 94025, USA.
  • Osborne TF; VA Palo Alto Healthcare System, US Department of Veterans Affairs, Palo Alto, CA 94304, USA.
Int J Environ Res Public Health ; 18(24)2021 12 13.
Article in English | MEDLINE | ID: covidwho-1572470
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ABSTRACT
COVID-19 disparities by area-level social determinants of health (SDH) have been a significant public health concern and may also be impacting U.S. Veterans. This retrospective analysis was designed to inform optimal care and prevention strategies at the U.S. Department of Veterans Affairs (VA) and utilized COVID-19 data from the VAs EHR and geographically linked county-level data from 18 area-based socioeconomic measures. The risk of testing positive with Veterans' county-level SDHs, adjusting for demographics, comorbidities, and facility characteristics, was calculated using generalized linear models. We found an exposure-response relationship whereby individual COVID-19 infection risk increased with each increasing quartile of adverse county-level SDH, such as the percentage of residents in a county without a college degree, eligible for Medicaid, and living in crowded housing.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Veterans / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph182413140

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Veterans / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: North America Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph182413140