Health Inequity in Georgia During the Covid-19 Pandemic
An Ecological Analysis Assessing the Relationship Between County-Level Racial/Ethnic and Economic Polarization Using the ICE and Sars-CoV-2 Cases, Hospitalizations, and Deaths in Georgia as of October 2020
Bibliographic Data
| ID | 19578392 |
|---|---|
| Authors | Amit Eichenbaum (0000-0001-6749-164X, University of Georgia, corresponding author), Allan D Tate, Allan Tate (0000-0001-6039-2868, University of Georgia) |
| Year | 2022 |
| Volume | 6 |
| Issue | 1 |
| Pages | 230-239 |
| Publication date | 2022-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Equity (JOURNAL) |
| Journal identifiers | ISSN: 2473-1242 • E-ISSN: 2473-1242 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1089/heq.2021.0118 |
| PMID | 35402766 |
| OpenAlex | W4220751154 |
| Language | EN |
| Citations received | 2 |
| References cited | 26 |
Introduction: The coronavirus disease 2019 (COVID-19) pandemic disproportionately burdens communities of color in the United States. The prevalence of preexisting conditions in these populations has not accounted for the observed health inequities. A growing body of research indicates a significant role of racialized residential segregation and income inequality on health outcomes. The Index of Concentration at the Extremes (ICE) is a metric which captures socio-spatial and economic polarization that has proven to be a valuable predictor of a large variety of health outcomes. Objectives: The primary objective of this ecologic study was to determine the impact of socio-spatial and economic segregation on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) morbidity and mortality in Georgia. Methods: The ICE scores for racial/ethnic, economic, and racialized economic segregation for each county in Georgia (n=159) were calculated and investigated as predictors of increased SARS-CoV-2 positivity rate, case-hospitalization rate, and case-mortality rate after controlling for the prevalence of preexisting conditions (diabetes, obesity, and smoking) and potential barriers to care (uninsured rate). Results: Counties with the largest income disparity had 1.57 times the case rate (p<0.0001) and 1.7 times (p<0.01) the case-mortality rate compared to the most privileged counties. Cases in counties with the largest racialized economic segregation were 1.8 times more likely to be hospitalized (p<0.0001). Conclusion: Racialized economic segregation is a strong correlate of pandemic health inequities in Georgia and highlights the need for structural interventions to address barriers to minority and vulnerable population health. Increased focus and efforts to address the structural and systematic barriers faced by communities of color is necessary to address health inequities
Disease · Economic growth · Economics · Environmental health · Ethnic group · Geography · Health care · Health equity · Mortality rate · Pandemic · Political science · Population · Psychological intervention · Public health · Sociology · Demography · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine · Public Health Policies and Education
Racial Disparities in Covid‐19 Mortality Among Essential Workers in the United States
Using the Index of Concentration at the Extremes at multiple geographical levels to monitor health inequities in an era of growing spatial social polarization
Disparities In Outcomes Among Covid-19 Patients In A Large Health Care System In California
Pandemic Influenza Planning in the United States from a Health Disparities Perspective
Use of Census-based Aggregate Variables to Proxy for Socioeconomic Group
Covid-19 And Racial/Ethnic Disparities In Health Risk, Employment, And Household Composition
Black–White Risk Differentials in Covid-19 (Sars-COV2) Transmission, Mortality and Case Fatality in the United States
Residential Environments and Cardiovascular Risk
Black carbon exposure, socioeconomic and racial/ethnic spatial polarization, and the Index of Concentration at the Extremes (ICE)
Using Index of Concentration at the Extremes as Indicators of Structural Racism to Evaluate the Association with Preterm Birth and Infant Mortality—California, 2011–2012
Local Residential Segregation Matters
Spatial social polarisation
Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes
Association of Age and Comorbidity on 2009 Influenza A Pandemic H1N1-Related Intensive Care Unit Stay in Massachusetts
Moving Toward Paradigm-Shifting Research in Health Disparities Through Translational, Transformational, and Transdisciplinary Approaches
Structural Interventions to Reduce and Eliminate Health Disparities
Disparities in Influenza Treatment Among Disabled Medicaid Patients in Georgia
Racial Disparities in Exposure, Susceptibility, and Access to Health Care in the US H1N1 Influenza Pandemic
The Color of Covid-19
Fighting for America's Paradise
The role of geographic scale in testing the income inequality hypothesis as an explanation of health disparities
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |