Variation over Time in Child and Neighborhood Characteristics Associated with Covid-19
Bibliographic Data
| ID | 19578331 |
|---|---|
| Authors | Seán Lang (0000-0002-7115-1506, Children's Hospital Colorado), Lori Silveira (0000-0002-2826-7036, University of Colorado Anschutz Medical Campus), Christiana Smith (0000-0002-4611-6477, Children's Hospital Colorado), L Abuogi (0000-0003-1492-5090, Children's Hospital Colorado), Lisa Ross Decamp (0000-0002-5210-4675, Outcomes Research Consortium, corresponding author) |
| Year | 2023 |
| Volume | 7 |
| Issue | 1 |
| Pages | 676-684 |
| Publication date | 2023-10-01 |
| 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.2022.0213 |
| PMID | 37908402 |
| OpenAlex | W4387475396 |
| Language | EN |
| Citations received | 1 |
| References cited | 36 |
Introduction: To examine the associations between child and neighborhood characteristics and incidence of COVID-19 infection during the first 19 months of the pandemic. Study Design: We utilized individual electronic health record data and corresponding census tract characteristics for pediatric SARS-CoV-2 cases (age <18 years) from March 23, 2020 to September 30, 2021 with molecular tests resulted at a children's health system in Colorado. We compared associations between individual SARS-CoV-2 cases and census tract SARS-CoV-2 positivity rates over three time periods (TP1: March–September 2020; TP2: October 2020–March 2021; TP3: April–September 2021) using multinomial logistic regression for individual associations and negative binomial regression for census tract associations. Results: We included 7498 pediatric SARS-CoV-2 cases and data from 711 corresponding census tracts. Spanish preferred health care language was associated with SARS-CoV-2 positivity for TP1 (odds ratio [OR] 4.9, 95% confidence interval [CI] 3.7–6.5) and TP2 (OR 2.01, 95% CI 1.6–2.6) compared with TP3. Other non-English preferred health care language was associated with SARS-CoV-2 positivity in TP1 (OR 2.4, 95% CI 1.4–4.2). Increasing percentage internationally born in a census tract was associated with SARS-CoV-2 positivity for TP1 (multivariable incident rate ratio [IRR]=1.040, p<0.0001), TP2 (multivariable IRR=1.028, p<0.0001), and in all TP combined (multivariable IRR=1.024, p<0.0001). Discussion: Our study is notable for the identification of COVID-19 disparities among children in immigrant families and communities, particularly early in the pandemic. Addressing disparities for immigrant communities requires targeted investments in public health infrastructure
Census · Census tract · Confidence interval · Disease · Environmental health · Logistic regression · Multinomial logistic regression · Odds · Odds ratio · Population · Rate ratio · Statistics · Demography · Emergency and Acute Care Studies · Health disparities and outcomes · Medicine · Migration, Health and Trauma · Internal Medicine
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| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |