Socioeconomically Disadvantaged Neighborhoods Face Increased Persistence of Sars-CoV-2 Clusters
Bibliographic Data
| ID | 22075957 |
|---|---|
| Authors | David De Ridder (0000-0001-6462-2501, University of Geneva, corresponding author), José Luís Sandoval (0000-0002-6256-7083, University Hospital of Geneva), Jose Sandoval, Nicolas Vuilleumier (0000-0002-1122-438X, University Hospital of Geneva), Andrew S Azman (0000-0001-8662-9077, Johns Hopkins University), Silvia Stringhini (0000-0002-4387-8943, University Hospital of Geneva), Laurent Kaiser (0000-0002-0857-2252, University Hospital of Geneva), Stéphane Joost (0000-0002-1184-7501, University of Geneva), Idris Guessous (0000-0002-0491-6089, University of Geneva, corresponding author) |
| Year | 2021 |
| Volume | 8 |
| Pages | 626090-626090 |
| Publication date | 2021-01-27 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2020.626090 |
| PMID | 33614571 |
| OpenAlex | W3121975982 |
| Language | EN |
| Citations received | 8 |
| References cited | 11 |
Objective: To investigate the association between socioeconomic deprivation and the persistence of SARS-CoV-2 clusters. Methods: We analyzed 3,355 SARS-CoV-2 positive test results in the state of Geneva (Switzerland) from February 26 to April 30, 2020. We used a spatiotemporal cluster detection algorithm to monitor SARS-CoV-2 transmission dynamics and defined spatial cluster persistence as the time in days from emergence to disappearance. Using spatial cluster persistence measured outcome and a deprivation index based on neighborhood-level census socioeconomic data, stratified survival functions were estimated using the Kaplan-Meier estimator. Population density adjusted Cox proportional hazards (PH) regression models were then used to examine the association between neighborhood socioeconomic deprivation and persistence of SARS-CoV-2 clusters. Results: SARS-CoV-2 clusters persisted significantly longer in socioeconomically disadvantaged neighborhoods. In the Cox PH model, the standardized deprivation index was associated with an increased spatial cluster persistence (hazard ratio [HR], 1.43 [95% CI, 1.28–1.59]). The adjusted tercile-specific deprivation index HR was 1.82 [95% CI, 1.56–2.17]. Conclusions: The increased risk of infection of disadvantaged individuals may also be due to the persistence of community transmission. These findings further highlight the need for interventions mitigating inequalities in the risk of SARS-CoV-2 infection and thus, of serious illness and mortality
Confidence interval · Environmental health · Hazard ratio · Population · Proportional hazards model · Psychological intervention · Socioeconomic status · COVID-19 epidemiological studies · Data-Driven Disease Surveillance · Demography · Health disparities and outcomes · Medicine · Gerontology · Internal Medicine
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| Citations per year | 1.6 |
|---|---|
| Citation span | 2021 - 2025 (5) |
| Highly cited | No |