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. 2020 Sep;59(3):326-332.
doi: 10.1016/j.amepre.2020.06.005. Epub 2020 Jun 25.

Disparities in COVID-19 Testing and Positivity in New York City

Wil Lieberman-Cribbin  1 , Stephanie Tuminello  2 , Raja M Flores  3 , Emanuela Taioli  4
Affiliations

Disparities in COVID-19 Testing and Positivity in New York City

Wil Lieberman-Cribbin et al. Am J Prev Med. 2020 Sep.

Abstract

Introduction: Existing socioeconomic and racial disparities in healthcare access in New York City have likely impacted the public health response to COVID-19. An ecological study was performed to determine the spatial distribution of COVID-19 testing by ZIP code Tabulation Area and investigate if testing was associated with race or SES.

Methods: Data were obtained from the New York City coronavirus data repository and 2018 American Community Survey 5-year estimates. A combined index of SES was created using principal component analysis and incorporated household income, gross rent, poverty, education, working class status, unemployment, and occupants per room. Multivariable Poisson regressions were performed to predict the number of total tests and the ratio of positive tests to total tests performed, using the SES index, racial composition, and Hispanic composition as predictors.

Results: The number of total tests significantly increased with the increasing proportion of white residents (β=0.004, SE=0.001, p=0.0032) but not with increasing Hispanic composition or SES index score. The ratio of positive tests to total tests significantly decreased with the increasing proportion of white residents in the ZIP code Tabulation Area (β= -0.003, SE=0.000 6, p<0.001) and with increasing SES index score (β= -0.001 6, SE=0.0007, p=0.0159).

Conclusions: In New York City, COVID-19 testing has not been proportional to need; existing socioeconomic and racial disparities in healthcare access have likely impacted public health response. There is urgent need for widespread testing and public health outreach for the most vulnerable communities in New York City.

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Figures

Figure 1
Figure 1
Spatial distribution of the proportion of total tests/population (%) (top-left), positive tests/total tests (%) (middle-left), SES index (top-right), proportion white race alone (bottom-right), and Hispanic proportion (bottom-middle) across NYC. Proportion total tests/population (%) displayed in hundreds of residents. NYC, New York City.
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References

    1. WHO. Coronavirus disease (COVID-19) Situation Report - 154. Geneva, Switzerland: WHO.https://www.who.int/docs/default-source/coronaviruse/situation-reports/2.... Published June 22, 2020. Accessed June 22, 2020.
    1. NYC coronavirus disease 2019 (COVID-19) data. New York City Department of Health. https://github.com/nychealth/coronavirus-data. Updated daily. Accessed June 22, 2020.
    1. Overview of testing for SARS-CoV-2. Centers for Disease Control and Prevention (CDC). www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-criteria.html. Updated July 2, 2020. Accessed April 13, 2020.
    1. Shear MD, Goodnough A, Kaplan S, Fink S, Thomas K, Weiland N. The lost month: how a failure to test blinded the U.S. to Covid-19. New York Times. March 28, 2020 www.nytimes.com/2020/03/28/us/testing-coronavirus-pandemic.html. Updated April 1, 2020. Accessed April 13, 2020.
    1. Testing for COVID-19. Centers for Disease Control and Prevention (CDC).www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html. Updated June 24, 2020. Accessed April 13, 2020.

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