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[Preprint]. 2020 Sep 15:rs.3.rs-70959.
doi: 10.21203/rs.3.rs-70959/v1.

Social Determinants of Health and COVID-19 Among Patients in New York City

Jennifer Woo Baidal  1 , Amanda Y Wang  2 , Katarina Zumwalt  3 , Dahsan Gary  4 , Yael Greenberg  4 , Ben Cormack  4 , Stephanie Lovinsky-Desir  1 , Kelsey Nichols  1 , Neil Pasco  1 , Andres Nieto  4 , Jessica S Ancker  5 , Jeff Goldsmith  3 , Dodi Meyer  1
Affiliations

Social Determinants of Health and COVID-19 Among Patients in New York City

Jennifer Woo Baidal et al. Res Sq. .

Abstract

Background: Covid-19 testing and disease outcomes according to demographic and neighborhood characteristics must be understood.

Methods: Using aggregate administrative data from a multi-site academic healthcare system in New York from March 1 - May 14, 2020, we examined patient demographic and neighborhood characteristics according to Covid-19 testing and disease outcomes.

Results: Among the 23,918 patients, higher proportions of those over 65 years old, male sex, Hispanic ethnicity, Medicare, or Medicaid insurance had positive tests, were hospitalized, or died than those with younger age, non-Hispanic ethnicity, or private insurance. Patients living in census tracts with more non-White individuals, Hispanic individuals, individuals in poverty, or housing crowding had higher proportions of Covid-19 positive tests, hospitalizations, and deaths than counterparts.

Discussion: Variation exists in Covid-19 testing and disease outcomes according to patient and neighborhood characteristics. There is a need to monitor Covid-19 testing access and disease outcomes and resolve racist policies and practices.

Keywords: Covid-19; housing; racial/ethnic disparities; testing.

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Figures

Figure 1
Figure 1
Neighborhood characteristics according to Covid-19 hospitalizations without death and known deaths. Data from 23,918 patients in New York City with Covid-19.
Figure 2
Figure 2
Covid-19 testing and disease outcomes by zip code. Data from 22,488 NewYork-Presbyterian (NYP) Patients living in New York City. Caption: Data from zip codes with fewer than 50 Covid-19 tests at NYP and Staten Island were excluded in all panels a. Proportion of negative tests per zip code b. Proportion of total cases attributable to NYP patients per zip code c. Case ratio of hospitalizations without known death per zip code d. Death-to-case ratio per zip code
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References

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