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. 2022 May;50(5):482-490.
doi: 10.1016/j.ajic.2022.02.021. Epub 2022 Mar 12.

Socio-demographic, lifestyle and health characteristics as predictors of self-reported Covid-19 history among older adults: 2006-2020 Health and Retirement Study

Hind A Beydoun  1 , May A Beydoun  2 , Sharmin Hossain  2 , Brook T Alemu  3 , Rana S Gautam  4 , Jordan Weiss  5 , Alan B Zonderman  2
Affiliations

Socio-demographic, lifestyle and health characteristics as predictors of self-reported Covid-19 history among older adults: 2006-2020 Health and Retirement Study

Hind A Beydoun et al. Am J Infect Control. 2022 May.

Abstract

Background: To identify key socio-demographic, lifestyle, and health predictors of self-reported coronavirus disease 2019 (Covid-19) history, examine cardiometabolic health characteristics as predictors of self-reported Covid-19 history and compare groups with and without a history of Covid-19 on trajectories in cardiometabolic health and blood pressure measurements over time, among United States (U.S.) older adults.

Methods: Nationally representative longitudinal data on U.S. older adults from the 2006-2020 Health and Retirement Study were analyzed using logistic and mixed-effects logistic regression models.

Results: Based on logistic regression, number of household members (OR=1.26, 95% CI: 1.05, 1.52), depressive symptoms score (OR = 1.21, 95% CI: 1.04, 1.42) and number of cardiometabolic risk factors or chronic conditions ("1-2" vs "0") (OR = 0.27, 95% CI: 0.11, 0.67) were significant predictors of self-reported Covid-19 history. Based on mixed-effects logistic regression, several statistically significant predictors of Covid-19 history were identified, including female sex (OR = 3.06, 95% CI: 1.57, 5.96), other race (OR = 5.85, 95% CI: 2.37, 14.43), Hispanic ethnicity (OR = 2.66, 95% CI: 1.15, 6.17), number of household members (OR = 1.25, 95% CI: 1.10, 1.42), moderate-to-vigorous physical activity (1-4 times per month vs never) (OR = 0.38, 95% CI: 0.18, 0.78) and number of cardiometabolic risk factors or chronic conditions ("1-2" vs "0") (OR = 0.34, 95% CI: 0.19, 0.60).

Conclusions: Number of household members, depressive symptoms and number of cardiometabolic risk factors or chronic conditions may be key predictors for self-reported Covid-19 history among U.S. older adults. In-depth analyses are needed to confirm preliminary findings.

Keywords: Cardiometabolic; Coronavirus; Epidemiology; Older adults; Prediction.

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Figures

Fig 1
Fig 1
Study flowchart – 2006-2020 Health and Retirement Study.
Fig A1
Fig A.1
Trajectories in body mass index according to presence of Covid-19 history.
Fig A2
Fig A.2
Trajectories in hypertension according to presence of Covid-19 history.
Fig A3
Fig A.3
Trajectories in diabetes according to presence of Covid-19 history.
Fig A4
Fig A.4
Trajectories in heart disease according to presence of Covid-19 history.
Fig A5
Fig A.5
Trajectories in stroke according to presence of Covid-19 history.
Fig A6
Fig A.6
Trajectories in number of cardiometabolic risk factors and chronic conditions according to presence of Covid-19 history.
Fig B1
Fig B.1
Trajectories in systolic blood pressure according to presence of Covid-19 history.
Fig B2
Fig B.2
Trajectories in diastolic blood pressure according to presence of Covid-19 history.
Fig B3
Fig B.3
Trajectories in mean arterial pressure according to presence of Covid-19 history.
See this image and copyright information in PMC

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