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Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis

Background: Despite the key role of social vulnerability such as economic disadvantage in health outcomes, research is limited on the impact of social vulnerabilities on COVID-19-related deaths, especially at the state and county level in the USA. Methods: We conducted a cross-sectional ecologic ana...

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Autores principales: Nyachoti, Dennis Ogeto, Ranjit, Nalini, Ramphul, Ryan, Whigham, Leah D., Springer, Andrew E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647229/
https://www.ncbi.nlm.nih.gov/pubmed/37947543
http://dx.doi.org/10.3390/ijerph20216985
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author Nyachoti, Dennis Ogeto
Ranjit, Nalini
Ramphul, Ryan
Whigham, Leah D.
Springer, Andrew E.
author_facet Nyachoti, Dennis Ogeto
Ranjit, Nalini
Ramphul, Ryan
Whigham, Leah D.
Springer, Andrew E.
author_sort Nyachoti, Dennis Ogeto
collection PubMed
description Background: Despite the key role of social vulnerability such as economic disadvantage in health outcomes, research is limited on the impact of social vulnerabilities on COVID-19-related deaths, especially at the state and county level in the USA. Methods: We conducted a cross-sectional ecologic analysis of COVID-19 mortality by the county-level Minority Health Social Vulnerability Index (MH SVI) and each of its components in Texas. Negative binomial regression (NBR) analyses were used to estimate the association between the composite MH SVI (and its components) and COVID-19 mortality. Results: A 0.1-unit increase in the overall MH SVI (IRR, 1.27; 95% CI, 1.04–1.55; p = 0.017) was associated with a 27% increase in the COVID-19 mortality rate. Among the MH SVI component measures, only low socioeconomic status (IRR, 1.55; 95% CI, 1.28–1.89; p = 0.001) and higher household composition (e.g., proportion of older population per county) and disability scores (IRR, 1.47; 95% CI, 1.29–1.68; p < 0.001) were positively associated with COVID-19 mortality rates. Conclusions: This study provides further evidence of disparities in COVID-19 mortality by social vulnerability and can inform decisions on the allocation of social resources and services as a strategy for reducing COVID-19 mortality rates and similar pandemics in the future.
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spelling pubmed-106472292023-10-27 Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis Nyachoti, Dennis Ogeto Ranjit, Nalini Ramphul, Ryan Whigham, Leah D. Springer, Andrew E. Int J Environ Res Public Health Article Background: Despite the key role of social vulnerability such as economic disadvantage in health outcomes, research is limited on the impact of social vulnerabilities on COVID-19-related deaths, especially at the state and county level in the USA. Methods: We conducted a cross-sectional ecologic analysis of COVID-19 mortality by the county-level Minority Health Social Vulnerability Index (MH SVI) and each of its components in Texas. Negative binomial regression (NBR) analyses were used to estimate the association between the composite MH SVI (and its components) and COVID-19 mortality. Results: A 0.1-unit increase in the overall MH SVI (IRR, 1.27; 95% CI, 1.04–1.55; p = 0.017) was associated with a 27% increase in the COVID-19 mortality rate. Among the MH SVI component measures, only low socioeconomic status (IRR, 1.55; 95% CI, 1.28–1.89; p = 0.001) and higher household composition (e.g., proportion of older population per county) and disability scores (IRR, 1.47; 95% CI, 1.29–1.68; p < 0.001) were positively associated with COVID-19 mortality rates. Conclusions: This study provides further evidence of disparities in COVID-19 mortality by social vulnerability and can inform decisions on the allocation of social resources and services as a strategy for reducing COVID-19 mortality rates and similar pandemics in the future. MDPI 2023-10-27 /pmc/articles/PMC10647229/ /pubmed/37947543 http://dx.doi.org/10.3390/ijerph20216985 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nyachoti, Dennis Ogeto
Ranjit, Nalini
Ramphul, Ryan
Whigham, Leah D.
Springer, Andrew E.
Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis
title Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis
title_full Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis
title_fullStr Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis
title_full_unstemmed Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis
title_short Association of Social Vulnerability and COVID-19 Mortality Rates in Texas between 15 March 2020, and 21 July 2022: An Ecological Analysis
title_sort association of social vulnerability and covid-19 mortality rates in texas between 15 march 2020, and 21 july 2022: an ecological analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10647229/
https://www.ncbi.nlm.nih.gov/pubmed/37947543
http://dx.doi.org/10.3390/ijerph20216985
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