Coronavirus testing disparities associated with community level deprivation, racial inequalities, and food insecurity in West Virginia.
COVID-19 testing
Health disparities
Rural
Spatial analysis
Journal
Annals of epidemiology
ISSN: 1873-2585
Titre abrégé: Ann Epidemiol
Pays: United States
ID NLM: 9100013
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
received:
04
01
2021
revised:
25
03
2021
accepted:
25
03
2021
pubmed:
5
4
2021
medline:
25
6
2021
entrez:
4
4
2021
Statut:
ppublish
Résumé
Social determinants of health and racial inequalities impact healthcare access and subsequent coronavirus testing. Limited studies have described the impact of these inequities on rural minorities living in Appalachia. This study investigates factors affecting testing in rural communities. PCR testing data were obtained for March through September 2020. Spatial regression analyses were fit at the census tract level. Model outcomes included testing and positivity rate. Covariates included rurality, percent Black population, food insecurity, and area deprivation index (a comprehensive indicator of socioeconomic status). Small clusters in coronavirus testing were detected sporadically, while test positivity clustered in mideastern and southwestern WV. In regression analyses, percent food insecurity (IRR = 3.69×10 Findings highlight disparities in coronavirus testing among communities with rural minorities. Limited testing in these communities may misrepresent coronavirus incidence.
Identifiants
pubmed: 33812965
pii: S1047-2797(21)00053-3
doi: 10.1016/j.annepidem.2021.03.009
pmc: PMC9558346
mid: NIHMS1690512
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
44-49Subventions
Organisme : NIGMS NIH HHS
ID : U54 GM104942
Pays : United States
Commentaires et corrections
Type : ErratumIn
Informations de copyright
Copyright © 2021. Published by Elsevier Inc.
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