The effect of race, socioeconomic status, and comorbidity on patients afflicted with COVID 19: A Local Perspective

Nicholas Mankowski; Zaid Al-Qurayshi; Spenser Souza; Brett Campbell; Adam Beighley; Joshua Denson; Brandon Mauldin; Christine Bojanowski; Paul Friedlander; Jerry Zifodya

doi:10.1016/j.annepidem.2021.09.013

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The effect of race, socioeconomic status, and comorbidity on patients afflicted with COVID 19: A Local Perspective

Journal article

Open access

Peer reviewed

The effect of race, socioeconomic status, and comorbidity on patients afflicted with COVID 19: A Local Perspective

Nicholas Mankowski, Zaid Al-Qurayshi, Spenser Souza, Brett Campbell, Adam Beighley, Joshua Denson, Brandon Mauldin, Christine Bojanowski, Paul Friedlander and Jerry Zifodya

Annals of epidemiology, Vol.64, pp.83-87

12/01/2021

DOI: 10.1016/j.annepidem.2021.09.013

PMCID: PMC8457904

PMID: 34562588

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Abstract

The aim of this study is to further examine the associations of race, socioeconomic factors, and comorbidity with COVID-19 health outcomes. This is a retrospective cohort study of 309 PCR confirmed COVID-19 positive adults who presented to Tulane Medical Center in New Orleans, LA, from March 9 to May 29, 2020. The primary outcomes investigated were need for invasive mechanical ventilation (IMV) and in-hospital mortality. A multivariate analysis was performed to determine socioeconomic and medical risk factors for IMV and in-hospital mortality. Compared to white patients, Black patients were more likely to present younger, female, obese, unemployed, and underinsured. However, when controlled for common risk factors, Black and white patients had similar risk for IMV and mortality. Increased age (≥65 years), obesity, and increased comorbidity were associated with increased risk for IMV and mortality. Race and socioeconomic factors may increase risk for COVID-19 infection but did not affect health outcomes within the hospital setting. Therefore, the higher rates of COVID-19 infection and mortality in vulnerable populations may be better explained by lower socioeconomic status, with subsequent higher comorbidity, in these populations. Community health initiatives should be prioritized in response to the COVID-19 pandemic.

Comorbidity

Healthcare disparities

Racial Factors

Socioeconomic factors

Details

Title: Subtitle: The effect of race, socioeconomic status, and comorbidity on patients afflicted with COVID 19: A Local Perspective
Creators: Nicholas Mankowski - Tulane University
Zaid Al-Qurayshi - University of Iowa
Spenser Souza - University of California, San Francisco
Brett Campbell - Tulane University
Adam Beighley - Tulane University
Joshua Denson - Tulane University
Brandon Mauldin - Tulane University
Christine Bojanowski - Tulane University
Paul Friedlander - Tulane University
Jerry Zifodya - Tulane University
Resource Type: Journal article
Publication Details: Annals of epidemiology, Vol.64, pp.83-87
DOI: 10.1016/j.annepidem.2021.09.013
PMID: 34562588
PMCID: PMC8457904
NLM abbreviation: Ann Epidemiol
ISSN: 1047-2797
eISSN: 1873-2585
Publisher: Elsevier Inc
Number of pages: 5
Grant note: Kl2HD043451 / Eunice Kennedy Shriver National Institute of Child Health & Human Development
Language: English
Date published: 12/01/2021
Academic Unit: Otolaryngology
Record Identifier: 9984702819402771

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