Prevalence of Pre-existing Conditions Among Community Health Center Patients With COVID-19: Implications for the Patient Protection and Affordable Care Act

Nathalie Huguet; Teresa Schmidt; Annie Larson; Jean O’Malley; Megan Hoopes; Heather Angier; Miguel Marino; Jennifer DeVoe

doi:10.3122/jabfm.2021.S1.200571

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Table 1.

Prevalence of One or More Pre-existing Conditions Among Community Health Center Patients Aged 19 to 64 and Among Those Positive for COVID-19 by Race/Ethnicity

	Patients with a visit between January 1, 2019 and February 29, 2020		Patients with COVID-19^b (March 1, 2020 to October 10, 2020)
	No. patients	% patients with pre-existing conditions^a by February 29, 2020	No. patients	% patients with pre-existing conditions^a by October 10, 2020	% patients without pre-existing conditions^a by October 10, 2020
All patients	784,332	61%	7532	67%	33%
Hispanic	248,942	55%	4391	64%	36%
Non-Hispanic Asian	30,684	44%	244	49%	51%
Non-Hispanic black	138,875	60%	1474	72%	28%
Non-Hispanic other	13,466	68%	72	79%	21%
Non-Hispanic white	285,175	71%	1004	78%	22%
Unknown	67,190	55%	347	63%	37%

↵a Pre-existing conditions include HIV/AIDS; lupus; alcohol and drug abuse (excludes tobacco use); mental disorders (eg, depression, bipolar disorder); Alzheimer's/dementia; multiple sclerosis; rheumatoid arthritis, fibromyalgia and other inflammatory joint diseases; muscular dystrophy; cancer other than skin; severe obesity; cerebral palsy; congestive heart failure; paraplegia and paralysis; coronary artery disease; Crohn's disease and ulcerative colitis; Parkinson's disease; chronic obstructive pulmonary disease, emphysema, and asthma; diabetes mellitus; pneumocystic pneumonia; epilepsy; hemophilia; sleep apnea; hepatitis; stroke; and kidney disease/renal failure. Pre-existing conditions identified among patient with an in-person office visit between January 1, 2019 and February 29, 2020.
↵b Patients with COVID-19 are those with a positive laboratory result in their electronic health record or a COVID-19 diagnosis code.