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Research ArticleORIGINAL RESEARCH

Association of COVID-19 With Race and Socioeconomic Factors in Family Medicine

Niharika Khanna, Elena N. Klyushnenkova and Alexander Kaysin
The Journal of the American Board of Family Medicine February 2021, 34 (Supplement) S40-S47; DOI: https://doi.org/10.3122/jabfm.2021.S1.200338
Niharika Khanna
From the Department of Family and Community Medicine, University of Maryland Baltimore, Baltimore, Maryland.
MD, MBBS, DGO
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Elena N. Klyushnenkova
From the Department of Family and Community Medicine, University of Maryland Baltimore, Baltimore, Maryland.
PhD
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Alexander Kaysin
From the Department of Family and Community Medicine, University of Maryland Baltimore, Baltimore, Maryland.
MD
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Article Figures & Data

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  • Figure 1.
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    Figure 1.

    Distribution of demographic characteristics in SARS CoV-2–positive cases identified in the UFM practices. Distributions of sex (A), race/ethnicity (B), and State of Maryland ADI ranks (C) are shown for 272 SARS CoV-2–positive cases identified in the UFM practices between March 12, 2020, and June 4, 2020. Numbers on the pie charts are number of cases and percentage in each group. Abbreviations: UFM, University of Maryland Family Medicine; ADI, Area Deprivation Index.

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    Figure 2.

    Parameter estimates for the latent class analysis (LCA).The LCA was performed based on the data from 1781 UFM patients tested for COVID-19 between March 12, 2020, and June 4, 2020. Two classes were prespecified based on the preliminary analysis. The horizontal bars are grouped according to the variables specified in the LCA: MDI ADI rank (left chart) and race/ethnicity (right chart). Numbers on the bars are conditional probability of the response for each level within the respective group, given that the observation belongs to the specific cluster. Sum of probabilities for each cluster and LCA variable is equal to 1. Race/ethnicity groups were defined as described in the legend to Table 1. Abbreviation: MD ADI, State of Maryland Area Deprivation Index.

Tables

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    Table 1.

    Demographic Characteristics of 1781 University of Maryland Family Medicine And Immediate Care Patients Tested for Severe Acute Respiratory Syndrome Coronavirus between March 12, 2020, and June 4, 2020

    VariablesAge (years)All Casesχ2P value
    TotalSARS CoV-2+
    N (%)n% (95% CI)
    Total population1781 (100)27215.3 (13.5–17.0)
    Age groups, years0–1776 (4.3)1519.7 (11.5–30.5).052
    18–24129 (7.2)1612.4 (7.3–19.4)
    25–34374 (21.0)5113.6 (10.3–17.5)
    35–44369 (20.7)7620.6 (16.6–25.1)
    45–54336 (18.9)4613.7 (10.2–17.8)
    55–64326 (18.3)4513.8 (10.3–18.0)
    65+171 (9.6)2313.5 (8.7–19.5)
    SexMales540 (30.3)7413.7 (10.9–16.9).225
    Females1241 (69.7)19816.0 (14.0–18.1)
    Race/ethnicity*Black1060 (59.5)17616.6 (14.4–18.8)<.0001
    White471 (26.5)449.3 (6.9–12.3)
    Hispanic84 (4.7)3136.9 (26.6–47.2)
    Other166 (9.3)2112.7 (8.0–18.7)
    MD ADI rank1–4467 (26.2)6213.3 (10.3–16.7).012
    5–7426 (23.9)5212.2 (9.1–15.3)
    8–10888 (49.9)15817.8 (15.3–20.5)
    • ↵* Black were patients who self-identified as African American or black non-Hispanic or those with unknown Hispanic status. White were patients who self-identified as white non-Hispanic or those with unknown Hispanic status. Hispanic were patients self-identified as Hispanic, regardless of race. Other included non-Hispanic, non-black, non-white patients or those with unknown race and/or Hispanic status. The distribution of races in the Other group is shown in Supplemental Table 1. The distribution of races for Hispanic population is shown in Supplemental Table 2.

    • SARS CoV-2, severe acute respiratory syndrome coronavirus; MD, Maryland; ADI, Area Deprivation Index; CI, confidence interval.

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    Table 2.

    Association between Race/Ethnicity and Maryland Area Deprivation Index Ranks in 1781 University of Maryland Family Medicine And Immediate Care Patients Tested for Severe Acute Respiratory Syndrome Coronavirus between March 12, 2020, and June 4, 2020

    State of Maryland ADI rankχ2P value
    Race/Ethnicity1–45–78–10Total
    NRow %NRow %NRow %N
    Black10810.221420.273869.61065<.0001
    White23950.714330.48918.9471
    Hispanic2631.02327.43541.784
    Otder9456.64627.72615.7166
    • Race/ethnicity groups were defined as described in the legend to Table 1.

    • ADI, Area Deprivation Index.

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The Journal of the American Board of Family  Medicine: 34 (Supplement)
The Journal of the American Board of Family Medicine
Vol. 34, Issue Supplement
February 2021
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Association of COVID-19 With Race and Socioeconomic Factors in Family Medicine
Niharika Khanna, Elena N. Klyushnenkova, Alexander Kaysin
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S40-S47; DOI: 10.3122/jabfm.2021.S1.200338

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Association of COVID-19 With Race and Socioeconomic Factors in Family Medicine
Niharika Khanna, Elena N. Klyushnenkova, Alexander Kaysin
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S40-S47; DOI: 10.3122/jabfm.2021.S1.200338
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  • COVID-19 Diagnostic Testing
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  • Latent Class Analysis
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  • Minority Groups

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