RT Journal Article
SR Electronic
T1 Association of COVID-19 With Race and Socioeconomic Factors in Family Medicine
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP S40
OP S47
DO 10.3122/jabfm.2021.S1.200338
VO 34
IS Supplement
A1 Niharika Khanna
A1 Elena N. Klyushnenkova
A1 Alexander Kaysin
YR 2021
UL http://www.jabfm.org/content/34/Supplement/S40.abstract
AB Introduction: Recent data demonstrated that socioeconomic, environmental, demographic, and health factors can contribute to vulnerability for coronavirus 2019 (COVID-19). The goal of this study was to assess association between severe acute respiratory syndrome coronavirus (SARS CoV-2) infection and demographic and socioeconomic factors in patients from a large academic family medicine practice to support practice operations.Methods: Patients referred for SARS CoV-2 testing by practice providers were identified using shared patient lists in the electronic health records (Epic). The Health Information Exchange (CRISP) was used to identify additional practice-attributed patients receiving testing elsewhere.Results: Compared with white non-Hispanic patients, the odds of COVID-19 detection were higher in black non-Hispanic (odds ratio [OR] = 1.75; 95% CI, 1.18–2.59, P = .0052) and Hispanic patients (OR = 5.40; 95% CI, 3.11–9.38, P < .0001). The latent class analysis revealed additional patterns in health disparities. Patients living in the areas with Area Deprivation Index 8–10 who were predominantly black had higher risk for SARS CoV-2 infection compared with patients living in less socioeconomically deprived areas who were predominantly white (OR = 1.68; 95% CI, 1.25–2.28; P = .0007).Conclusion: Our data provide insight into the association of COVID-19 with race/ethnic minority patients residing in highly socioeconomically deprived areas. These data could impact outreach and management of ambulatory COVID-19 in the future.