Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Association of Lower Socioeconomic Status and SARS-CoV-2 Positivity in Los Angeles, California

  • Allan-Blitz, Lao-Tzu (Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital) ;
  • Goldbeck, Cameron (Department of Preventive Medicine, Keck School of Medicine, University of Southern California) ;
  • Hertlein, Fred (Curative Inc.) ;
  • Turner, Isaac (Curative Inc.) ;
  • Klausner, Jeffrey D. (Department of Preventive Medicine, Keck School of Medicine, University of Southern California)
  • Received : 2021.03.08
  • Accepted : 2021.04.06
  • Published : 2021.05.31
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Abstract

Objectives: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads heterogeneously, disproportionately impacting poor and minority communities. The relationship between poverty and race is complex, with a diverse set of structural and systemic factors driving higher rates of poverty among minority populations. The factors that specifically contribute to the disproportionate rates of SARS-CoV-2 infection, however, are not clearly understood. Methods: We evaluated SARS-CoV-2 test results from community-based testing sites in Los Angeles, California, between June and December, 2020. We used tester zip code data to link those results with United States Census report data on average annual household income, rates of healthcare coverage, and employment status by zip code. Results: We analyzed 2 141 127 SARS-CoV-2 test results, of which 245 154 (11.4%) were positive. Multivariable modeling showed a higher likelihood of SARS-CoV-2 test positivity among Hispanic communities than among other races. We found an increased risk for SARS-CoV-2 positivity among individuals from zip codes with an average annual household income

Keywords

Acknowledgement

The authors would like to acknowledge the City of Los Angeles.

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Cited by

  1. Reply: Seroprevalence of SARS-CoV-2 After the Largest Initial Epidemic Wave in the United States: Findings from New York City, May 13-July 21, 2020 vol.224, pp.3, 2021, https://doi.org/10.1093/infdis/jiab245