Risk Factors for COVID-19 Positivity and Hospital Admission Among Arab American Adults in Southern California
- 25 April 2022
- journal article
- research article
- Published by SAGE Publications in Public Health Reports
- Vol. 137 (4), 790-795
- https://doi.org/10.1177/00333549221083740
Abstract
Objective: Little is known about risk factors associated with COVID-19 infection among Arab American people. We aimed to understand the predictors of receiving a positive COVID-19 test result and being admitted to the hospital for COVID-19 among Arab American adults using data from a hospital near an Arab ethnic enclave. Methods: We used electronic medical record data for Arab American adults aged >= 18 years from March 1, 2020, through January 31, 2021, at Sharp Grossmont Hospital in La Mesa, California. The primary outcomes were receiving a positive COVID-19 test result and being admitted to the hospital for COVID-19. We ran logistic regression models with individual- and population-level risk factors to determine the odds of each primary outcome. Results: A total of 2744 Arab American adults were tested for COVID-19, of whom 783 (28.5%) had a positive test result. In the fully adjusted model, women had lower odds of receiving a positive test result than men (adjusted odds ratio [aOR] = 0.77; 95% CI, 0.64-0.92), and adults living in high-poverty areas had higher odds of receiving a positive test result than adults in lower-poverty areas (aOR = 1.25; 95% CI, 1.04-1.51). Of the 783 Arab American adults with data on admission, 131 (16.7%) were admitted. For every 1-unit increase in the Charlson Comorbidity Index, the odds of admission increased by 66% (aOR = 1.66; 95% CI, 1.36-2.04). Conclusion: The risk of receiving a positive test result for COVID-19 was higher among Arab American adults living in high-poverty areas than in lower-poverty areas. The risk of admission was directly related to overall health status. Future work should aim to understand the barriers to prevention and testing in this population.Keywords
This publication has 27 references indexed in Scilit:
- COVID-19 and African AmericansJAMA, 2020
- Relevance of the “Immigrant Health Paradox” for the Health of Arab Americans in CaliforniaAmerican Journal of Public Health, 2019
- A model of cumulative racial–ethnic trauma among Americans of Middle Eastern and North African (MENA) descent.American Psychologist, 2019
- The Health of Arab Americans in the United States: An Updated Comprehensive Literature ReviewFrontiers in Public Health, 2018
- Arab American Health in a Racially Charged U.S.American Journal of Preventive Medicine, 2017
- Disparities in Vaccinations and Cancer Screening Among U.S.- and Foreign-Born Arab and European American Non-Hispanic White WomenWomen's Health Issues, 2015
- Are immigrant enclaves healthy places to live? The Multi-ethnic Study of AtherosclerosisSocial Science & Medicine (1982), 2009
- Construction and validation of a list of common Middle Eastern surnames for epidemiological researchCancer Detection Prevention, 2007
- Marital Status and MortalityAnnals of Epidemiology, 2000
- Health-Related Behaviors and the Benefits of Marriage for Elderly PersonsThe Gerontologist, 1998