A risk index for COVID-19 severity is associated with COVID-19 mortality in New York City
Open Access
- 24 July 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 21 (1), 1-8
- https://doi.org/10.1186/s12889-021-11498-x
Abstract
New York City (NYC) was the epicenter of the COVID-19 pandemic, and is home to underserved populations with higher prevalence of chronic conditions that put them in danger of more serious infection. Little is known about how the presence of chronic risk factors correlates with mortality at the population level. Here we determine the relationship between these factors and COVD-19 mortality in NYC. A cross-sectional study of mortality data obtained from the NYC Coronavirus data repository (03/02/2020–07/06/2020) and the prevalence of neighborhood-level risk factors for COVID-19 severity was performed. A risk index was created based on the CDC criteria for risk of severe illness and complications from COVID-19, and stepwise linear regression was implemented to predict the COVID-19 mortality rate across NYC zip code tabulation areas (ZCTAs) utilizing the risk index, median age, socioeconomic status index, and the racial and Hispanic composition at the ZCTA-level as predictors. The COVID-19 death rate per 100,000 persons significantly decreased with the increasing proportion of white residents (βadj = − 0.91, SE = 0.31, p = 0.0037), while the increasing proportion of Hispanic residents (βadj = 0.90, SE = 0.38, p = 0.0200), median age (βadj = 3.45, SE = 1.74, p = 0.0489), and COVID-19 severity risk index (βadj = 5.84, SE = 0.82, p < 0.001) were statistically significantly positively associated with death rates. Disparities in COVID-19 mortality exist across NYC and these vulnerable areas require increased attention, including repeated and widespread testing, to minimize the threat of serious illness and mortality.This publication has 20 references indexed in Scilit:
- Clinical Characteristics of Covid-19 in New York CityThe New England Journal of Medicine, 2020
- Variation in COVID-19 Hospitalizations and Deaths Across New York City BoroughsJAMA, 2020
- Clarification of Mortality Rate and Data in Abstract, Results, and Table 2JAMA, 2020
- Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City AreaJAMA, 2020
- COVID-19 and African AmericansJAMA, 2020
- Disparities in the Population at Risk of Severe Illness From COVID-19 by Race/Ethnicity and IncomeAmerican Journal of Preventive Medicine, 2020
- Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019 — United States, February 12–March 28, 2020Morbidity and Mortality Weekly Report (MMWR), 2020
- COVID-19 exacerbating inequalities in the USThe Lancet, 2020
- Demographic Determinants of Testing Incidence and COVID-19 Infections in New York City NeighborhoodsPublished by National Bureau of Economic Research ,2020
- Health Literacy and Patient-Reported Outcomes: A Cross-Sectional Study of Underserved English- and Spanish-Speaking Patients With Type 2 DiabetesJournal of Health Communication, 2015