Census Tract Patterns and Contextual Social Determinants of Health Associated with COVID-19 in a Hispanic Population from South Texas: A Spatiotemporal Perspective   [open pdf - 1MB]

From the Introduction: "COVID-19 [coronavirus disease 2019], which comes from SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2], has caused death, health care system stress, and global economic instability. In the United States, it also has disproportionately affected minority and underserved populations, where COVID-19 infection and fatality rates are significantly higher among African American and Hispanic populations [...]. Previous studies have shown various social determinants of health (SDOH) that may explain the disparity in COVID-19 incidence and mortality in ethnic and racial minorities [...]. The differential impact of COVID-19 on minorities and other groups facing health inequities has been described and underscores a critical need to target these underserved groups. However, the majority of these studies in the United States used aggregated county-level data from the COVID Tracking Project [...]. The geographical scale of the US county often lacks granularity to reveal the local spatial pattern and detect local hot spots (ie, areas with excessive infection rates). Moreover, the high variability of SDOH within a county population was not able to accurately examine the impact of SDOH on COVID-19 disparities in populations [...]. Studies that investigate the SDOH and COVID-19 incidence and mortality at a geographical scale smaller than the US county are limited [...]. The lack of studies on a granular spatial scale is largely due to insufficiently detailed COVID-19 surveillance data, particularly data that are publicly available."

Cici Bauer, Kehe Zhang, Miryoung Lee, Susan Fisher-Hoch, Esmeralda Guajardo, Joseph McCormick, Isela de la Cerda, Maria E Fernandez, Belinda Reininger. Posted here with permission. Document is under a Creative Commons license and requires proper attribution and noncommercial use to be shared: [https://creativecommons.org/licenses/by/4.0/].
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JMIR Publications: https://jmirpublications.com/
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JMIR Public Health Surveillance (August 05, 2021), v.7 issue 8
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