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| Multivariate Analysis of Black Race and Environmental Temperature on COVID-19 in the US | |
| Li, Adam Y.1; Hannah, Theodore C.1; Durbin, John R.1; Dreher, Nickolas1; McAuley, Fiona M.1; Marayati, Naoum Fares1; Spiera, Zachary1; Ali, Muhammad1; Choudhri, Tanvir F.1; Gometz, Alex2; Kostman, J. T.3 | |
| 2020-06 | |
| 发表期刊 | AMERICAN JOURNAL OF THE MEDICAL SCIENCES
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| ISSN | 0002-9629 |
| EISSN | 1538-2990 |
| 摘要 | Background: There has been much interest in environmental temperature and race as modulators of Coronavirus disease-19 (COVID-19) infection and mortality. However, in the United States race and temperature correlate with various other social determinants of health, comorbidities, and environmental influences that could be responsible for noted effects. This study investigates the independent effects of race and environmental temperature on COVID-19 incidence and mortality in United States counties. Methods: Data on COVID-19 and risk factors in all United States counties was collected. 661 counties with at least 50 COVID-19 cases and 217 with at least 10 deaths were included in analyses. Upper and lower quartiles for cases/100,000 people and halves for deaths/100,000 people were compared with t-tests. Adjusted linear and logistic regression analyses were performed to evaluate the independent effects of race and environmental temperature. Results: Multivariate regression analyses demonstrated Black race is a risk factor for increased COVID-19 cases (OR=1.22, 95% CI: 1.09-1.40, P=0.001) and deaths independent of comorbidities, poverty, access to health care, and other risk factors. Higher environmental temperature independently reduced caseload (OR=0.81, 95% CI: 0.71-0.91, P=0.0009), but not deaths. Conclusions: Higher environmental temperatures correlated with reduced COVID-19 cases, but this benefit does not yet appear in mortality models. Black race was an independent risk factor for increased COVID-19 cases and deaths. Thus, many proposed mechanisms through which Black race might increase risk for COVID-19, such as socioeconomic and healthcare-related predispositions, are inadequate in explaining the full magnitude of this health disparity. |
| 关键词 | COVID-19 SARS-CoV-2 Coronavirus Black Race Environmental temperature |
| WOS关键词 | VITAMIN-D DEFICIENCY |
| WOS研究方向 | General & Internal Medicine |
| WOS类目 | Medicine, General & Internal |
| 出版者 | ELSEVIER SCIENCE INC |
| 文献类型 | 期刊论文 |
| 专题 | 新冠肺炎 循证社会科学证据集成 |
| 作者单位 | 1.Icahn Sch Med Mt Sinai; 2.EastSide Rehab PC; 3.Protected By AI |
| 推荐引用方式 GB/T 7714 | Li, Adam Y.,Hannah, Theodore C.,Durbin, John R.,et al. Multivariate Analysis of Black Race and Environmental Temperature on COVID-19 in the US[J]. AMERICAN JOURNAL OF THE MEDICAL SCIENCES,2020. |
| APA | Li, Adam Y..,Hannah, Theodore C..,Durbin, John R..,Dreher, Nickolas.,McAuley, Fiona M..,...&Kostman, J. T..(2020).Multivariate Analysis of Black Race and Environmental Temperature on COVID-19 in the US.AMERICAN JOURNAL OF THE MEDICAL SCIENCES. |
| MLA | Li, Adam Y.,et al."Multivariate Analysis of Black Race and Environmental Temperature on COVID-19 in the US".AMERICAN JOURNAL OF THE MEDICAL SCIENCES (2020). |
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| Multivariate Analysi（370KB） | 期刊论文 | 出版稿 | 开放获取 | CC BY-NC-SA | 浏览 下载 | |
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