Injustices in pandemic vulnerability: A spatial-statistical analysis of the CDC Social Vulnerability Index and COVID-19 outcomes in the U.S.

Song, Jamie; Wiebe, Douglas J.; Solomon, Sara; South, Eugenia C.

doi:10.1101/2021.05.27.21257889

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Had residents of more vulnerable neighborhoods experienced COVID-19 mortality rates similar to those in more prosperous communities, almost 2,000 Philadelphians would still be alive. Our findings corroborate other recent investigations into the association between social vulnerability and COVID-19 incidence across the United States 22 , SVI and case fatality rates among counties nationwide 23 , and spatial inequities in COVID-19 impacts related to cumulative testing, positivity, confirmed cases, and mortality in Philadelphia at earlier points in the COVID-19 pandemic 24, 25 .…”

Section: Discussionsupporting

confidence: 91%

Variations in COVID-19 impacts by social vulnerability in Philadelphia, June 2020-December 2022

Strelau

Feuerstein-Simon

Naseer

et al. 2023

Preprint

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Introduction: The study objective was to elucidate the relationship between social vulnerability and COVID-19 impacts in Philadelphia between June 2020 and December 2022. Methods: Using publicly available COVID-19 case, test, hospitalization, and mortality data for Philadelphia (June 7, 2020-December 31, 2022) and area-level social vulnerability data, we compared the incidence, test positivity, hospitalization, and mortality rates in high and low vulnerability neighborhoods of Philadelphia, characterized as scoring above or below the national median score on the social vulnerability index. We used linear mixed effects models to test the association between social vulnerability and COVID-19 incidence, test positivity, hospitalization, and mortality rates, adjusting for time and age distribution. Results: 90.4% of Philadelphians (n = 1,430,153) live in neighborhoods classified as socially vulnerable, based on scoring above the national median score on the social vulnerability index. COVID-19 incidence, hospitalization, and mortality rates were significantly elevated in the more vulnerable communities, with p < 0.05, p < 0.005, and p < 0.001, respectively. The relative risks of COVID-19-related incidence, hospitalization, and death, comparing the more vulnerable neighborhoods to the less vulnerable neighborhoods, were 1.11 (95%CI: 1.10-1.12), 2.07 (95%CI: 1.93-2.20), and 2.06 (95%CI: 1.78-2.38), respectively. Thus, between June 7, 2020 and December 31, 2022, 32,573 COVID-19 cases, 9,409 hospitalizations, and 1,967 deaths would have been avoided in Philadelphias more vulnerable communities had they experienced the same rates of incidence, hospitalization, and death as the less vulnerable Philadelphia communities. Conclusions: These results highlight the disparate morbidity and mortality experienced by people living in more vulnerable neighborhoods in a large US city. Importantly, our findings illustrate the importance of designing public health policies and interventions with an equity-driven approach, with greater resources and more intensive prevention strategies applied in socially vulnerable communities.

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Section: Discussionsupporting

confidence: 91%

Variations in COVID-19 impacts by social vulnerability in Philadelphia, June 2020-December 2022

Strelau

Feuerstein-Simon

Naseer

et al. 2023

Preprint

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“…We mapped the CDC's Social Vulnerability Index (SVI) ( 15 ), which provides a geospatial measure of a community's vulnerability, onto user ZIP codes using a 2020 weighted crosswalk from the US Department of Housing and Urban Development ( 16 , 17 ). SVI was dichotomized into high and low, with high assessed as the most at-risk quintile nationally (>0.8) ( 18 ).…”

Section: Methodsmentioning

confidence: 99%

Utilization of digital prenatal services and management of depression and anxiety during pregnancy: A retrospective observational study

Rubin‐Miller¹,

Henrich²,

Peahl³

et al. 2023

Front. Digit. Health

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IntroductionWe examined how utilization of Maven, a digital healthcare platform that provides virtual prenatal services, is associated with improvements in perceived management of anxiety and depression during pregnancy, and how medical knowledge and support may influence this association.Materials and MethodsIn this retrospective study we used adjusted logistic regression to examine the relationship between digital platform use in pregnancy and perceived mental health management, and how perceived management of mental health is affected by user-reported improvements in medical knowledge and feeling supported by the platform. Effects were evaluated separately among users with and without a mental health condition. Demographics, medical history, and mental health management were self-reported.ResultsOf 5,659 users, 705 (12.5%) reported that Maven helped them manage anxiety and/or depression in the prenatal period. In adjusted models, users who read more articles, sent more messages to care advocates, or had more appointments with providers were more likely to report improved management of mental health in a dose-response manner (e.g., articles read: Q2 aOR 1.31 (95% CI 1.01–1.70), Q3 aOR 1.68 (95% CI 1.30–2.17), Q4 1.99 (95% CI 1.54–2.59)). Improvements in medical knowledge and high perceived support were both associated with better perceived mental health management. Results were similar in users with and without a mental health condition.DiscussionThese results suggest that access to a diverse set of digital resources provides multiple pathways to managing depression and anxiety during pregnancy for those with and without a diagnosed mental health condition.

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Expanding Vaccine Equity

2024

Achieving Health Equity

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Injustices in pandemic vulnerability: A spatial-statistical analysis of the CDC Social Vulnerability Index and COVID-19 outcomes in the U.S.

Cited by 4 publications

References 17 publications

Variations in COVID-19 impacts by social vulnerability in Philadelphia, June 2020-December 2022

Variations in COVID-19 impacts by social vulnerability in Philadelphia, June 2020-December 2022

Utilization of digital prenatal services and management of depression and anxiety during pregnancy: A retrospective observational study

Expanding Vaccine Equity

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