Abstract
Associations between social determinants of health (SDOH), demographic factors including preferred language, and SARS-CoV-2 detection are not clear. We conducted a retrospective cohort study among those seeking testing for SARS-CoV-2 at a multi-site, urban community health center. Logistic regression and exact matching methods were used to identify independent predictors of SARS-CoV-2 detection among demographic, SDOH, and neighborhood-level variables. Of 1,361 included individuals, SARS-CoV-2 was detected among 266 (19.5%). Logistic regression demonstrated that SARS-CoV-2 detection was less likely in White participants relative to Hispanic participants (adjusted odds ratio [aOR] 0.18, 95% confidence interval [CI] 0.05-0.46). and more likely in patients who prefer Spanish relative to those that prefer English (aOR 2.04, 95% CI 1.43-2.96). No observed SDOH predicted SARS-CoV-2 detection in adjusted models. A robustness analysis using a matched subset of the study sample produced findings similar to those in the main analysis. Preferring to receive care in Spanish is an independent predictor of SARS-CoV-2 detection in a community health center cohort.
Keywords: COVID-19; Community health centers; SARS-CoV-2; Social determinants of health.
【저자키워드】 COVID-19, SARS-CoV-2, Community health centers, Social determinants of health., 【초록키워드】 SARS-CoV-2 detection, Cohort, Health, Patient, Community, Logistic regression, Care, social determinants, Hispanic, community health, Analysis, independent predictors, health center, Community Health Center, determinant, retrospective cohort study, adjusted odds ratio, 95% CI, 95% confidence interval, white, multi, participant, Demographic factors, Spanish, independent, English, main analysis, produced, predicted, identify, conducted, adjusted, were used, less, demonstrated, individuals, subset, receive, demographic factor, independent predictor, seeking, social determinant, variables, 【제목키워드】 determinant, center,