Background: The reported disproportionate impact of COVID-19 infections on minority populations may be due to living in disinvested communities with a high level of poverty, pollution, inadequate unsafe employment, and overcrowded housing. Objective: To determine the association of county, city, and individual risk factors with COVID-19 infection rates. Methods: Retrospective chart review on COVID-19 tests performed from March through July 2020 at Arrowhead Regional Medical Center (ARMC), Colton, California. Results: A total of 7104 tests were performed with 69% in the drive-through testing center. The mean duration of test-to-results time was 2.36 (+0.02) days. COVID-19 positive tests occurred in 1095 (15.4%). At least one symptom occurred in 414 (33%) with a sensitivity of 37.8, specificity of 86.02, a positive predictive value of 33.01, and a negative predictive value of 72.76. Individual factors significantly associated with testing positive for COVID-19 were diabetes, Hispanic ethnicity, and male gender. Younger age was significantly associated with testing COVID positive with the highest risk in children <10 years. COVID-19 positive persons significantly resided in cities with higher population density, household members, poverty, non-English speaking homes, disability, lower median household income, lack of health insurance and decreased access to a computer and Wi-Fi services. County health rankings showed a significant positive association between testing positive for COVID-19 with increased smoking, air pollution, violent crimes, physical inactivity, decreased education, and access to exercise. Conclusion: Adverse county health rankings, socially and economically disadvantaged cities are associated with an increased risk of testing positive for COVD-19. This information can be used in strategic planning and invention mitigation.
【저자키워드】 COVID-19, healthcare disparities, infection rate, Minorities, Community Medicine, infection rates, southern california, 【초록키워드】 children, Gender, risk, Physical inactivity, Symptom, diabetes, smoking, risk factor, Population, COVID, sensitivity, specificity, Health, Positive predictive value, COVID-19 infection, male, Community, age, information, association, COVD-19, COVID-19 test, Negative predictive value, employment, Factor, increased risk, individual, center, Positive test, Hispanic ethnicity, positive, Regional, highest, performed, lack, occurred, significantly, reported, median, can be used, determine, Arrowhead, with COVID-19, 【제목키워드】 Safety, COVID, determinant, Rate,