Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study

Objective: To analyze whether social deprivation and economic migrant (EM) status influence the risk of being hospitalized with COVID-19.Methods: This was a retrospective follow-up study including all patients older than 18 years attending the Daroca Health Center in Madrid, Spain, diagnosed with CO...

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Main Authors: Julia Martínez-Alfonso, Arthur Eumann Mesas, Nuria Jimenez-Olivas, Antonio Cabrera-Majada, Vicente Martínez-Vizcaíno, José Manuel Díaz-Olalla
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605481/full
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author Julia Martínez-Alfonso
Arthur Eumann Mesas
Arthur Eumann Mesas
Nuria Jimenez-Olivas
Antonio Cabrera-Majada
Vicente Martínez-Vizcaíno
Vicente Martínez-Vizcaíno
José Manuel Díaz-Olalla
author_facet Julia Martínez-Alfonso
Arthur Eumann Mesas
Arthur Eumann Mesas
Nuria Jimenez-Olivas
Antonio Cabrera-Majada
Vicente Martínez-Vizcaíno
Vicente Martínez-Vizcaíno
José Manuel Díaz-Olalla
author_sort Julia Martínez-Alfonso
collection DOAJ
description Objective: To analyze whether social deprivation and economic migrant (EM) status influence the risk of being hospitalized with COVID-19.Methods: This was a retrospective follow-up study including all patients older than 18 years attending the Daroca Health Center in Madrid, Spain, diagnosed with COVID-19 during September 2020. Data on EM status and other sociodemographic, lifestyle and comorbidities that could affect the clinical course of the infection were obtained from electronic medical records.Results: Of the 796 patients positive for COVID-19, 44 (5.53%) were hospitalized. No significant differences were observed between those who were hospitalized and those who were not in the mean of social deprivation index or socioeconomic status, but EM status was associated with the risk of being hospitalized (p = 0.028). Logistic regression models showed that years of age (OR = 1.07; 95% CI: 1.04–1.10), EM status (OR = 5.72; 95% CI: 2.56–12.63) and hypertension (OR = 2.22; 95% CI: 1.01–4.85) were the only predictors of hospitalization.Conclusion: Our data support that EM status, rather than economic deprivation, is the socioeconomic factor associated with the probability of hospital admission for COVID-19 in Madrid, Spain.
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spelling doaj.art-14edf810b3ec434a968797cd8fa169582022-12-22T03:53:57ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-12-016710.3389/ijph.2022.16054811605481Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up StudyJulia Martínez-Alfonso0Arthur Eumann Mesas1Arthur Eumann Mesas2Nuria Jimenez-Olivas3Antonio Cabrera-Majada4Vicente Martínez-Vizcaíno5Vicente Martínez-Vizcaíno6José Manuel Díaz-Olalla7Primary Care University Center Daroca, Madrid, SpainUniversidad de Castilla-La Mancha, Cuenca, SpainPostgraduate Program in Public Health, Universidade Estadual de Londrina, Londrina, BrazilPrimary Care University Center Daroca, Madrid, SpainPrimary Care University Center Daroca, Madrid, SpainUniversidad de Castilla-La Mancha, Cuenca, SpainFacultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, ChileMadrid Salud Public Health Institute of Madrid, Madrid, SpainObjective: To analyze whether social deprivation and economic migrant (EM) status influence the risk of being hospitalized with COVID-19.Methods: This was a retrospective follow-up study including all patients older than 18 years attending the Daroca Health Center in Madrid, Spain, diagnosed with COVID-19 during September 2020. Data on EM status and other sociodemographic, lifestyle and comorbidities that could affect the clinical course of the infection were obtained from electronic medical records.Results: Of the 796 patients positive for COVID-19, 44 (5.53%) were hospitalized. No significant differences were observed between those who were hospitalized and those who were not in the mean of social deprivation index or socioeconomic status, but EM status was associated with the risk of being hospitalized (p = 0.028). Logistic regression models showed that years of age (OR = 1.07; 95% CI: 1.04–1.10), EM status (OR = 5.72; 95% CI: 2.56–12.63) and hypertension (OR = 2.22; 95% CI: 1.01–4.85) were the only predictors of hospitalization.Conclusion: Our data support that EM status, rather than economic deprivation, is the socioeconomic factor associated with the probability of hospital admission for COVID-19 in Madrid, Spain.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605481/fullCOVID-19social determinansts of healthmigrant healthcarehospitalizationfollow up
spellingShingle Julia Martínez-Alfonso
Arthur Eumann Mesas
Arthur Eumann Mesas
Nuria Jimenez-Olivas
Antonio Cabrera-Majada
Vicente Martínez-Vizcaíno
Vicente Martínez-Vizcaíno
José Manuel Díaz-Olalla
Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study
International Journal of Public Health
COVID-19
social determinansts of health
migrant healthcare
hospitalization
follow up
title Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study
title_full Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study
title_fullStr Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study
title_full_unstemmed Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study
title_short Economic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study
title_sort economic migrants and clinical course of sars cov 2 infection a follow up study
topic COVID-19
social determinansts of health
migrant healthcare
hospitalization
follow up
url https://www.ssph-journal.org/articles/10.3389/ijph.2022.1605481/full
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