Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States)
<h4>Background</h4> Evidence seems to suggest that the risk of Coronavirus Disease 2019 (COVID-19) might vary across communities due to differences in population characteristics and movement patterns. However, little is known about these differences in the greater St Louis Area of Missou...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518888/?tool=EBI |
| _version_ | 1818024327885357056 |
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| author | Praachi Das Morganne Igoe Suzanne Lenhart Lan Luong Cristina Lanzas Alun L. Lloyd Agricola Odoi |
| author_facet | Praachi Das Morganne Igoe Suzanne Lenhart Lan Luong Cristina Lanzas Alun L. Lloyd Agricola Odoi |
| author_sort | Praachi Das |
| collection | DOAJ |
| description | <h4>Background</h4> Evidence seems to suggest that the risk of Coronavirus Disease 2019 (COVID-19) might vary across communities due to differences in population characteristics and movement patterns. However, little is known about these differences in the greater St Louis Area of Missouri and yet this information is useful for targeting control efforts. Therefore, the objectives of this study were to investigate (a) geographic disparities of COVID-19 risk and (b) associations between COVID-19 risk and socioeconomic, demographic, movement and chronic disease factors in the Greater St. Louis Area of Missouri, USA. <h4>Methods</h4> Data on COVID-19 incidence and chronic disease hospitalizations were obtained from the Department of Health and Missouri Hospital Association, respectively. Socioeconomic and demographic data were obtained from the 2018 American Community Survey while population mobility data were obtained from the SafeGraph website. Choropleth maps were used to identify geographic disparities of COVID-19 risk and several sociodemographic and chronic disease factors at the ZIP Code Tabulation Area (ZCTA) spatial scale. Global negative binomial and local geographically weighted negative binomial models were used to investigate associations between ZCTA-level COVID-19 risk and socioeconomic, demographic and chronic disease factors. <h4>Results</h4> There were geographic disparities found in COVID-19 risk. Risks tended to be higher in ZCTAs with high percentages of the population with a bachelor’s degree (p<0.0001) and obesity hospitalizations (p<0.0001). Conversely, risks tended to be lower in ZCTAs with high percentages of the population working in agriculture (p<0.0001). However, the association between agricultural occupation and COVID-19 risk was modified by per capita between ZCTA visits. Areas that had both high per capita between ZCTA visits and high percentages of the population employed in agriculture had high COVID-19 risks. The strength of association between agricultural occupation and COVID-19 risk varied by geographic location. <h4>Conclusions</h4> Geographic disparities of COVID-19 risk exist in the St. Louis area and are associated with sociodemographic factors, population movements, and obesity hospitalization risks. The latter is particularly concerning due to the growing prevalence of obesity and the known immunological impairments among obese individuals. Therefore, future studies need to focus on improving our understanding of the relationships between COVID-19 vaccination efficacy, obesity and waning of immunity among obese individuals so as to better guide vaccination regimens and reduce disparities. |
| first_indexed | 2024-12-10T03:58:28Z |
| format | Article |
| id | doaj.art-dba680135c9d491d9dd3a96225f7441c |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T03:58:28Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-dba680135c9d491d9dd3a96225f7441c2022-12-22T02:03:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States)Praachi DasMorganne IgoeSuzanne LenhartLan LuongCristina LanzasAlun L. LloydAgricola Odoi<h4>Background</h4> Evidence seems to suggest that the risk of Coronavirus Disease 2019 (COVID-19) might vary across communities due to differences in population characteristics and movement patterns. However, little is known about these differences in the greater St Louis Area of Missouri and yet this information is useful for targeting control efforts. Therefore, the objectives of this study were to investigate (a) geographic disparities of COVID-19 risk and (b) associations between COVID-19 risk and socioeconomic, demographic, movement and chronic disease factors in the Greater St. Louis Area of Missouri, USA. <h4>Methods</h4> Data on COVID-19 incidence and chronic disease hospitalizations were obtained from the Department of Health and Missouri Hospital Association, respectively. Socioeconomic and demographic data were obtained from the 2018 American Community Survey while population mobility data were obtained from the SafeGraph website. Choropleth maps were used to identify geographic disparities of COVID-19 risk and several sociodemographic and chronic disease factors at the ZIP Code Tabulation Area (ZCTA) spatial scale. Global negative binomial and local geographically weighted negative binomial models were used to investigate associations between ZCTA-level COVID-19 risk and socioeconomic, demographic and chronic disease factors. <h4>Results</h4> There were geographic disparities found in COVID-19 risk. Risks tended to be higher in ZCTAs with high percentages of the population with a bachelor’s degree (p<0.0001) and obesity hospitalizations (p<0.0001). Conversely, risks tended to be lower in ZCTAs with high percentages of the population working in agriculture (p<0.0001). However, the association between agricultural occupation and COVID-19 risk was modified by per capita between ZCTA visits. Areas that had both high per capita between ZCTA visits and high percentages of the population employed in agriculture had high COVID-19 risks. The strength of association between agricultural occupation and COVID-19 risk varied by geographic location. <h4>Conclusions</h4> Geographic disparities of COVID-19 risk exist in the St. Louis area and are associated with sociodemographic factors, population movements, and obesity hospitalization risks. The latter is particularly concerning due to the growing prevalence of obesity and the known immunological impairments among obese individuals. Therefore, future studies need to focus on improving our understanding of the relationships between COVID-19 vaccination efficacy, obesity and waning of immunity among obese individuals so as to better guide vaccination regimens and reduce disparities.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518888/?tool=EBI |
| spellingShingle | Praachi Das Morganne Igoe Suzanne Lenhart Lan Luong Cristina Lanzas Alun L. Lloyd Agricola Odoi Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States) PLoS ONE |
| title | Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States) |
| title_full | Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States) |
| title_fullStr | Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States) |
| title_full_unstemmed | Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States) |
| title_short | Geographic disparities and determinants of COVID-19 incidence risk in the greater St. Louis Area, Missouri (United States) |
| title_sort | geographic disparities and determinants of covid 19 incidence risk in the greater st louis area missouri united states |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518888/?tool=EBI |
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