Volume 26, Number 11—November 2020
Research Letter
Sociodemographic Predictors of SARS-CoV-2 Infection in Obstetric Patients, Georgia, USA
Naima T. Joseph
, Kaitlyn K. Stanhope, Martina L. Badell, John P. Horton, Sheree L. Boulet, and Denise J. Jamieson
, Kaitlyn K. Stanhope, Martina L. Badell, John P. Horton, Sheree L. Boulet, and Denise J. Jamieson
Table
Sociodemographic and neighborhood characteristics associated with increased prevalence of severe acute respiratory syndrome coronavirus 2 infection in laboring women, Georgia, USA*
| Demographics | No. patients, N = 1,882 | Total tested positive | Prevalence, % (95% CI)† | p value |
|---|---|---|---|---|
| Patient | ||||
| Age, y | 0.34 | |||
| <20 | 108 | 7 | 6.5 (1.8–11.12) | |
| 20–35 | 1,393 | 57 | 4.1 (3.1–5.1) | |
| >35 | 381 | 13 | 3.4 (1.6–5.2) | |
| Race/ethnicity | <0.001 | |||
| Non-Hispanic Black | 1,353 | 52 | 3.8 (2.8–4.9) | |
| Non-Hispanic White | 226 | 0 | 0 | |
| Hispanic | 139 | 22 | 15.8 (9.8–21.9) | |
| Asian/other | 164 | 3 | 1.8 (−0.2 to 3.9) | |
| Insurance type | <0.001 | |||
| Commercial | 698 | 11 | 1.6 (0.7–2.5) | |
| Medicaid/Medicare | 1,015 | 49 | 4.8 (3.5–6.1) | |
| Uninsured |
169 |
17 |
10.1 (5.5–14.6) |
|
| Neighborhood† | ||||
| Median household income | 0.06 | |||
| Lower average income | 934 | 47 | 5.0 (3.6–6.4) | |
| Higher average income | 939 | 30 | 3.2 (2.1–4.3) | |
| Below federal poverty limit | 0.20 | |||
| Lower poverty | 924 | 32 | 3.5 (2.3–4.6) | |
| Higher poverty | 949 | 45 | 4.7 (3.4–6.1) | |
| Use of public transit | 0.25 | |||
| Less transit use | 950 | 34 | 3.6 (2.4–4.8) | |
| More transit use | 923 | 43 | 4.7 (3.3–6.0) | |
| Proportion non-White | 0.73 | |||
| Lower percent minority | 944 | 37 | 3.9 (2.7–5.2) | |
| Greater percent minority | 929 | 40 | 4.3 (3.0–5.6) | |
| Household crowding | 0.02 | |||
| Small household size | 944 | 49 | 5.2 (3.8–6.6) | |
| Large household size | 929 | 28 | 3.0 (1.9–4.1) | |
| Neighborhood density | 0.03 | |||
| Less dense | 911 | 28 | 3.1 (2.0–4.2) | |
| More dense | 958 | 49 | 5.1 (3.7–6.5) | |
| Neighborhood deprivation index | 0.64 | |||
| Less deprived | 935 | 36 | 3.9 (2.6–5.1) | |
| More deprived | 938 | 41 | 4.4 (3.1–5.7) | |
*Lower/less/small categories indicate <50th percentile; higher/more/large categories indicate >50th percentile. IQR, interquartile range; NDI, neighborhood deprivation index; Pr., proportion. †Prevalence is for entire cohort. Nine women provided out-of-state zip codes and were excluded from the neighborhood analysis; all 9 tested negative.
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