Abstract:
:Black and Hispanic communities in the U.S. have endured a disproportionate burden of COVID-19-related morbidity and mortality. Racial and ethnic health disparities such as these are frequently aggravated by inequitable access to healthcare resources in disadvantaged communities. Yet, no known studies have investigated disadvantaged communities' access to COVID-19-related healthcare resources. The current study accordingly examined racial and ethnic differences in (1) April 2020 COVID-19 total and positive viral test rates across 177 New York City (NYC) ZIP Code Tabulation Areas (ZCTA); and (2) November 2019-April 2020 licensed and intensive care unit (ICU) hospital bed access across 194 NYC ZCTAs. Pairwise analyses indicated higher COVID-19 total and positive test rates per 1000 persons in majority Black and Hispanic vs. majority White ZCTAs (CI [0.117, 4.55]; CI [2.53, 5.14]). Multiple linear regression analyses indicated that higher percentage of Black and Hispanic residents predicted more total COVID-19 tests per 1000 persons (p < 0.05). In contrast, majority Black and Hispanic ZCTAs had fewer licensed and ICU beds (CI [6.50, 124.25]; CI [0.69, 7.16]), with social disadvantage predicting lower licensed and ICU bed access per 1000 persons (p < 0.01). While news reports of inequitable access to COVID-19-related healthcare resources in ethnocultural minority communities have emerged, this is the first study to reveal that social disadvantage may be a major driver of hospital resource inequities in Black and Hispanic communities. Thus, it will be imperative to enact policies that ensure equitable allocation of healthcare resources to socially disadvantaged communities to address current and future public health crises.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Douglas JA,Subica AMdoi
10.1016/j.ypmed.2020.106282subject
Has Abstractpub_date
2020-12-01 00:00:00pages
106282eissn
0091-7435issn
1096-0260pii
S0091-7435(20)30306-6journal_volume
141pub_type
杂志文章abstract:OBJECTIVE:To evaluate the efficacy of the Professional Learning for Understanding Games Education (PLUNGE) program on fundamental movement skills (FMS), in-class physical activity and perceived sporting competence. METHODS:A cluster-randomized controlled trial involving one year six class each from seven primary schoo...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2015.02.002
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:was to examine the reliability of the algorithm. METHODS:As part of a randomized controlled trial, 3,930 adolescents completed a paper version of the algorithm questions and a differently worded computerized version on the same day: a parallel form reliability assessment. In a separate assessment, another g...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2002.1179
更新日期:2002-10-01 00:00:00
abstract::The impact of social participation on older adults' health may differ by individual socioeconomic status (SES). Consequently, we examined SES effect modification on the associations between types of social activity participation and incident functional disability. Cohort data from the 2003 Japan Gerontological Evaluat...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.05.006
更新日期:2016-08-01 00:00:00
abstract::In Israel, the prevention and care of asbestos-associated diseases with latency periods of one to four decades (asbestosis, mesothelioma, increased frequency of cancer of the lung and other sites) are not satisfactory, and new national policies are required. Such policies have three major goals: (a) elimination or red...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(84)90085-9
更新日期:1984-05-01 00:00:00
abstract:BACKGROUND:Several international guidelines have recommended the involvement of general practitioners (GPs) in screening programs, but current evidence suggests this is very difficult. We implemented a survey to understand the attitudes, knowledge, and practices regarding colorectal cancer screening of GPs in the Lazio...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.11.010
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:Text-messaging shows promise as a health intervention. This randomized controlled trial evaluated a daily text-messaging weight loss intervention. METHODS:Overweight and obese adults (n=170) in California were randomized to receive daily interactive and personally weight-relevant text-messages or monthly e-n...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2012.08.011
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Measles vaccination at ages 12-15 months is a routine part of standard health care in developed countries. Nonetheless, the prevention and control of measles outbreaks remain a challenge, owing to incomplete or variable compliance with immunization programs and primary vaccine failure (approximately 5%). In ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0757
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVE:To evaluate whether 5 combined healthy lifestyle factors (not smoking, moderate drinking, eating minimum salt-preserved foods, being physically active, and having appropriate body mass index) are associated with reduced risk of cancer. METHODS:Participants were enrolled in the Japan Public Health Center Stud...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.11.003
更新日期:2012-02-01 00:00:00
abstract::One explanation for the increasing smoking-related health inequalities is the limited access of lower socioeconomic status (SES) smokers to smoking cessation support. In order to understand this limited access - and to eventually improve accessibility - we provide a structured overview of the barriers that lower SES s...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2019.03.029
更新日期:2019-06-01 00:00:00
abstract::We aimed to assess the effectiveness of 'Paesaggi di Prevenzione', a school-based prevention program delivered by trained teachers and designed to tackle smoking, alcohol misuse, dietary risks, and physical inactivity in adolescence. We evaluated the program between 2010 and 2013 with a two-arm, parallel-group, multic...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ypmed.2019.04.001
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Associations are examined between parental smoking and smoking onset by their children. Smoking parents are more likely to have children who start smoking in their teenage years; however, less is known about whether parental quitting is related to adolescent smoking. METHODS:A cross-sectional national sampl...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.11.008
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Individuals in the carpentry trade, due to lifestyle habits and occupational exposures, may be at above-average risk for colorectal cancer (CRC). Based on the literature which suggests that increasing perceived risk motivates behavior change, we report on the effectiveness of four risk-communication interven...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.09.019
更新日期:2005-05-01 00:00:00
abstract::To examine the impact of moderate to vigorous intensity physical activity (MVPA) trajectories during midlife and older adulthood with subsequent fall risk in later life. Cross-temporal analyses were conducted in 15,792 participants (27% black, 55% women) aged 45 to 64 years enrolled in the Atherosclerosis Risk in Comm...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.02.007
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or inf...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2004.04.002
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:Smokers who identified smoking cessation as the primary activity they could undertake to improve their health were compared with smokers who did not identify smoking cessation. Examined factors included personal characteristics, health status, smoking attitudes and behaviors, and social factors. METHODS:Sub...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1063
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:The Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) is a program designed for financially disadvantaged women ages 40-64 and funded by the Centers for Disease Control and Prevention (CDC). This study investigates the role that travel distance plays in determining whether these...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.06.021
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Afterschool programs are an important setting in which to promote children's physical activity. This study examines the association of environmental and policy characteristics on the moderate-to-vigorous physical activity and sedentary behavior of children attending afterschool programs. METHODS:A total of ...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ypmed.2014.09.010
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to provide an overview of interventions to reduce or prevent overweight or obesity and improve diet or physical activity. METHODS:A review of meta-analyses and/or systematic reviews of these interventions in any setting or age group were conducted. Narrative systematic reviews were i...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ypmed.2014.02.008
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:The Institute of Medicine recommends that public health agencies restrict the number and regulate the location of tobacco retailers as a means of reducing tobacco use. However, the best policy strategy for tobacco retailer reduction is unknown. PURPOSE:The purpose of this study is to test the percent reduct...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.01.025
更新日期:2015-05-01 00:00:00
abstract::During the last 25 years a remarkable change has occurred in the ranking of the causes of death in Japan. In particular, stroke, the leading cause of death in Japan for a long period of time, has been declining from its peak in 1965. Although ischemic heart disease increased about fourfold, it is not yet as prominent ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(83)90198-6
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To determine the association between self-reported diabetes and posttraumatic stress disorder (PTSD) among adults in the community and to investigate the specificity of this link. METHOD:Data were drawn from the National Comorbidity Survey (NCS), a household probability sample of adults ages 15-54 in the Uni...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.07.013
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To examine the viability of monetary incentives to increase fitness-center use and maintain/improve the Body Mass Indexes (BMIs) of first-year students over the fall semester. METHOD:Randomized-controlled trial with no-treatment and incentive conditions involving 117 first-year students. For 12 weeks, studen...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2012.12.020
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Many primary care practices do not have systematic protocols to identify patients who smoke or to encourage clinicians to provide smoking cessation advice. We designed a study to assess the relative effectiveness of two brief interventions on screening for smoking, physician cessation advice and patient smok...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.ypmed.2003.09.045
更新日期:2004-03-01 00:00:00
abstract:INTRODUCTION:Studies investigating the regional impact of the 2012 U.S. Preventive Services Task Force (USPSTF) recommendation against the use of prostate specific antigen (PSA) screening for prostate cancer have been limited. METHODS:A retrospective cohort study was conducted on men age 50years and older in Southeast...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.11.017
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:In this cross-sectional study, we examined the relationship between socio-environmental characteristics of neighborhood of residence and the frequency of leisure-time physical activity (LTPA) among older adults from Porto (Portugal). METHOD:Data from EpiPorto - a prospective adult cohort study from Porto (Po...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.08.033
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Although colorectal cancer is not one of the major tobacco-related cancers, a possible association with tobacco has been suggested following the observation of a relationship between cigarette smoking and colorectal adenomas. The issue of a long latency of tobacco on colorectal carcinogenesis has also been s...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1091
更新日期:1995-11-01 00:00:00
abstract::The Cancer Prevention and Control Research Network (CPCRN) is one of the thematic networks of the United States' Centers for Disease Control and Prevention's (CDC) Prevention Research Centers. Network members are academic research centers in the United States who collaborate with public health and community partners t...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.105824
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Evaluations of physical activity and health media campaigns have been limited and ignore the complex process of communication and the socially constructed nature of news messages. METHODS:A systematic search strategy was conducted of the literature which was then assessed from two perspectives. First, studi...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.04.018
更新日期:2005-02-01 00:00:00
abstract::Until now it has been difficult to ascertain how much passive inhalation of tobacco smoke affects bronchopulmonary function. To answer this question, an investigation involving 1,351 white collar workers was carried out. Information about active and passive tobacco smoke exposure was obtained by a standardized questio...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/s0091-7435(84)80015-8
更新日期:1984-11-01 00:00:00
abstract:BACKGROUND:The introduction of bans on smoking in restaurants is frequently marred by claims that they will lead to a loss of business. METHODS:A representative sample of 3,019 South Australians age 15+ years were asked questions about dining-out frequency and perceived effects of the ban on their dining-out enjoyment...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0502
更新日期:1999-07-01 00:00:00