Abstract：
BACKGROUND:Community-associated Clostridioides difficile infections (CA-CDIs) share many risk factors with health care-associated cases, although the role of socioeconomic factors is poorly understood. This study estimates the influence of several census tract-level measures of socioeconomic status on CA-CDI incidence rates. METHODS:CA-CDI case data from the New Mexico Emerging Infections Program were analyzed using quasi-Poisson regression modeling. Geocoded cases were assigned census tract-level socioeconomic measures to explore racial, ethnic and socioeconomic disparities in CA-CDI incidence. RESULTS:Regression modeling identified census tract-level socioeconomic measures as well as individual and medical measures that together accounted for 57% of the variance in CA-CDI rates. At the census tract level, socioeconomic factors associated with an increase in CA-CDI incidence included a high percentage of individuals lacking health insurance and a low percentage of individuals with low educational attainment. A subanalysis that included racial and ethnic designation revealed that ethnicity had no significant effect, but compared to white race, other races were significantly more likely to acquire CA-CDI. CONCLUSIONS:Although this work reveals the role of certain socioeconomic and race and ethnicity risk factors in the incidence of CA-CDI, it also underscores the complex relationships that exist between socioeconomic status and access to health care.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Hudspeth WB,Qeadan F,Phipps ECdoi
10.1016/j.ajic.2018.12.014subject
Has Abstractpub_date
2019-07-01 00:00:00pages
773-779issue
7eissn
0196-6553issn
1527-3296pii
S0196-6553(18)31159-3journal_volume
47pub_type
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journal_title：American journal of infection control
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更新日期：2014-07-01 00:00:00
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journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,多中心研究
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journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2015-01-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2018-05-01 00:00:00
