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COVID-19 and Social Vulnerabilities in Virginia ZIP Code Tabulation Areas
Parthay H Patel1, Nikhil Amin2, Bhaumik Patel3
1School of Business, Virginia Commonwealth University, Richmond, USA.
COVID-19 prevalence in Virginia was linked to area-level racial composition, income, and crowding. These demographic factors, reflecting structural inequalities, are key indicators of social vulnerability and can inform public health decisions.
Area of Science:
- Public Health
- Epidemiology
- Social Determinants of Health
Background:
- Retrospective review of demographic determinants of COVID-19 prevalence in Virginia.
- Data collected from May 15, 2020, to August 6, 2020, during the state's first COVID-19 peak.
- Utilized data from the Virginia Department of Health (VDH).
Purpose of the Study:
- To examine associations between COVID-19 cases and socioeconomic variables.
- To understand the relationship between various socioeconomic factors and disease prevalence.
- To identify demographic determinants influencing COVID-19 spread in Virginia.
Main Methods:
- Analysis of COVID-19 cases and socioeconomic data by Virginia ZIP Code Tabulation Areas (VZCTAs) within Virginia's Health Planning Regions (VHPRs).
- Employed multivariate regression analysis and Pearson correlations.
- Examined area-level ethnic and racial composition, median household income, and household crowding.
Main Results:
- COVID-19 prevalence was highest in the Northern region and lowest in the southwestern region (p < 0.05).
- Area-level racial/ethnic composition (Black/Hispanic), median household income, and household crowding were significant predictors of prevalence.
- Multivariate analyses showed strong correlations (overall R = 0.612, Northern VHPR R = 0.903).
Conclusions:
- Area-level racial and ethnic composition serves as a proxy for structural inequalities and social vulnerability to COVID-19.
- Findings underscore the importance of social vulnerability in public health planning within smaller population units.
- Results can guide critical decisions on vaccine distribution and health policies based on social vulnerability.
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