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Title

Social Inequality and the Syndemic of Chronic Disease and COVID-19: County-Level Analysis in the USA (Journal of Epidemiology and Community Health)

Publication Topics

California Health Interview Survey; 2001 CA Health Interview Survey (CHIS 2001); 2003 California Health Interview Survey (CHIS 2003); 2005 California Health Interview Survey (CHIS 2005); 2007 California Health Interview Survey (CHIS 2007); 2009 California Health Interview Survey (CHIS 2009); 2011 California Health Interview Survey (CHIS 2011); 2012 California Health Interview Survey (CHIS 2012); Chronic Condition Prevalence; COVID-19; Local-level/Community Population

Publication Type

CHIS Journal Article

Publication Date

2021-01-05T08:00:00Z

Author 1

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1863\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1863&amp;RootFolder=*">Nazrul Islam</a>

Author 2

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=151\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=151&amp;RootFolder=*">et al</a>

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Abstract

Summary: Given the effect of chronic diseases on risk of severe COVID-19 infection, the present pandemic may have a particularly profound impact on socially disadvantaged counties. Counties in the United States were categorized into five groups by level of social vulnerability, using the Social Vulnerability Index (a widely used measure of social disadvantage) developed by the U.S. Centers for Disease Control and Prevention. The incidence and mortality from COVID-19, and the prevalence of major chronic conditions were calculated relative to the least vulnerable quintile using Poisson regression models.


Findings: Among 3,141 counties, there were 5,010,496 cases and 161,058 deaths from COVID-19 by August 10, 2020. Relative to the least vulnerable quintile, counties in the most vulnerable quintile had twice the rates of COVID-19 cases and deaths. Similarly, the prevalence of major chronic conditions was 24%–41% higher in the most vulnerable counties. Geographical clustering of counties with high COVID-19 mortality, high chronic disease prevalence and high social vulnerability was found, especially in the southern United States.


Some counties are experiencing a confluence of epidemics from COVID-19 and chronic diseases in the context of social disadvantage. Such counties are likely to require enhanced public health and social support.


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Article 1

Journal Article: Social Inequality and the Syndemic of Chronic Disease and COVID-19: County-Level Analysis in the USA

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Related Report: Obesity in California

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Press Release

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California Health Interview Survey (CHIS)

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Created at 3/19/2021 6:27 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 3/19/2021 4:15 PM by i:0#.f|uclachissqlmembershipprovider|celeste