Next Article in Journal
Prevalence, Prevention, and Lifestyle Intervention of Gestational Diabetes Mellitus in China
Next Article in Special Issue
Mental Health of Parents of Special Needs Children in China during the COVID-19 Pandemic
Previous Article in Journal
Comparative Study of Hydrochemical Classification Based on Different Hierarchical Cluster Analysis Methods
Previous Article in Special Issue
Whites’ County-Level Racial Bias, COVID-19 Rates, and Racial Inequities in the United States
Article

Community-Level Factors Associated with COVID-19 Cases and Testing Equity in King County, Washington

1
Department of Environmental & Occupational Health Sciences, University of Washington, Seattle, WA 98195, USA
2
Bordeaux School of Public Health, University of Bordeaux, 33076 Bordeaux, France
3
Department of Health Services, University of Washington, Seattle, WA 98195, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(24), 9516; https://doi.org/10.3390/ijerph17249516
Received: 30 October 2020 / Revised: 3 December 2020 / Accepted: 14 December 2020 / Published: 18 December 2020
Individual-level Coronavirus Disease 2019 (COVID-19) case data suggest that certain populations may be more impacted by the pandemic. However, few studies have considered the communities from which positive cases are prevalent, and the variations in testing rates between communities. In this study, we assessed community factors that were associated with COVID-19 testing and test positivity at the census tract level for the Seattle, King County, Washington region at the summer peak of infection in July 2020. Multivariate Poisson regression was used to estimate confirmed case counts, adjusted for testing numbers, which were associated with socioeconomic status (SES) indicators such as poverty, educational attainment, transportation cost, as well as with communities with high proportions of people of color. Multivariate models were also used to examine factors associated with testing rates, and found disparities in testing for communities of color and communities with transportation cost barriers. These results demonstrate the ability to identify tract-level indicators of COVID-19 risk and specific communities that are most vulnerable to COVID-19 infection, as well as highlight the ongoing need to ensure access to disease control resources, including information and education, testing, and future vaccination programs in low-SES and highly diverse communities. View Full-Text
Keywords: COVID-19 testing; disparities; health inequities; socioeconomic status; COVID-19 risk; COVID-19 positivity; environmental justice COVID-19 testing; disparities; health inequities; socioeconomic status; COVID-19 risk; COVID-19 positivity; environmental justice
Show Figures

Figure 1

MDPI and ACS Style

Seto, E.; Min, E.; Ingram, C.; Cummings, B.; Farquhar, S.A. Community-Level Factors Associated with COVID-19 Cases and Testing Equity in King County, Washington. Int. J. Environ. Res. Public Health 2020, 17, 9516. https://doi.org/10.3390/ijerph17249516

AMA Style

Seto E, Min E, Ingram C, Cummings B, Farquhar SA. Community-Level Factors Associated with COVID-19 Cases and Testing Equity in King County, Washington. International Journal of Environmental Research and Public Health. 2020; 17(24):9516. https://doi.org/10.3390/ijerph17249516

Chicago/Turabian Style

Seto, Edmund, Esther Min, Carolyn Ingram, BJ Cummings, and Stephanie A. Farquhar 2020. "Community-Level Factors Associated with COVID-19 Cases and Testing Equity in King County, Washington" International Journal of Environmental Research and Public Health 17, no. 24: 9516. https://doi.org/10.3390/ijerph17249516

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop