scholarly journals Differential COVID-19 case positivity in New York City neighborhoods: socioeconomic factors and mobility

Author(s):  
Matthew R. Lamb ◽  
Sasikiran Kandula ◽  
Jeffrey Shaman

AbstractNew York City has been one of the hotspots of the COVID-19 pandemic and during the first two months of the outbreak considerable variability in case positivity was observed across the city’s ZIP codes. In this study, we examined: a) the extent to which the variability in ZIP code level cases can be explained by aggregate markers of socioeconomic status and daily change in mobility; and b) the extent to which daily change in mobility independently predicts case positivity.Our analysis indicates that the markers considered together explained 56% of the variability in case positivity through April 1 and their explanatory power decreased to 18% by April 30. Our analysis also indicates that changes in mobility during this time period are not likely to be acting as a mediator of the relationship between ZIP-level SES and case positivity. During the middle of April, increases in mobility were independently associated with decreased case positivity. Together, these findings present evidence that heterogeneity in COVID-19 case positivity during the New York City spring outbreak was largely driven by residents’ socioeconomic status.

Author(s):  
Qingyu Zhou ◽  
Qinwen Yu ◽  
Xin Wang ◽  
Peiwu Shi ◽  
Qunhong Shen ◽  
...  

This study aimed to analyze the changes in the 10 major categories of women’s healthcare services (WHSs) in Shanghai (SH) and New York City (NYC) from 1978 to 2017, and examine the relationship between these changes and maternal mortality ratio (MMR). Content analysis of available public policy documents concerning women’s health was conducted. Two indicators were designed to represent the delivery of WHSs: The essential women’s healthcare service coverage rate (ESCR) and the assessable essential healthcare service coverage rate (AESCR). Spearman correlation was used to analyze the relationship between the two indicators and MMR. In SH, the ESCR increased from 10% to 90%, AESCR increased from 0% to 90%, and MMR decreased from 24.0/100,000 to 1.01/100,000. In NYC, the ESCR increased from 0% to 80%, the AESCR increased from 0% to 60%, and the MMR decreased from 24.7/100,000 to 21.4/100,000. The MMR significantly decreased as both indicators increased (p < 0.01). Major advances have been made in women’s healthcare in both cities, with SH having a better improvement effect. A common shortcoming for both was the lack of menopausal health service provision. The promotion of women’s health still needs to receive continuous attention from governments of SH and NYC. The experiences of the two cities showed that placing WHSs among policy priorities is effective in improving service status.


Author(s):  
Desmond Sutton ◽  
Timothy Wen ◽  
Anna P. Staniczenko ◽  
Yongmei Huang ◽  
Maria Andrikopoulou ◽  
...  

Objective This study was aimed to review 4 weeks of universal novel coronavirus disease 2019 (COVID-19) screening among delivery hospitalizations, at two hospitals in March and April 2020 in New York City, to compare outcomes between patients based on COVID-19 status and to determine whether demographic risk factors and symptoms predicted screening positive for COVID-19. Study Design This retrospective cohort study evaluated all patients admitted for delivery from March 22 to April 18, 2020, at two New York City hospitals. Obstetrical and neonatal outcomes were collected. The relationship between COVID-19 and demographic, clinical, and maternal and neonatal outcome data was evaluated. Demographic data included the number of COVID-19 cases ascertained by ZIP code of residence. Adjusted logistic regression models were performed to determine predictability of demographic risk factors for COVID-19. Results Of 454 women delivered, 79 (17%) had COVID-19. Of those, 27.9% (n = 22) had symptoms such as cough (13.9%), fever (10.1%), chest pain (5.1%), and myalgia (5.1%). While women with COVID-19 were more likely to live in the ZIP codes quartile with the most cases (47 vs. 41%) and less likely to live in the ZIP code quartile with the fewest cases (6 vs. 14%), these comparisons were not statistically significant (p = 0.18). Women with COVID-19 were less likely to have a vaginal delivery (55.2 vs. 51.9%, p = 0.04) and had a significantly longer postpartum length of stay with cesarean (2.00 vs. 2.67days, p < 0.01). COVID-19 was associated with higher risk for diagnoses of chorioamnionitis and pneumonia and fevers without a focal diagnosis. In adjusted analyses, including demographic factors, logistic regression demonstrated a c-statistic of 0.71 (95% confidence interval [CI]: 0.69, 0.80). Conclusion COVID-19 symptoms were present in a minority of COVID-19-positive women admitted for delivery. Significant differences in obstetrical outcomes were found. While demographic risk factors demonstrated acceptable discrimination, risk prediction does not capture a significant portion of COVID-19-positive patients. Key Points


2017 ◽  
Vol 3 ◽  
pp. 237802311770065 ◽  
Author(s):  
Adam D. Reich

The relationship between social movements and formal organizations has long been a concern to scholars of collective action. Many have argued that social movement organizations (SMOs) provide resources that facilitate movement emergence, while others have highlighted the ways in which SMOs institutionalize or coopt movement goals. Through an examination of the relationship between Occupy Wall Street and the field of SMOs in New York City, this article illustrates a third possibility: that a moment of insurgency becomes a more enduring movement in part through the changes it induces in the relations among the SMOs in its orbit.


2021 ◽  
Vol 7 (1) ◽  
pp. 197-204
Author(s):  
Aleksander Motturi ◽  
Kira Josefsson

In this semi-biographical short story, the relationship between James Baldwin and Attorney General Robert F. Kennedy, and its culmination in their epic confrontation in New York City on 24 May 1963, is portrayed through the lens of an unidentified fictive narrator. In the midst of heightened racial tensions, Baldwin has been tasked with bringing together a delegation of prominent Black US personalities to meet with the Attorney General and share their views on the measures necessary to combat segregation and racism. The meeting has barely begun before the naivety of the administration’s view of the national situation becomes clear, and the atmosphere in the room grows increasingly strained. “The Fire Inside” has never before appeared in print. An earlier version of the story was broadcast by Swedish Radio on 29 November 2019.


2005 ◽  
Vol 40 (9-10) ◽  
pp. 1539-1555 ◽  
Author(s):  
Lloyd A. Goldsamt ◽  
Julie O'Brien ◽  
Michael C. Clatts ◽  
Laura Silver McGuire

1991 ◽  
Vol 40 (3-4) ◽  
pp. 303-309 ◽  
Author(s):  
J.L. Kiely

AbstractThe objective of this study was to compute yearly neonatal mortality rates (NMRs) in twins and compare these to rates in singletons during the same time period. The focus was on time trends in birthweight-specific twin mortality in the birth population of New York City during the years 1968 to 1986. The study population was all twin livebirths ≥ 500 g birthweight (N = 45,605), with a comparison group of all singleton livebirths in the same birthweight range (N = 2,191,144). Data came from the New York City Department of Health's computerized vital records on livebirths and infant deaths. Between 1968 and 1986 the crude NMR declined 39% in twins and 47% in singletons. In twins there were birthweight-specific declines of 69% to 84% between 1000 g and 2499 g. However, there was only a 19% decline in the twin NMR over 2499 g. This contrasts with a 50% decline in the singleton NMR over 2499 g. In New York City, modern medical care has been remarkably successful in lowering the NMR in low birthweight twins. However, more effort must be made to understand the etiology of perinatal problems in twins with birth weights greater than 2500 g.


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