COVID-19 and health inequality: the nexus of race, income and mortality in New York City

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Farzaneh Khayat ◽  
Lemir Teron ◽  
Farzin Rasoulyan
Keyword(s):  
New York ◽  
New York City ◽  
Health Inequality ◽  
York City ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Mortality Rates ◽  
Census Bureau ◽  
Content Type ◽  
Marginalized Communities

Purpose The purpose of this paper is to evaluate socioeconomic factors related to COVID-19 mortality rates in New York City (NYC) to understand the connections between socioeconomic variables, including race and income and the disease. Design/methodology/approach Using multivariable negative binomial regression, the association between health and mortality disparities related to COVID-19 and socioeconomic conditions is evaluated. The authors obtained ZIP code-level data from the NYC Department of Health and Mental Hygiene and the US Census Bureau. Findings This study concludes that the mortality rate rises in areas with a higher proportion of Hispanic and Black residents, whereas areas with higher income rates had lower mortality associated with COVID-19, among over 18,000 confirmed deaths in NYC. Originality/value The paper highlights the impacts of social, racial and wealth disparities in mortality rates. It brings to focus the importance of targeted policies regarding these disparities to alleviate health inequality among marginalized communities and to reduce disease mortality.

scholarly journals Population Structure of Klebsiella pneumoniae Causing Bloodstream Infections at a New York City Tertiary Care Hospital: Diversification of Multidrug-Resistant Isolates

2015 ◽  
Vol 53 (7) ◽  
pp. 2060-2067 ◽  
Author(s):  
Angela Gomez-Simmonds ◽  
Michelle Greenman ◽  
Sean B. Sullivan ◽  
Joshua P. Tanner ◽  
Madeleine G. Sowash ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Klebsiella Pneumoniae ◽  
York City ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Mortality Rates ◽  
Care Hospital ◽  
Content Type

Despite the growing importance of carbapenem-resistantKlebsiella pneumoniae(CRKP), the clonal relationships between CRKP and antibiotic-susceptible isolates remain unclear. We compared the genetic diversity and clinical features of CRKP, third-generation and/or fourth-generation cephalosporin-resistant (Ceph-R)K. pneumoniae, and susceptibleK. pneumoniaeisolates causing bloodstream infections at a tertiary care hospital in New York City between January 2012 and July 2013. Drug susceptibilities were determined with the Vitek 2 system. Isolates underwent multilocus sequence typing and PCR sequencing of thewziandblaKPCgenes. Clinical and microbiological data were extracted from patient records and correlated with molecular data. Among 223 patients, we identified 272 isolates. Of these, 194 were susceptible, 30 Ceph-R, and 48 CRKP, belonging to 144 sequence types (STs). Susceptible (127 STs) and Ceph-R (20 STs) isolates were highly diverse. ST258 dominated CRKP strains (12 STs, with 63% ST258). There was minimal overlap in STs between resistance groups. TheblaKPC-3gene (30%) was restricted to ST258/wzi154, whereasblaKPC-2(70%) was observed for severalwziallele types. CRKP infections occurred more frequently among solid organ transplant (31%) and dialysis (17%) patients. Mortality rates were high overall (28%) and highest among CRKP-infected patients (59%). In multivariable analyses, advanced age, comorbidities, and disease severity were significant predictors of 30-day mortality rates, whereas theK. pneumoniaesusceptibility phenotype was not. Among CRKP infections, we observed a borderline significant association of increased mortality rates with ST258 and thewzi154 allele. Although the clonal spread of ST258 continues to contribute substantially to the dissemination of CRKP, non-ST258 strains appear to be evolving. Further investigations into the mechanisms promoting CRKP diversification and the effects of clonal backgrounds on outcomes are warranted.

scholarly journals Weather Effects on Social Movements: Evidence from Washington, D.C., and New York City, 1960–95

2016 ◽  
Vol 8 (3) ◽  
pp. 299-311 ◽  
Author(s):  
Tony Huiquan Zhang
Keyword(s):  
New York ◽  
New York City ◽  
Social Movements ◽  
Social Movement ◽  
York City ◽  
Regression Models ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Future Research ◽  
The Impact

Abstract Scholars have been taking the impact of weather on social movements for granted for some time, despite a lack of supporting empirical evidence. This paper takes the topic more seriously, analyzing more than 7000 social movement events and 36 years of weather records in Washington, D.C., and New York City (1960–95). Here, “good weather” is defined as midrange temperature and little to no precipitation. This paper uses negative binomial regression models to predict the number of social movements per day and finds social movements are more likely to happen on good days than bad, with seasonal patterns controlled for. Results from logistic regression models indicate violence occurs more frequently at social movement events when it is warmer. Most interestingly, the effect of weather is more salient when there are more political opportunities and resources available. This paper discusses the implications and suggests future research on weather and social movement studies.

scholarly journals Food and Waterborne Disease in the Greater New York City Area Following Hurricane Sandy in 2012

2016 ◽  
Vol 10 (3) ◽  
pp. 503-511 ◽  
Author(s):  
Michael S. Bloom ◽  
Jillian Palumbo ◽  
Nazia Saiyed ◽  
Ursula Lauper ◽  
Shao Lin
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Hurricane Sandy ◽  
Protective Effects ◽  
Waterborne Disease ◽  
Adjusted Risk ◽  
City Area

AbstractObjectiveWe aimed to evaluate residence in evacuation areas (storm areas) as a risk factor for food and waterborne disease (FWBD) associated with Hurricane Sandy flooding.MethodsWe captured 9601 incident outpatient and inpatient FWBD hospital discharge diagnoses for residents of the greater New York City area. We used Poisson or negative binomial regression models to compare the covariate-adjusted risk for a FWBD diagnosis, pre-Sandy (10/28-11/09, 2001-2011) vs. post-Sandy (10/28-11/09, 2012), for residents of “storm” and “non-storm” areas.ResultsOutpatient FWBD risk was lower for storm area residents after Hurricane Sandy (risk ratio [RR]=0.58, 95% confidence interval [CI]: 0.46-0.74), and varied by age, sex, and county. However, storm area residents 65 years of age or older experienced higher risk after Hurricane Sandy (RR=2.16, 95% CI: 1.11-4.19), albeit based on few cases. Inpatient FWBD risk was lower for non-storm area residents after Hurricane Sandy (RR=0.79, 95% CI: 0.66-0.95), and varied by age, race, and county, although there was no significant change for storm area residents (RR=0.86, 95% CI: 0.69-1.08). Those ≥65 years of age were also at lower risk for inpatient FWBD diagnosis, yet the effect was weaker for storm area (RR=0.89, 95% CI: 0.67-1.18) than for non-storm area residents (RR=0.68, 95% CI: 0.52-0.89).ConclusionsHurricane preparation, mitigation, and response activities in the greater New York City area may have led to “protective” effects for FWBD. (Disaster Med Public Health Preparedness. 2016;10:503–511)

Energy disclosure law in New York City

Facilities ◽  
2018 ◽  
Vol 36 (11/12) ◽  
pp. 571-583
Author(s):  
Eunhwa Yang ◽  
Yong-Cheol Lee ◽  
Qi Li
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Secondary Data ◽  
Large Sample Size ◽  
Content Type ◽  
Energy Star ◽  
Significant Difference ◽  
Energy Benchmarking ◽  
Local Law

Purpose This paper aims to primarily analyzing the state and pattern of current energy benchmarking progress on commercial buildings since the New York City’s energy disclosure law, Local Law 84: Benchmarking has been implemented. It then compares the yearly benchmarking progress of Leadership in Energy and Environmental Design (LEED)-certified and non-LEED-certified buildings as well as ENERGY STAR-certified and non-ENERGY STAR-certified. Design/methodology/approach For thorough analytics, the authors combined and examined four sources of data: New York City Local Law 84: Benchmarking, Primary Land Use Tax Lot Output, US Green Building Council and US Environmental Protection Agency. The data sets were combined using two primary keys: the Borough, Block, Lot (BBL) number and the building address. Four years of energy use intensity values were obtained and normalized by shrinking the range of deviance in weather. Findings The findings indicate a significant improvement in the benchmarking progress when controlling building size, building type, year of construction or the most recent renovation and the presence of renovation. Interestingly, there is no significant difference in the energy benchmarking progress between LEED- and non-LEED-certified buildings. Possible reasons are explored and discussed. Originality/value From a methodological perspective, the study benefited from data disclosure as well as open data sources and used secondary data with a relatively large sample size. Many studies in the construction industry are based on the case-study approach, which may affect generalizability and causality of research findings. This unique approach illustrates the potential of secondary data analysis in the industry.

Hide and Seek: The Historian and Nineteenth-Century Social Accounting

1991 ◽  
Vol 15 (4) ◽  
pp. 545-563 ◽  
Author(s):  
Donald A. DeBats
Keyword(s):  
Nineteenth Century ◽  
New York ◽  
New York City ◽  
New Orleans ◽  
York City ◽  
Census Bureau ◽  
Political Issue ◽  
Social Accounting ◽  
The Law

The problem of census undercounts, a familiar political issue for modern groups or instrumentalities that consider themselves underrepresented in the Census Bureau statistics, has only recently attracted attention from historians. While the modern “miss rate” is potentially high among some groups (the reason for the emphasis on the homeless in the 1990 census), the general rate of underenumeration appears to have diminished in recent censuses. The bureau acknowledges a net undercount of 5.6% of the population in 1940; the error declined gradually to an estimated 1.4% in 1980 (Burnham 1986; Anderson 1988; Edmondson 1988).Nineteenth-century censuses no doubt contained more serious errors. Although he did not have underenumeration specifically in mind, the administrator for the 1870 census said that “the censuses of 1850, 1860, and of 1870 are loaded with bad statistics. There are statistics in the census of 1870,I am sorry to say, where some of the results are false to the extent of one-half. They had to be published then, because the law called for it; but I took the liberty of branding them as untrustworthy and in some cases giving the reasons therefore at some length” (quoted in Sharpless and Shortridge 1975: 411). Strikingly modern quarrels surrounded the accuracy of the 1840 Boston and New Orleans censuses, while the errors in the 1870 enumeration of New York City and Philadelphia were sufficient to cause recounts of both cities (ibid. ; Knights 1971: 145).

scholarly journals New York City House Mice (Mus musculus) as Potential Reservoirs for Pathogenic Bacteria and Antimicrobial Resistance Determinants

mBio ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. e00624-18 ◽  
Author(s):  
Simon H. Williams ◽  
Xiaoyu Che ◽  
Ashley Paulick ◽  
Cheng Guo ◽  
Bohyun Lee ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Antimicrobial Resistance ◽  
York City ◽  
Pathogenic Bacteria ◽  
Gastrointestinal Disease ◽  
House Mice ◽  
Urban Centers ◽  
Content Type ◽  
Antimicrobial Resistance Genes

ABSTRACTHouse mice (Mus musculus) thrive in large urban centers worldwide. Nonetheless, little is known about the role that they may play in contributing to environmental contamination with potentially pathogenic bacteria. Here, we describe the fecal microbiome of house mice with emphasis on detection of pathogenic bacteria and antimicrobial resistance genes by molecular methods. Four hundred sixteen mice were collected from predominantly residential buildings in seven sites across New York City over a period of 13 months. 16S rRNA sequencing identifiedBacteroidetesas dominant and revealed high levels ofProteobacteria. A targeted PCR screen of 11 bacteria, as indicated by 16S rRNA analyses, found that mice are carriers of several gastrointestinal disease-causing agents, includingShigella,Salmonella,Clostridium difficile, and diarrheagenicEscherichia coli. Furthermore, genes mediating antimicrobial resistance to fluoroquinolones (qnrB) and β-lactam drugs (blaSHVandblaACT/MIR) were widely distributed. Culture and molecular strain typing ofC. difficilerevealed that mice harbor ribotypes associated with human disease, and screening of kidney samples demonstrated genetic evidence of pathogenicLeptospiraspecies. In concert, these findings support the need for further research into the role of house mice as potential reservoirs for human pathogens and antimicrobial resistance in the built environment.IMPORTANCEMice are commensal pests often found in close proximity to humans, especially in urban centers. We surveyed mice from seven sites across New York City and found multiple pathogenic bacteria associated with febrile and gastrointestinal disease as well as an array of antimicrobial resistance genes.

scholarly journals Colorectal Cancer Incidence and Mortality Rates Among New York City Adults Ages 20–54 years during 1976–2015

2018 ◽  
Vol 2 (4) ◽  
Author(s):  
Kellie C Van Beck ◽  
John Jasek ◽  
Kristi Roods ◽  
Jennifer J Brown ◽  
Shannon M Farley ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
New York ◽  
New York City ◽  
York City ◽  
New York State ◽  
Mortality Rates ◽  
Registry Data ◽  
Mortality Trends ◽  
Annual Percent Change ◽  
Incidence And Mortality

Abstract Colorectal cancer (CRC) incidence rates are rising in younger Americans and mortality rates are increasing among younger white Americans. We used New York State Cancer Registry data to examine New York City CRC incidence and mortality trends among adults ages 20–54 years by race from 1976 to 2015. Annual percent change (APC) was considered statistically significant at P less than .05 using a two-sided test. CRC incidence increased among those ages 20–49 years, yet blacks had the largest APC of 2.2% (1993–2015; 95% confidence interval [CI] = 1.4% to 3.1%) compared with 0.5% in whites (1976–2015; 95% CI = 0.2% to 0.7%). Among those aged 50–54 years, incidence increased among blacks by 0.8% annually (1976–2015; 95% CI = 0.4% to 1.1%), but not among whites. CRC mortality decreased among both age and race groups. These findings emphasize the value of local registry data to understand trends locally, the importance of timely screening, and the need for clinicians to consider CRC among all patients with compatible signs and symptoms.

scholarly journals Complete Sequence of ablaKPC-2-Harboring IncFIIK1Plasmid from a Klebsiella pneumoniae Sequence Type 258 Strain

2013 ◽  
Vol 57 (3) ◽  
pp. 1542-1545 ◽  
Author(s):  
Liang Chen ◽  
Kalyan D. Chavda ◽  
Roberto G. Melano ◽  
Michael R. Jacobs ◽  
Michael H. Levi ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Nucleotide Sequence ◽  
Klebsiella Pneumoniae ◽  
York City ◽  
Complete Sequence ◽  
Sequence Type ◽  
Content Type ◽  
City Area ◽  
Carbapenem Resistant

ABSTRACTWe report the nucleotide sequence of a novelblaKPC-2-harboring IncFIIK1plasmid, pBK32179, isolated from a carbapenem-resistantKlebsiella pneumoniaeST258 strain from a New York City patient. pBK32179 is 165 kb long, consists of a large backbone of pKPN3-like plasmid, and carries an 18.5-kbblaKPC-2-containing element that is highly similar to plasmid pKpQIL. pBK32179-like plasmids were identified in 8.3% of strains in a collection of 96K. pneumoniaeisolates from hospitals in the New York City area.

Amazon-NYC reversal will aid PPPs in other cities

2019 ◽  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Corporate Investment ◽  
Public Private Partnerships ◽  
Content Type ◽  
Potential Value ◽  
Early Evidence ◽  
Insight Into

Subject Corporate incentives to cities. Significance Amazon’s abandoment of its second headquarters (HQ2) plans in New York City (NYC) provides insight into limitations of subsidies to attact corporate investment to cities, and the potential value of public-private partnerships (PPPs) as an alternative. Impacts Research showing that firms flock to people, not places, suggests cities should fund services and infrastructure, not firms. New York Governor Andrew Cuomo tried to persuade Amazon to return but made little progress and the campaign quickly lost momentum. Amazon employs 6,600 people in Austin, Texas and will add 800 jobs without incentives, early evidence that cities will learn from HQ2/NYC.

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