scholarly journals Socioeconomic variation in characteristics, outcomes, and healthcare utilization of COVID-19 patients in New York City

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0255171
Author(s):  
Yongkang Zhang ◽  
Dhruv Khullar ◽  
Fei Wang ◽  
Peter Steel ◽  
Yiyuan Wu ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Healthcare Utilization ◽  
York City ◽  
Social Deprivation ◽  
Patient Characteristics ◽  
Cox Proportional Hazards ◽  
Community Dwelling ◽  
Social Conditions ◽  
Electronic Health Record Data

Objectives There is limited evidence on how clinical outcomes differ by socioeconomic conditions among patients with coronavirus disease 2019 (COVID-19). Most studies focused on COVID-19 patients from a single hospital. Results based on patients from multiple health systems have not been reported. The objective of this study is to examine variation in patient characteristics, outcomes, and healthcare utilization by neighborhood social conditions among COVID-19 patients. Methods We extracted electronic health record data for 23,300 community dwelling COVID-19 patients in New York City between March 1st and June 11th, 2020 from all care settings, including hospitalized patients, patients who presented to the emergency department without hospitalization, and patients with ambulatory visits only. Zip Code Tabulation Area—level social conditions were measured by the Social Deprivation Index (SDI). Using logistic regressions and Cox proportional-hazards models, we examined the association between SDI quintiles and hospitalization and death, controlling for race, ethnicity, and other patient characteristics. Results Among 23,300 community dwelling COVID-19 patients, 60.7% were from neighborhoods with disadvantaged social conditions (top SDI quintile), although these neighborhoods only account for 34% of overall population. Compared to socially advantaged patients (bottom SDI quintile), socially disadvantaged patients (top SDI quintile) were older (median age 55 vs. 53, P<0.001), more likely to be black (23.1% vs. 6.4%, P<0.001) or Hispanic (25.4% vs. 8.5%, P<0.001), and more likely to have chronic conditions (e.g., diabetes: 21.9% vs. 10.5%, P<0.001). Logistic and Cox regressions showed that patients with disadvantaged social conditions had higher risk for hospitalization (odds ratio: 1.68; 95% confidence interval [CI]: [1.46, 1.94]; P<0.001) and mortality (hazard ratio: 1.91; 95% CI: [1.35, 2.70]; P<0.001), adjusting for other patient characteristics. Conclusion Substantial socioeconomic disparities in health outcomes exist among COVID-19 patients in NYC. Disadvantaged neighborhood social conditions were associated with higher risk for hospitalization, severity of disease, and death.

scholarly journals Lynch Syndrome–Associated Variants and Cancer Rates in an Ancestrally Diverse Biobank

2020 ◽  
pp. 1429-1444
Author(s):  
Rachel E. Rosenblum ◽  
Celina Ang ◽  
Sabrina A. Suckiel ◽  
Emily R. Soper ◽  
Meenakshi R. Sigireddi ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Lynch Syndrome ◽  
York City ◽  
Sequence Data ◽  
African Ancestry ◽  
European Ancestry ◽  
Electronic Health Record Data ◽  
Increased Risk ◽  
Cancer Rates

PURPOSE Limited data are available on the prevalence and clinical impact of Lynch syndrome (LS)–associated genomic variants in non-European ancestry populations. We identified and characterized individuals harboring LS-associated variants in the ancestrally diverse Bio Me Biobank in New York City. PATIENTS AND METHODS Exome sequence data from 30,223 adult Bio Me participants were evaluated for pathogenic, likely pathogenic, and predicted loss-of-function variants in MLH1, MSH2, MSH6, and PMS2. Survey and electronic health record data from variant-positive individuals were reviewed for personal and family cancer histories. RESULTS We identified 70 individuals (0.2%) harboring LS-associated variants in MLH1 (n = 12; 17%), MSH2 (n = 13; 19%), MSH6 (n = 16; 23%), and PMS2 (n = 29; 41%). The overall prevalence was 1 in 432, with higher prevalence among individuals of self-reported African ancestry (1 in 299) than among Hispanic/Latinx (1 in 654) or European (1 in 518) ancestries. Thirteen variant-positive individuals (19%) had a personal history, and 19 (27%) had a family history of an LS-related cancer. LS-related cancer rates were highest in individuals with MSH6 variants (31%) and lowest in those with PMS2 variants (7%). LS-associated variants were associated with increased risk of colorectal (odds ratio [OR], 5.0; P = .02) and endometrial (OR, 30.1; P = 8.5 × 10−9) cancers in Bio Me. Only 2 variant-positive individuals (3%) had a documented diagnosis of LS. CONCLUSION We found a higher prevalence of LS-associated variants among individuals of African ancestry in New York City. Although cancer risk is significantly increased among variant-positive individuals, the majority do not harbor a clinical diagnosis of LS, suggesting underrecognition of this disease.

scholarly journals Impact of COVID-19 on Pediatric Asthma-related Healthcare Utilization in New York City: A Community-Based Study

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Erin Thanik ◽  
Elizabeth Garland ◽  
Elan Dayanov ◽  
Jasmine Bhatia ◽  
Lauren Zajac ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Healthcare Utilization ◽  
York City ◽  
Pediatric Asthma ◽  
Community Based

scholarly journals HEART-FAILURE TRAINING FOR HOME CARE WORKERS IN NEW YORK CITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S216-S216
Author(s):  
Madeline Sterling ◽  
Peggy Leung
Keyword(s):  
Heart Failure ◽  
New York ◽  
New York City ◽  
Home Care ◽  
York City ◽  
Nominal Group Technique ◽  
Community Dwelling ◽  
Nominal Group ◽  
Care Workers ◽  
Home Care Workers

Abstract Home care workers (HCWs), which include home health aides and personal care aides, are increasingly being used by community dwelling adults with heart failure (HF) for long-term assistance and post-acute care. Findings from our prior research suggest that HCWs are deeply involved in many aspects of HF patients’ self-care, including HF maintenance and management, but the majority have not received any HF training or HF-specific resources. Due to this, many HCWs do not feel confident caring for their clients with HF. In this symposium, we will present the findings of a qualitative study that used a nominal group technique to elicit the educational needs of 40 English and Spanish speaking agency-employed HCWs caring for HF patients in New York City. We will also present an overview of the HF training course that was developed from this data and its effect on HCWs’ HF knowledge and caregiving self-efficacy.

scholarly journals Neighbourhood socioeconomic status and cross-sectional associations with obesity and urinary biomarkers of diet among New York City adults: the heart follow-up study

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018566 ◽  
Author(s):  
Tali Elfassy ◽  
Stella S Yi ◽  
Maria M Llabre ◽  
Neil Schneiderman ◽  
Marc Gellman ◽  
...  
Keyword(s):  
New York ◽  
Socioeconomic Status ◽  
New York City ◽  
York City ◽  
Community Dwelling ◽  
Potassium Excretion ◽  
Cross Sectional ◽  
Follow Up Study ◽  
Neighbourhood Socioeconomic Status

ObjectiveTo determine whether neighbourhood socioeconomic status (SES) is associated with body mass index (BMI), waist circumference (WC) and biomarkers of diet (urinary sodium and potassium excretion).DesignA cross-sectional study.SettingThe data reported were from the 2010 Heart Follow-up Study, a population-based representative survey of 1645 adults.ParticipantsCommunity-dwelling diverse residents of New York City nested within 128 neighbourhoods (zip codes).Primary and secondary outcome measuresBMI (kg/m2) and WC (inches) were measured during in-home visits, and 24-hour urine sample was collected to measure biomarkers of diet: sodium (mg/day) and potassium (mg/day), with high sodium and low potassium indicative of worse diet quality.ResultsAfter adjusting for individual-level characteristics using multilevel linear regressions, low versus high neighbourhood SES tertile was associated with 1.83 kg/m2higher BMI (95% CI 0.41 to 3.98) and 251 mg/day lower potassium excretion (95% CI −409 to 93) among women only, with no associations among men (P values for neighbourhood SES by sex interactions <0.05).ConclusionOur results suggest that women may be particularly vulnerable to the effects of a socioeconomically disadvantaged neighbourhood. Future neighbourhood research should explore sex differences, as these can inform tailored interventions.Trial registration numberNCT01889589; Results.

scholarly journals Eviction, Healthcare Utilization, and Disenrollment Among New York City Medicaid Patients

2022 ◽  
Vol 62 (2) ◽  
pp. 157-164
Author(s):  
Gabriel L. Schwartz ◽  
Justin M. Feldman ◽  
Scarlett S. Wang ◽  
Sherry A. Glied
Keyword(s):  
New York ◽  
New York City ◽  
Healthcare Utilization ◽  
York City

An Important Armenian MS. with Greek Miniatures

1942 ◽  
Vol 74 (3-4) ◽  
pp. 155-162
Author(s):  
H. Kurdian
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Christian Iconography

In 1941 while in New York City I was fortunate enough to purchase an Armenian MS. which I believe will be of interest to students of Eastern Christian iconography.

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