The association between neighbourhood marginalization and SARS-CoV-2 outcomes in patients presenting to emergency departments
Quel est l’objectif?
Improving healthcare and fixing system problems requires addressing health equity. If health equity is ignored, efforts to improve quality can unintentionally make gaps between groups even worse and may fail to improve health for everyone. To improve health outcomes, we must understand the social determinants that negatively impact health.
The objective of this study was to describe the relationship between neighbourhood marginalization and COVID-19 outcomes among patients presenting to Canadian emergency departments.
Résultats clés
People living in neighbourhoods with more recent immigrants, fewer people working, and less stable housing were less likely to go to the emergency department with severe COVID-19. However, people from neighbourhoods facing higher levels of material disadvantage were more likely to die once they were hospitalized.
Pourquoi est-ce important
Despite no association with severe COVID-19 at ED presentation, the only marginalization domain associated with in-hospital mortality was material deprivation. Our findings present insights on ED-seeking behaviour, hospital access, and care that population studies could not.
Où puis-je en apprendre davantage?
- Auteurs
- Ivy Cheng, Rhonda J. Rosychuk, David Seonguk Yeom, Ray L. Jewett, Iwona A. Bielska, Jake Hayward, Jaspreet Khangura, Rohit Mohindra, Megan Landes, Jeffrey P. Hau, Christiaan H. Righolt, Murdoch Leeies, Jennifer Grant, Steven C. Brooks & Corinne M. Hohl For the Canadian COVID-19 Emergency Department Rapid Response Network (CCEDRRN) Investigators