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Key Points Question How is exclusion of racial and ethnic segregation from California’s Healthy Places Index (HPI), a composite measure of the neighborhood environment, associated with race and ethnicity–stratified COVID-19–related… Click to show full abstract
Key Points Question How is exclusion of racial and ethnic segregation from California’s Healthy Places Index (HPI), a composite measure of the neighborhood environment, associated with race and ethnicity–stratified COVID-19–related hospitalization? Findings In this cohort study of 19 495 veterans with COVID-19 residing in California, COVID-19–related hospitalization was higher among Black and White veterans living in neighborhoods with lower HPI scores. However, accounting for Black segregation eliminated HPI’s hospitalization association for White veterans, but not for Black veterans. Meaning These findings suggest that care should be taken when using composite neighborhood deprivation indices that do not account for racial and ethnic segregation, as these associations may differ by race and ethnicity.
Journal Title: JAMA Network Open
Year Published: 2023
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