Association between Socioeconomic Status and Incidence of Community-Associated Clostridioides difficile Infection - United States, 2014-2015

Kimberly A Skrobarcek; Yi Mu; Jennifer Ahern; Elizabeth Basiliere; Zintars G Beldavs; Geoffrey Brousseau; Ghinwa Dumyati; Scott Fridkin; Stacy M Holzbauer; Helen Johnston; Marion A Kainer; James Meek; Valerie L S Ocampo; Erin Parker; Rebecca Perlmutter; Erin C Phipps; Lisa Winston; Alice Guh

doi:10.1093/cid/ciab042

Association between Socioeconomic Status and Incidence of Community-Associated Clostridioides difficile Infection - United States, 2014-2015

Clin Infect Dis. 2021 Aug 16;73(4):722-725. doi: 10.1093/cid/ciab042.

Authors

Kimberly A Skrobarcek¹, Yi Mu¹, Jennifer Ahern², Elizabeth Basiliere³, Zintars G Beldavs⁴, Geoffrey Brousseau³, Ghinwa Dumyati⁵, Scott Fridkin⁶, Stacy M Holzbauer⁷, Helen Johnston³, Marion A Kainer⁸, James Meek⁹, Valerie L S Ocampo⁴, Erin Parker¹⁰, Rebecca Perlmutter¹¹, Erin C Phipps¹², Lisa Winston¹³, Alice Guh¹

Affiliations

¹ Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
² University of California at Berkeley, Berkeley, California, USA.
³ Colorado Department of Public Health and Environment, Denver, Colorado, USA.
⁴ Oregon Health Authority, Portland, Oregon, USA.
⁵ New York Emerging Infections Program at the University of Rochester Medical Center, Rochester, New York, USA.
⁶ Department of Medicine, Emory University School of Medicine and Georgia Emerging Infections Program, Atlanta, Georgia, USA.
⁷ Minnesota Department of Health, St. Paul, Minnesota, USA.
⁸ Tennessee Department of Public Health, Nashville, Tennessee, USA.
⁹ Yale School of Public Health, Connecticut Emerging Infections Program, New Haven, Connecticut, USA.
¹⁰ California Emerging Infections Program, Oakland, California, USA.
¹¹ Maryland Department of Health and Mental Hygiene, Baltimore, Maryland, USA.
¹² University of New Mexico, New Mexico Emerging Infections Program, Albuquerque, New Mexico, USA.
¹³ University of California, San Francisco and Zuckerberg San Francisco General Hospital and Trauma Center, San Francisco, California, USA.

Abstract

We evaluated the association between socioeconomic status (SES) and community-associated Clostridioides difficile infection (CA-CDI) incidence across 2474 census tracts in 10 states. Highly correlated community-level SES variables were transformed into distinct factors using factor analysis. We found low SES communities were associated with higher CA-CDI incidence.

Keywords: Community-associated Clostridioides difficile; health disparities; social determinants of ealth.

Published by Oxford University Press for the Infectious Diseases Society of America 2021.

Publication types

Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

MeSH terms

Clostridioides
Clostridioides difficile*
Clostridium Infections* / epidemiology
Humans
Incidence
Social Class
United States / epidemiology

Abstract

Publication types

MeSH terms

Grants and funding