PMID- 37788721 OWN - NLM STAT- MEDLINE DCOM- 20231216 LR - 20231216 IS - 1096-0260 (Electronic) IS - 0091-7435 (Linking) VI - 177 DP - 2023 Dec TI - Social vulnerability and new mobility disability among adults with polymerase chain reaction (PCR)-confirmed SARS-CoV-2: Michigan COVID-19 Recovery Surveillance Study. PG - 107719 LID - S0091-7435(23)00299-2 [pii] LID - 10.1016/j.ypmed.2023.107719 [doi] AB - OBJECTIVE: Understanding the relationship between social factors and persistent COVID-19 health outcomes, such as onset of a disability after a SARS-CoV-2 (the virus that causes COVID-19) infection, is an increasingly important public health issue. The purpose of this paper is to examine associations between social vulnerability and new onset of a mobility disability post-COVID-19 diagnosis. METHODS: We used data from the Michigan COVID-19 Recovery Surveillance Study, a population-based probability survey of adults with PCR-confirmed SARS-CoV-2 infection in Michigan between January 2020-May 2022 (n = 4295). We used the Minority Health Social Vulnerability Index (MHSVI), with high county-level social vulnerability defined at or above the 75th percentile. Mobility disability was defined as new difficulty walking or climbing stairs. We regressed mobility disability on the overall MHSVI, as well as sub-themes of the index (socioeconomic status, household composition/disability, minority and language, housing type, healthcare access, and medical vulnerability), using multivariable logistic regression, adjusting for age, race, sex, education, employment, and income. RESULTS: Living in a county with high (vs. low) social vulnerability was associated with 1.38 times higher odds (95% confidence interval [CI]:1.18-1.61) of reporting a new mobility disability after a COVID-19 diagnosis after adjustment. Similar results were observed for the socioeconomic status and household composition/disability sub-themes. In contrast, residents of highly racially diverse counties had lower odds (odds ratio 0.74, 95% CI: 0.61, 0.89) of reporting a new mobility disability compared to low diversity counties. CONCLUSIONS: Mitigating the effects of social vulnerabilities requires additional resources and attention to support affected individuals. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Allgood, Kristi L AU - Allgood KL AD - University of Michigan School of Public Health, Department of Epidemiology, Center for Social Epidemiology and Population Health. 1415 Washington Heights, 2649A, SPH Tower, Ann Arbor, MI 48109, USA; Texas A&M University School of Public Health, Department of Epidemiology & Biostatistics, USA. Electronic address: kallgood@umich.edu. FAU - Whittington, Blair AU - Whittington B AD - University of Michigan School of Public Health, Department of Epidemiology, Center for Social Epidemiology and Population Health. 1415 Washington Heights, 2649A, SPH Tower, Ann Arbor, MI 48109, USA. FAU - Xie, Yanmei AU - Xie Y AD - University of Michigan School of Public Health, Department of Epidemiology, Center for Social Epidemiology and Population Health. 1415 Washington Heights, 2649A, SPH Tower, Ann Arbor, MI 48109, USA. FAU - Hirschtick, Jana L AU - Hirschtick JL AD - University of Michigan School of Public Health, Department of Epidemiology, Center for Social Epidemiology and Population Health. 1415 Washington Heights, 2649A, SPH Tower, Ann Arbor, MI 48109, USA. FAU - Ro, Annie AU - Ro A AD - University of California - Irvine, Department of Health, Society, & Behavior. UCI Health Sciences Complex, 856 Health Sciences Quad, Suite 3600, Irvine, CA 92617, USA. FAU - Orellana, Robert C AU - Orellana RC AD - CDC Foundation, 600 Peachtree St NE #1000, Atlanta, GA 30308, USA; Bureau of Infectious Disease Prevention, Michigan Department of Health and Human Services, 333 S Grand Ave, P.O. Box 30195, Lansing, MI 48933, USA. FAU - Fleischer, Nancy L AU - Fleischer NL AD - University of Michigan School of Public Health, Department of Epidemiology, Center for Social Epidemiology and Population Health. 1415 Washington Heights, 2649A, SPH Tower, Ann Arbor, MI 48109, USA. LA - eng PT - Journal Article DEP - 20231001 PL - United States TA - Prev Med JT - Preventive medicine JID - 0322116 SB - IM MH - Adult MH - Humans MH - *SARS-CoV-2 MH - *COVID-19/diagnosis MH - Social Vulnerability MH - COVID-19 Testing MH - Michigan/epidemiology OTO - NOTNLM OT - COVID-19 OT - Long COVID-19 OT - Mobility disability OT - Post COVID-19 conditions (PCC) OT - Social determinants of health OT - Social vulnerability COIS- Declaration of Competing Interest Kristi Allgood, Blair Whittington, Yanmei Xie, Jana Hirschtick, Nancy Fleischer and the Michigan COVID-19 Recovery Surveillance Study has received funding from the Michigan Department of Health and Human Services, the Michigan Public Health Institute, the University of Michigan Institute for Data Science, the University of Michigan Rogel Cancer Center, and the University of Michigan Epidemiology Department. This manuscript is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) funded by CDC/HHS through grant numbers 6 NU50CK000510-02-04 and 1 NH75OT000078-01-00. Annie Ro no conflicts of interest or funding related to this article to disclose. Robert Orellana no conflicts of interest or funding related to this article to disclose. EDAT- 2023/10/04 00:42 MHDA- 2023/12/17 09:43 CRDT- 2023/10/03 19:13 PHST- 2023/06/29 00:00 [received] PHST- 2023/09/22 00:00 [revised] PHST- 2023/09/29 00:00 [accepted] PHST- 2023/12/17 09:43 [medline] PHST- 2023/10/04 00:42 [pubmed] PHST- 2023/10/03 19:13 [entrez] AID - S0091-7435(23)00299-2 [pii] AID - 10.1016/j.ypmed.2023.107719 [doi] PST - ppublish SO - Prev Med. 2023 Dec;177:107719. doi: 10.1016/j.ypmed.2023.107719. Epub 2023 Oct 1.