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

Author:

Skrobarcek Kimberly A1,Mu Yi1,Ahern Jennifer2,Basiliere Elizabeth3,Beldavs Zintars G4,Brousseau Geoffrey3,Dumyati Ghinwa5,Fridkin Scott6,Holzbauer Stacy M7,Johnston Helen3,Kainer Marion A8,Meek James9,Ocampo Valerie L S4,Parker Erin10,Perlmutter Rebecca11,Phipps Erin C12,Winston Lisa13,Guh Alice1

Affiliation:

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

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.

Funder

National Center for Emerging and Zoonotic Infectious Diseases

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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