American Journal of Public Health Research
ISSN (Print): 2327-669X ISSN (Online): 2327-6703 Website: https://www.sciepub.com/journal/ajphr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Public Health Research. 2025, 13(3), 103-116
DOI: 10.12691/ajphr-13-3-2
Open AccessArticle

Key Predictors of COVID-19 Seropositivity among Adults in New York City; Community Health Survey 2020

Apeksha Mewani1, , Vincent Jones II2 and Erin Jacques2

1Health Equity, Administration, and Technology, Lehman College, New York City, USA

2Health and Human Performance, York College, New York City, USA

Pub. Date: May 08, 2025

Cite this paper:
Apeksha Mewani, Vincent Jones II and Erin Jacques. Key Predictors of COVID-19 Seropositivity among Adults in New York City; Community Health Survey 2020. American Journal of Public Health Research. 2025; 13(3):103-116. doi: 10.12691/ajphr-13-3-2

Abstract

This study identifies common key predictors of COVID-19 seropositivity by comparing various regression models using a hierarchical regression method among a sample of New York City (NYC) adults, based on the analysis of the New York City Community Health Survey (NYC CHS) 2020 dataset for this. An exploratory approach is used to understand the social, environmental, and individual determinants of health in NYC’s population at the peak of the pandemic and the effects on COVID-19 seropositivity. Hierarchical logistic regression was carried out on a sample of 928 participants. The findings suggest that age (65-75 years), race (Black and Hispanic), and the birthplace (US) were significant to the hierarchical regression when only socioeconomic factors were considered. Including health behaviors, tobacco usage behaviors, and physical activity became s. In the full model, BMI, asthma prevalence, and suicidal thoughts significantly correlated with COVID-19 seropositivity. The findings are consistent with public health literature highlighting the importance of healthy behaviors and public health efforts in maintaining overall health and immunity.

Keywords:
COVID seropositivity Social Determinants of Health Health Education Program Community Health Surve

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  CDC, 2020.
 
[2]  Bellandi D., “Estimate: 10.5 Million Children Lost a Parent, Caregiver to COVID-19,” JAMA, 328(15). 1490. 2022.
 
[3]  Rady Children's Hospital. COVID collaborative for children [Internet]. San Diego. Rady Children's Hospital. [Cited 2023 March 17] Available from: https://www.rchsd.org/health-safety/health-alerts/covid-collaborative-for-children/.
 
[4]  ICN. ICN says 115,000 healthcare worker deaths from COVID-19 exposes collective failure of leaders to protect global workforce [Internet]. Place unknown; Oct 2021. [Cited 2023 March 17] Available from: https:// www.icn.ch/ news/icn-says-115000-healthcare - worker-deaths-covid-19-exposes-collective-failure-leaders-protect.
 
[5]  Coker T.R., Cheng T.L., Ybarra M. “Addressing the Long-term Effects of the COVID-19 Pandemic on Children and Families: A Report from the National Academies of Sciences, Engineering, and Medicine,” JAMA. March 2023, [Online].
 
[6]  Mottaleb, K.A., Mainuddin, M., and Sonobe, T., “Covid-19 induced economic loss and ensuring food security for vulnerable groups: Policy implications from Bangladesh,” PLOS ONE, 15(10), Oct. 2020.
 
[7]  Jones, B., Woolfenden, S., Pengilly, S., Breen, C., Cohn, R., Biviano, L., Johns, A., Worth, A., Lamb, R., Lingam, R., Silove, N., Marks, S., Tzioumi, D., and Zwi, K., “COVID‐19 pandemic: The impact on vulnerable children and young people in Australia,” Journal of Paediatrics and Child Health, 56(12), 1851–1855, Sep. 2020.
 
[8]  Koh, D., “Occupational risks for COVID-19 infection,” Occupational Medicine, 70(1), 3–5, January 2020.
 
[9]  Couch, K.A., Fairlie, R.W., and Xu, H., “Early evidence of the impacts of COVID-19 on minority unemployment,” Journal of Public Economics, 192, 104287, 2020.
 
[10]  Singu, S., Acharya, A., Challagundla, K., and Byrareddy, S.N., “Impact of social determinants of health on the emerging COVID-19 pandemic in the United States,” Frontiers in Public Health, 8.[Online] Available on: https:// www.frontiersin.org/ journals/public-health/articles/10.3389/fpubh.2020.00406.
 
[11]  Witters, D. In U.S., 14% with likely COVID-19 to avoid care due to cost [Internet]. Gallup; April 28, 2020 [Cited November 29, 2022]. Available from: https:// news.gallup.com/ poll/309224/ avoid-care-likely-covid-due-cost.aspx.
 
[12]  Abrams, E.M., and Szefler, S.J., “COVID-19 and the impact of Social Determinants of Health,” The Lancet Respiratory Medicine, 8(7), 659–661, Jul 2020.
 
[13]  Rezaei, N., Moghaddam, S.S., Farzadfar, F., and Larijani, B., “Social Determinants of health inequity in Iran: A narrative review,” Journal of Diabetes and Metabolic Disorders, 22, 5-12, Jun 2023.
 
[14]  Robertson, M.M., Shamsunder, M.G., Brazier, E., Mantravadi, M., Zimba, R., Rane, M.S., Westmoreland, D.A., Parcesepe, A.M., Maroko, A.R., Kulkarni, S.G., Grov, C., and Nash, D. “Racial/ethnic disparities in exposure, disease susceptibility, and clinical outcomes during COVID-19 pandemic in National Cohort of adults, United States,” Emerging Infectious Diseases, 28(11), 2171–2180, Nov 2022.
 
[15]  Solar, O., and A. Irwin., “A conceptual framework for action on the social determinants of health. Social determinants of health discussion paper 2 (policy and practice)” Geneva, Switzerland: WHO; 2010 [cited: September 22, 2016] Available from: http://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf.
 
[16]  Committee on Educating Health Professionals to Address the Social Determinants of Health, A framework for educating health professionals to address the social determinants of health. The National Academies Press: National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Board on Global Health. Oct 14, 2016.
 
[17]  Frieden, T. R., “A framework for public health action: The health impact pyramid,” American Journal of Public Health 100(4):590-595, Apr, 2010.
 
[18]  Parrott, J.C., Maleki, A.N., Vassor, V.E., Osahan, S., Hsin, Y., Sanderson, M., Fernandez, S., Levanon Seligson, A., Hughes, S., Wu, J., DeVito, A.K., LaVoie, S.P., Rakeman, J.L., Gould, L.H., and Alroy, K.A., “Prevalence of SARS-COV-2 antibodies in New York City adults, June–October 2020: A population-based survey,” The Journal of Infectious Diseases, 224(2), 188–195, Jul, 2021.
 
[19]  Sallis, J.F., Adlakha, D., Oyeyemi, A., Salvo, D., and Anjana, R.M., “Adapting to the COVID-19 Pandemic: Physical Activity, Situational Awareness, and Resilience,” Translational Journal of the American College of Sports Medicine, 6(12), 251-258, 2021.
 
[20]  Mänty, M., Heinonen, O.J., Viljanen, A., Pajala, S., Koskenvuo, M., Kaprio, J., and Rantanen, T, “Body mass index and disability in adulthood: A 20-year panel study,” American Journal of Public Health, 101(2), 260-266, 2011.
 
[21]  Lippi, G., Henry, B.M., and Sanchis-Gomar, F., “Active smoking and COVID-19: a double-edged sword,” European Journal of Internal Medicine, 77, 123-124, Jul, 2020.