Association of Clostridioides difficile infection rates with social determinants of health in Denver area census tracts, 2016-2019

Jessica L Butler; Reed Hranac; Helen Johnston; Mary Casey; Elizabeth Basiliere; Alison G Abraham; Christopher Czaja

doi:10.1016/j.pmedr.2023.102427

Association of Clostridioides difficile infection rates with social determinants of health in Denver area census tracts, 2016-2019

Prev Med Rep. 2023 Sep 19:36:102427. doi: 10.1016/j.pmedr.2023.102427. eCollection 2023 Dec.

Authors

Jessica L Butler¹, Reed Hranac², Helen Johnston², Mary Casey², Elizabeth Basiliere², Alison G Abraham¹, Christopher Czaja²

Affiliations

¹ University of Colorado Denver, Colorado School of Public Health, 13001 East 17th Place, Aurora, CO 80045, USA.
² Colorado Department of Public Health and Environment, 4300 Cherry Creek S Dr., Denver, CO 80246, USA.

Abstract

We evaluated the association between census tract measures of socioeconomic status and Clostridioides difficile infection (CDI) rates in the Denver metro area from 2016 to 2019. Social vulnerability index, poverty, and race were associated with CDI. Findings may relate to differences in chronic disease prevalence, antibiotic exposure, and access to quality care.

Keywords: Clostridioides difficile; Epidemiology; Healthcare associated infections; Public health; Social determinants of health; Spatial analysis.

Abstract

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