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Los Angeles Neighborhoods and COVID-19 Medical Vulnerability Indicators: A Local Data Model for Equity in Public Health Decision-Making

Abstract

To help slow the spread of COVID-19 and save lives, UCLA public health and urban planning experts have developed a predictive model that pinpoints which populations in which neighborhoods of Los Angeles County are most at risk of becoming infected.

The researchers hope the new model, which can be applied to other counties and jurisdictions as well, will assist decision makers, public health officials and scientists in effectively and equitably implementing vaccine distribution, testing, closures and reopenings, and other virus-mitigation measures.

The model maps Los Angeles County neighborhood by neighborhood, based on four important indicators known to significantly increase a person’s medical vulnerability to COVID-19 infection — preexisting medical conditions, barriers to accessing health care, built-environment characteristics and socioeconomic challenges.

The research data demonstrate that neighborhoods characterized by significant clustering of racial and ethnic minorities, low-income households and unmet medical needs are most vulnerable to COVID-19 infection, specifically areas in and around South Los Angeles and the eastern portion of the San Fernando Valley. Communities along the coast and in the northwestern part of the county, which are disproportionately white and higher-income, were found to be the least vulnerable.

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