Elevated Mortality Among People Experiencing Homelessness With COVID-19
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Abstract
We reviewed publicly available data from major US health jurisdictions to compare severe acute respiratory syndrome coronavirus 2 case fatality rates in people experiencing homelessness with the general population. The case fatality rate among people experiencing homelessness was 1.3 times (95% CI, 1.1–1.5) that of the general population, suggesting that people experiencing homelessness should be prioritized for vaccination.
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SciScore for 10.1101/2021.03.05.21253019: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:There are several limitations to our study. Because so few jurisdictions published PEH-specific data, the generalizability of our estimates may be limited. Since available PEH data were rarely disaggregated, we were not able to …
SciScore for 10.1101/2021.03.05.21253019: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:There are several limitations to our study. Because so few jurisdictions published PEH-specific data, the generalizability of our estimates may be limited. Since available PEH data were rarely disaggregated, we were not able to account for underlying differences such as age structure in our comparisons of PEH versus jurisdiction-wide cases. Additionally, PEH status is prone to misclassification and differential classification across jurisdictions. Specifically, we expect that PEH not accessing homeless services would be misclassified as not PEH. Furthermore, COVID-19 screening programs by homeless services and health departments may increase detection of mild COVID-19 cases and asymptomatic SARS-CoV-2 infections among PEH compared with the general population. Importantly, exposure misclassification and differential surveillance would likely lead to underestimation of the degree to which homelessness increases COVID-19 case fatality, strengthening our conclusion that PEH are a highly vulnerable population in need of effective interventions to prevent COVID-19. The paucity of COVID-19 data specific to PEH represents a limitation not just for our study, but for public health surveillance as a whole. Disaggregated data allow for development of targeted public health interventions that prioritize high-risk populations for case finding and vaccination. Moreover, these data allow for monitoring of health inequities, documenting the degree to which PEH are disproportionately burdened...
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We found bar graphs of continuous data. We recommend replacing bar graphs with more informative graphics, as many different datasets can lead to the same bar graph. The actual data may suggest different conclusions from the summary statistics. For more information, please see Weissgerber et al (2015).
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
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