SARS-CoV-2 Positivity Rate for Latinos in the Baltimore–Washington, DC Region

and population density (interdecile OR, 0.70 [95% CI, 0.32-1.51])or poverty rate (interdecile OR, 2.03 [95% CI, 0.97-4.25]).Neighborhood-level variables were moderately to highly correlated (r = 0.66-0.83).Discussion | In this study, SARS-CoV-2 transmission among pregnant women in New York City was associated with neighborhood-and building-level markers of large household membership, household crowding, and low socioeconomic status.These data may aid policy makers in the design of interventions to reduce the spread of SARS-CoV-2.A key strength of this study was the use of a universally tested population, which allowed for ascertainment of asymptomatic cases among a defined at-risk population.Limitations of the study include that the findings may not apply to other populations given the unique demographic, physiologic, and social features of pregnant women.Additionally, the small sample size and high degree of correlation between neighborhood-level variables precluded multivariable analysis.Nonetheless, this study provides empirical support for the hypothesis that variation in the urban environment may be an important social determinant of SARS-CoV-2 transmission.