biostudies-literatureTanaka SAmerican Heart AssociationNIH NIMHDNIMHD NIH HHS159https://www.ebi.ac.uk/biostudies/studies/S-EPMC12798015biostudies-literatureUnknown26(1)<h4>Background</h4>The coronavirus disease 2019 (COVID-19) pandemic has highlighted the profound impact of diabetes and neighborhood environments on health outcomes. Persistent poverty areas, characterized by long-standing economic deprivation, may contribute to increased risk for severe COVID-19 outcomes, particularly among individuals with poor glycemic control. This study investigated the associations between persistent poverty, longitudinal glycemic control by diabetes status, and adverse COVID-19 outcomes using real world data.<h4>Methods</h4>We conducted a retrospective analysis using electronic health record (EHR) data from a large Academic health system. The sample included 3,681 adults diagnosed with COVID-19 between March 2020 and January 2021, with available HbA1c and neighborhoBMC public healthPersistent poverty, glycemic control and adverse COVID-19 outcomes: a retrospective study using real-world data.PMC12798015U54MD008176931540U54 MD008176Tanaka SYi NCherrington ALZhang LWilliams SGarvey WTHowell CRfalsePersistent poverty, glycemic control and adverse COVID-19 outcomes: a retrospective study using real-world data.<h4>Background</h4>The coronavirus disease 2019 (COVID-19) pandemic has highlighted the profound impact of diabetes and neighborhood environments on health outcomes. Persistent poverty areas, characterized by long-standing economic deprivation, may contribute to increased risk for severe COVID-19 outcomes, particularly among individuals with poor glycemic control. This study investigated the associations between persistent poverty, longitudinal glycemic control by diabetes status, and adverse COVID-19 outcomes using real world data.<h4>Methods</h4>We conducted a retrospective analysis using electronic health record (EHR) data from a large Academic health system. The sample included 3,681 adults diagnosed with COVID-19 between March 2020 and January 2021, with available HbA1c and neighborho2025-01-01T00:00:00Z2025 Dec2026-06-06T15:51:07.805Z2026-06-02T03:09:22.122ZS-EPMC127980154135479710.1186/s12889-025-25774-7