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Nearly all patients lived in areas with high Social Deprivation Index and low Healthy Places Index (HPI) scores (assigned by residential ZIP code), reflecting marked neighborhood-level disadvantage. Over half required hospitalization and one-third developed complicated pulmonary or disseminated disease. Lower HPI scores were modestly associated with hospitalization, suggesting community disadvantage may contribute to Valley Fever disparities.<\/jats:p>","DOI":"10.1093\/mmy\/myag001","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T12:41:44Z","timestamp":1767876104000},"source":"Crossref","is-referenced-by-count":0,"title":["Community-level Health and Socioeconomic Disparities in Coccidioidomycosis: Insights from the Social Deprivation and Healthy Places Indices"],"prefix":"10.1093","volume":"64","author":[{"given":"Nikhil","family":"Nair","sequence":"first","affiliation":[{"name":"SJV Prime Plus Program, University of California, Merced, CA 95343 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eshana","family":"Kaur","sequence":"additional","affiliation":[{"name":"Madurai Medical Collge, Madurai Tamil Nadu 625020 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