Disaggregating Asian Race Reveals COVID-19 Disparities Among Asian American Patients at New York City's Public Hospital System.
Disaggregating Asian Race Reveals COVID-19 Disparities Among Asian American Patients at New York City's Public Hospital System.
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DOI：
10.1177/00333549211061313
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Islam N
中科院分区：
文献类型：
--
作者：
Kalyanaraman Marcello R;Dolle J;Tariq A;Kaur S;Wong L;Curcio J;Thachil R;Yi SS;Islam N
关于COVID-19在不同种族亚群的亚裔美国人中的健康负担的数据仍然有限。我们研究了城市安全网医院系统中不同亚洲族裔亚组和其他种族和族裔群体的COVID-19结果。我们对2020年3月1日至5月31日期间在纽约市公立医院系统接受COVID-19检测的85328名年龄≥18岁的成年人进行了回顾性分析。我们研究了COVID-19阳性率、住院率和死亡率，以及已知会使COVID-19结局恶化的人口统计学特征和合并症。我们进行了调整后的多变量回归分析，研究种族和民族的死亡率差异。在9971例亚洲患者（占总体患者的11.7%）中，48.2%为南亚人，22.2%为中国人，29.6%为其他亚洲种族。在亚洲患者中，南亚患者的COVID-19阳性率（30.8%）和住院率（51.6%）最高，仅次于西班牙裔（分别为32.1%和45.8%）和非西班牙裔黑人（分别为27.5%和57.5%）患者。中国患者的死亡率为35.7%，是所有种族和民族中最高的。在调整人口统计学特征和合并症后，只有中国患者的死亡率比非西班牙裔白色患者显著更高（比值比= 1.44; 95% CI，1.04-2.01）。亚裔美国人，特别是南亚裔和华裔美国人，承受着巨大且不成比例的COVID-19健康负担。这些发现强调了改善数据收集和报告以及公共卫生工作的必要性，以减轻这些群体之间COVID-19发病率和死亡率的差异。
Data on the health burden of COVID-19 among Asian American people of various ethnic subgroups remain limited. We examined COVID-19 outcomes of people of various Asian ethnic subgroups and other racial and ethnic groups in an urban safety net hospital system. We conducted a retrospective analysis of 85 328 adults aged ≥18 tested for COVID-19 at New York City’s public hospital system from March 1 through May 31, 2020. We examined COVID-19 positivity, hospitalization, and mortality, as well as demographic characteristics and comorbidities known to worsen COVID-19 outcomes. We conducted adjusted multivariable regression analyses examining racial and ethnic disparities in mortality. Of 9971 Asian patients (11.7% of patients overall), 48.2% were South Asian, 22.2% were Chinese, and 29.6% were in other Asian ethnic groups. South Asian patients had the highest rates of COVID-19 positivity (30.8%) and hospitalization (51.6%) among Asian patients, second overall only to Hispanic (32.1% and 45.8%, respectively) and non-Hispanic Black (27.5% and 57.5%, respectively) patients. Chinese patients had a mortality rate of 35.7%, highest of all racial and ethnic groups. After adjusting for demographic characteristics and comorbidities, only Chinese patients had significantly higher odds of mortality than non-Hispanic White patients (odds ratio = 1.44; 95% CI, 1.04-2.01). Asian American people, particularly those of South Asian and Chinese descent, bear a substantial and disproportionate health burden of COVID-19. These findings underscore the need for improved data collection and reporting and public health efforts to mitigate disparities in COVID-19 morbidity and mortality among these groups.
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影响因子：
16.2
作者：
Hsu WC;Araneta MR;Kanaya AM;Chiang JL;Fujimoto W
通讯作者：
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DOI：
10.1007/s40615-020-00867-8
发表时间：
2020-09-14
影响因子：
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作者：
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影响因子：
1.4
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