Racial Disparities In Excess All-Cause Mortality During The Early COVID-19 Pandemic Varied Substantially Across States.
Racial Disparities In Excess All-Cause Mortality During The Early COVID-19 Pandemic Varied Substantially Across States.
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DOI：
10.1377/hlthaff.2020.02142
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Finkelstein AN
中科院分区：
文献类型：
--
作者：
Polyakova M;Udalova V;Kocks G;Genadek K;Finlay K;Finkelstein AN
冠状病毒病2019年(新冠肺炎)大流行的影响在种族和族裔之间明显不平等。为了更好地了解大流行的影响，我们检查了按种族划分的超过全因死亡率的地理差异。我们使用了2011年1月至2020年4月期间美国人口的个人管理数据，以估计按种族划分的超额全因死亡率的地理差异。与直接归因于新冠肺炎的死亡率相比，全因死亡率可以更好地了解大流行的总体影响。在全国范围内，调整后的超额全因死亡率黑人为6.8‰，西班牙裔为4.3‰，亚裔为2.7‰，白人为1.5‰。全国平均水平掩盖了巨大的地理差异。例如，尽管白人超额死亡率相似，但密歇根州和路易斯安那州的超额黑人死亡率明显不同，宾夕法尼亚州与罗德岛州相比也是如此。威斯康星州没有显著的白人超额死亡率，但有显著的黑人超额死亡率。进一步了解种族差异的地理差异的原因、社会和环境因素相对于共病的相关作用以及这一流行病对健康的直接和间接影响，对于有效制定政策至关重要。
The impact of the coronavirus disease 2019 (COVID-19) pandemic has been starkly unequal across race and ethnicity. We examined the geographic variation in excess all-cause mortality by race to better understand the impact of the pandemic. We used individual-level administrative data on the US population between January 2011 and April 2020 to estimate the geographic variation in excess all-cause mortality by race. All-cause mortality allows a better understanding of the overall impact of the pandemic than mortality attributable to COVID-19 directly. Nationwide, adjusted excess all-cause mortality was 6.8 per 10,000 for Black people, 4.3 for Hispanic people, 2.7 for Asian people, and 1.5 for White people. Nationwide averages mask substantial geographic variation. For example, despite similar excess White mortality, Michigan and Louisiana had markedly different excess Black mortality, as did Pennsylvania compared with Rhode Island. Wisconsin experienced no significant White excess mortality but had significant Black excess mortality. Further work understanding the causes of geographic variation in racial disparities, the relevant roles of social and environmental factors relative to comorbidities, and the direct and indirect health effects of the pandemic is crucial for effective policy making.
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发表时间：
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DOI：
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发表时间：
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影响因子：
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作者：
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