Disproportionate Impact of COVID-19 Pandemic on Racial and Ethnic Minorities.
Disproportionate Impact of COVID-19 Pandemic on Racial and Ethnic Minorities.
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DOI：
10.1177/0003134820973356
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Elkbuli A
中科院分区：
文献类型：
--
作者：
Boserup B;McKenney M;Elkbuli A
健康差距在许多医学领域普遍存在。我们的目的是调查COVID-19大流行对美国种族/族裔群体的影响，并评估社会距离、社会脆弱性指标和医疗差距的影响。利用COVID-19跟踪项目和疾病控制与预防中心（CDC）的数据进行了一项横断面研究。人口统计数据来自美国人口普查局，社会脆弱性数据来自疾病预防控制中心，社会距离数据来自Unacast，医疗差距数据来自医疗保险和医疗补助服务中心。使用Fisher精确检验的比例比较来评估按年龄分层的死亡率之间的差异。基于社会距离评分、社会脆弱性指标和医疗差距，采用负二项回归分析预测COVID-19死亡人数。在许多州，少数种族/族裔群体的COVID-19累积感染率和死亡率高于白人。在全国范围内，年龄的增长还与所有种族/族裔群体的累积死亡率增加有关，在年龄≥35岁的年龄组中，许多少数种族/族裔群体的累积死亡率明显高于白人。所有被研究的种族/族裔群体的住院率都高于白人。老年人（≥65岁）与合并症相关的COVID-19死亡人数也多于年轻人。社会距离因素、社会脆弱性的若干衡量标准和某些医疗差距被确定为预测县级COVID-19死亡的因素。COVID-19对全国许多种族/少数民族社区造成了不成比例的影响，需要进一步研究和干预。
Health disparities are prevalent in many areas of medicine. We aimed to investigate the impact of the COVID-19 pandemic on racial/ethnic groups in the United States (US) and to assess the effects of social distancing, social vulnerability metrics, and medical disparities. A cross-sectional study was conducted utilizing data from the COVID-19 Tracking Project and the Centers for Disease Control and Prevention (CDC). Demographic data were obtained from the US Census Bureau, social vulnerability data were obtained from the CDC, social distancing data were obtained from Unacast, and medical disparities data from the Center for Medicare and Medicaid Services. A comparison of proportions by Fisher’s exact test was used to evaluate differences between death rates stratified by age. Negative binomial regression analysis was used to predict COVID-19 deaths based on social distancing scores, social vulnerability metrics, and medical disparities. COVID-19 cumulative infection and death rates were higher among minority racial/ethnic groups than whites across many states. Older age was also associated with increased cumulative death rates across all racial/ethnic groups on a national level, and many minority racial/ethnic groups experienced significantly greater cumulative death rates than whites within age groups ≥ 35 years. All studied racial/ethnic groups experienced higher hospitalization rates than whites. Older persons (≥ 65 years) also experienced more COVID-19 deaths associated with comorbidities than younger individuals. Social distancing factors, several measures of social vulnerability, and select medical disparities were identified as being predictive of county-level COVID-19 deaths. COVID-19 has disproportionately impacted many racial/ethnic minority communities across the country, warranting further research and intervention.
DOI：
10.15585/mmwr.mm6915e3
发表时间：
2020-04-17
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Garg S;Kim L;Whitaker M;O'Halloran A;Cummings C;Holstein R;Prill M;Chai SJ;Kirley PD;Alden NB;Kawasaki B;Yousey-Hindes K;Niccolai L;Anderson EJ;Openo KP;Weigel A;Monroe ML;Ryan P;Henderson J;Kim S;Como-Sabetti K;Lynfield R;Sosin D;Torres S;Muse A;Bennett NM;Billing L;Sutton M;West N;Schaffner W;Talbot HK;Aquino C;George A;Budd A;Brammer L;Langley G;Hall AJ;Fry A
通讯作者：
Fry A
影响因子：
158.5
作者：
McMichael, Temet M.;Currie, Dustin W.;Duchin, Jeffrey S.
通讯作者：
Duchin, Jeffrey S.
影响因子：
5.6
作者：
Millett, Gregorio A.;Jones, Austin T.;Sullivan, Patrick S.
通讯作者：
Sullivan, Patrick S.