Excess Deaths Among Blacks and Latinx Compared to Whites During Covid-19.
Excess Deaths Among Blacks and Latinx Compared to Whites During Covid-19.
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DOI：
10.1007/s40615-021-01010-x
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发表时间：
2021-06
影响因子：
3.9
通讯作者：
Walker JM
中科院分区：
文献类型：
--
作者：
Laurencin CT;Wu ZH;McClinton A;Grady JJ;Walker JM
在美国，黑人和拉丁裔受2019冠状病毒病（Covid-19）的影响不成比例，死亡率高于白人和亚洲人。在新冠肺炎检测、病例和死亡率方面，这种种族差异在康涅狄格州也很明显。最近，超额死亡已成为新闻报道和学术研究的重要考虑因素。然而，关于超额死亡的种族差异的数据有限。这项研究考察了新冠肺炎大流行期间康涅狄格州超额死亡人数的种族/民族差异。这是一项横断面流行病学研究，利用2020年3月1日至6月30日康涅狄格州Covid-19感染高峰月份的死亡率数据，按种族/民族状态估计超额死亡。应用以下假设：2020年3月1日至6月30日期间的预期非Covid-19死亡人数等于2019年3月1日至6月30日期间发生的死亡人数。人种/种族定义为非西班牙裔白色、非西班牙裔黑人和拉丁裔。提供了描述性统计量和发生率以及95%置信区间。如适用，进行卡方分析。康涅狄格州2020年3月1日至6月30日期间康涅狄格州的所有死亡人数。2020年3月1日至6月30日，共有14，226例全因死亡，包括1514例黑人（10.6%），1095例拉丁裔（7.7%）和11，617例白人（81.7%）。这意味着黑人的死亡率增加了74%，拉丁裔增加了63%，白人增加了30%。此外，黑人中42.70%的死亡归因于新冠肺炎;拉丁裔为38.5%，白人为23.0%（p<0.001）。新冠肺炎死亡人数占黑人和西班牙裔超额死亡人数的90%以上。相比之下，在白人中，新冠肺炎死亡人数超过超额死亡人数353例（113.2%），这表明一些白人可能死于其他突出的健康状况，并被确诊为新冠肺炎。此外，2020年未确定的死亡人数有所增加，占黑人死亡人数的10.8%，拉丁裔的13%，白人的6.2%。发现黑人和拉丁裔的死亡人数超过了确定因新冠肺炎而发生的死亡人数。在此期间，黑人和拉丁裔个体中发现了大量未确定的死亡，并且黑人和拉丁裔个体的检测率（由阳性率确定）不足，这一事实强烈表明，这些额外的死亡是与COVID-19相关的死亡。研究结果表明，在这场大流行中，黑人和拉丁裔COVID-19相关死亡人数可能被低估。我们提倡有针对性的战略，增加测试能力，治疗，并在黑人和拉丁裔社区疫苗的可用性。
Blacks and Latinx are disproportionately affected by Coronavirus disease 2019 (Covid-19) and experience higher mortality rates than Whites and Asians in the USA. Such racial disparities, in Covid-19 testing, cases, and mortality are visible in Connecticut too. Recently, excess deaths have become an important consideration in news reports and academic research. However, data on racial differences in excess death is limited. This study examines racial/ethnic differences in excess deaths in the state of Connecticut during the Covid-19 pandemic. This is a cross-sectional epidemiological study to estimate excess deaths by racial/ethnic status utilizing mortality data during the peak months of Covid-19 infections from March 1 to June 30, 2020, in Connecticut. The following assumption is applied: expected non-Covid-19 deaths from March 1 to June 30, 2020, are equal to the number of deaths occurring during the period of March 1 to June 30, 2019. Race/ethnicity are defined as Non-Hispanic White, Non-Hispanic Black, and Latinx. Descriptive statistics and rates with 95% confidence intervals are presented. Chi-square analyses are performed where applicable. Connecticut All deaths in Connecticut from March 1 to June 30, 2020. Covid-19 and race/ethnicity From March 1 to June 30, 2020, a total of 14,226 all-cause deaths occurred including 1514 Blacks (10.6%), 1095 Latinx (7.7%), and 11,617 Whites (81.7%). This represented a 74% increase in mortality for Blacks; 63% for Latinx, and 30% for Whites. In addition, 42.70% of the deaths in Blacks were attributed to Covid-19; 38.5% for Latinx, and 23.0% for Whites (p<0.001). Covid-19 deaths accounted for over 90% of the excess deaths in Blacks and Hispanics. In contrast, in Whites, Covid-19 deaths exceeded the number of excess deaths by 353 cases (113.2%), indicating that some Whites may have died from other underlined health conditions with a positive Covid-19 diagnosis. Furthermore, there was an increase in undetermined deaths in 2020, which accounted for 10.8% of deaths in Blacks, 13% in Latinx, and 6.2% of deaths in Whites. Excess deaths in Blacks and Latinx were found above the numbers of deaths determined to have occurred due to Covid-19. The fact that a large number of undetermined deaths were found for Blacks and Latinx individuals, and testing rates for Blacks and Latinx individuals (as determined by positivity rates) were lacking during this period strongly suggests, these excess deaths were Covid-19-related deaths. The study findings indicate that Black and Latinx COVID-19-related deaths may be underreported in this pandemic. We advocate for targeted strategies that increase testing capacity, treatment, and vaccine availability in Black and Latinx communities.
影响因子：
254.7
作者：
Siegel, Rebecca;Naishadham, Deepa;Jemal, Ahmedin
通讯作者：
Jemal, Ahmedin
DOI：
10.1007/s40615-020-00756-0
发表时间：
2020-04-18
影响因子：
3.9
作者：
Laurencin, Cato T.;McClinton, Aneesah
通讯作者：
McClinton, Aneesah