Are black and Hispanic persons disproportionately affected by COVID-19 because of higher obesity rates?
Are black and Hispanic persons disproportionately affected by COVID-19 because of higher obesity rates?
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DOI：
10.1016/j.soard.2020.04.038
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发表时间：
2020-08-01
影响因子：
3.1
通讯作者：
Lima, Alvaro Galvez
中科院分区：
文献类型：
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作者：
El Chaar, Maher;King, Keith;Lima, Alvaro Galvez
背景：2020年3月13日，世界卫生组织宣布COVID-19为大流行病。此后不久，据报道，在美国大流行的中心纽约市，黑人和西班牙裔人口的死亡率明显较高。目的：这篇文章的目的是评估纽约市不同种族群体和不同行政区的死亡率，因为它们与肥胖率有关，看看这个问题是否值得进一步评估。设置：NYC.Methods:COVID-19数据乃从纽约官方机构获得，有关纽约市不同行政区的病例总数。此外，亦获得不同种族群体的COVID-19相关死亡率。这些数据进行了交叉比较，与历史上的社区健康数据肥胖率以前公布的，也肥胖率之间的不同种族的群体在NYC.Results：2纽约市的行政区，有最高的死亡率是布朗克斯（6%）和布鲁克林（5.4%）。布朗克斯和布鲁克林的肥胖率也最高，分别为32%和27%。肥胖率最高的两个种族（西班牙裔和黑人）与其他种族相比，每10万人的年龄调整死亡率也最高（分别为22.8%和19.8%）。结论：纽约市的西班牙裔和黑人人口似乎受到COVID-19大流行的不成比例的影响，因为死亡率的发生率较高。肥胖可能在这些种族群体的高死亡率中发挥了作用。(C)2020年美国肥胖外科学会。爱思唯尔公司出版All rights reserved.
Background: On March 13, 2020, the World Health Organization declared COVID-19 a pandemic. Shortly after that, it was reported that mortality rates in New York City (NYC), the epicenter of the pandemic in the United States, were found to be significantly higher in black and Hispanic populations.Objectives: The aim of this article is to evaluate the mortality rates in NYC among the different ethnic groups and the different boroughs as they relate to the obesity rates to see whether this issue merits further evaluation.Setting: NYC.Methods: COVID-19 data were obtained from the official New York authorities in relation to total number of cases in the different boroughs of NYC. Age-adjusted COVID-19-related mortality rates of the different ethnic groups were also obtained. These data were cross-compared with historic community health data on obesity rates previously published and also obesity rates among the different ethnic groups in NYC.Results: The 2 NYC boroughs that have the highest mortality rates are the Bronx (6%) and Brooklyn (5.4%). Both the Bronx and Brooklyn were also found to have the highest obesity rates at 32% and 27%, respectively. The 2 ethnic groups with the highest obesity rates (Hispanic and black) were also found to have the highest age-adjusted mortality rates per 100,000 compared with the other ethnic groups (22.8% and 19.8%, respectively).Conclusions: The Hispanic and black populations in NYC seem to be disproportionately affected by the COVID-19 pandemic because of the higher incidence of mortality rates. Obesity may have played a role in the high incidence of mortality in those ethnic groups. (C) 2020 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.