Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics
Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics
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DOI：
10.1016/j.annepidem.2020.07.007
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发表时间：
2020-12-01
影响因子：
5.6
通讯作者：
Millett, Gregorio A.
中科院分区：
文献类型：
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作者：
Rodriguez-Diaz, Carlos E.;Guilamo-Ramos, Vincent;Millett, Gregorio A.
目的：本研究的目的是确定新冠肺炎在全国拉丁裔社区中的传播动态。方法：我们比较了不成比例的拉丁裔县(=17.8%的拉丁裔人口)和所有其他县到2020年5月11日新冠肺炎病例和死亡的预测因素。使用新冠肺炎病例和零膨胀二项回归模型估计调整后的比率比(ARR)。结果：全国拉丁裔县的新冠肺炎诊断率更高(90.9/10万比82.0/10万)。多因素分析显示，拉美裔东北部和中西部地区的新冠肺炎病例数较多(ARR分别为1.42和1.70，95%CI分别为1.11~1.84和1.57~1.85)。中西部拉美裔县的新冠肺炎死亡率更高(ARR：1.17，95%CI：1.04-1.34)。新冠肺炎的诊断与单语西班牙语人数较多的县、就业率、心脏病死亡率、较少的社会距离和第一例报告病例的天数有关。新冠肺炎死亡与家庭居住密度、空气污染、就业、自第一个报告病例以来的天数和年龄(较少)有关
Purpose: The purpose of this study was to ascertain COVID-19 transmission dynamics among Latino communities nationally.Methods: We compared predictors of COVID-19 cases and deaths between disproportionally Latino counties (>= 17.8% Latino population) and all other counties through May 11, 2020. Adjusted rate ratios (aRRs) were estimated using COVID-19 cases and deaths via zero-inflated binomial regression models.Results: COVID-19 diagnoses rates were greater in Latino counties nationally (90.9 vs. 82.0 per 100,000). In multivariable analysis, COVID-19 cases were greater in Northeastern and Midwestern Latino counties (aRR: 1.42, 95% CI: 1.11-1.84, and aRR: 1.70, 95% CI: 1.57-1.85, respectively). COVID-19 deaths were greater in Midwestern Latino counties (aRR: 1.17, 95% CI: 1.04-1.34). COVID-19 diagnoses were associated with counties with greater monolingual Spanish speakers, employment rates, heart disease deaths, less social distancing, and days since the first reported case. COVID-19 deaths were associated with household occupancy density, air pollution, employment, days since the first reported case, and age (fewer