Prevalence of Comorbidities and Risks Associated with COVID-19 Among Black and Hispanic Populations in New York City: an Examination of the 2018 New York City Community Health Survey
Prevalence of Comorbidities and Risks Associated with COVID-19 Among Black and Hispanic Populations in New York City: an Examination of the 2018 New York City Community Health Survey
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DOI：
10.1007/s40615-020-00844-1
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发表时间：
2020-08-13
影响因子：
3.9
通讯作者：
Arasteh, Kamyar
中科院分区：
文献类型：
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作者：
Arasteh, Kamyar
背景冠状病毒病（COVID-19）大流行对纽约市（NYC）的黑人和西班牙裔造成了不成比例的影响。本研究旨在评估纽约市种族/民族与COVID-19相关因素（如高血压、糖尿病、社区贫困和一线工作）的关系。方法使用2018年纽约市社区健康调查，在对数二项式回归模型中研究高血压、糖尿病和社区贫困水平与种族/民族的关系。重症监护病房（ICU）床位数量和一线工作人员分布来自美国人口普查、纽约州劳工部以及医疗保险和医疗补助服务中心。结果与贫困程度最低的白人相比，贫困程度高的黑人患高血压的风险（RR，95% CI：3.4，1.9-6.4）和西班牙裔糖尿病的风险（RR，95% CI：5.5，2.2-14.0）更高。一线工作人员中黑人（29.4%，95% CI：29.3-29.5%）和西班牙裔（35.5%，95% CI：35.3-35.6%）的比例不成比例地高。贫困程度较高的黑人和西班牙裔自治市镇每900名60岁或60岁以上的成年人拥有一张ICU床位，而贫困程度较低的白色自治市镇每452名成年人拥有一张ICU床位。结论与COVID-19感染和不良后果相关的因素的更高患病率使纽约市的黑人和西班牙裔人群面临更大的风险。这些因素也与贫困有关，应在减少种族/族裔不平等的同时加以缓解。
Background The coronavirus disease (COVID-19) pandemic has affected Blacks and Hispanics in New York City (NYC) disproportionately. This study aims to assess the relationship of race/ethnicity with COVID-19 associated factors such as hypertension, diabetes, neighborhood poverty, and frontline work, in NYC. Methods The 2018 New York City Community Health Survey was used to examine the association of hypertension, diabetes, and neighborhood poverty level with race/ethnicity in log-binomial regression models. Number of intensive care unit (ICU) beds and the distribution of frontline workers were acquired from the US Census, the State of New York Department of Labor, and Centers for Medicare and Medicaid Services. Results Neighborhoods with high poverty level had a greater risk of hypertension among Blacks (relative risk (RR), 95% confidence interval (CI): 3.4, 1.9-6.4) and diabetes among Hispanics (RR, 95% CI: 5.5, 2.2-14.0), compared with Whites in the lowest poverty neighborhoods. Disproportionately greater percentages of frontline workers were comprised of Blacks (29.4%, 95% CI: 29.3-29.5%) and Hispanics (35.5%, 95% CI: 35.3-35.6%). Predominantly Black and Hispanic boroughs with greater level of poverty had one ICU bed per 900 adults of 60 years of age or older, compared with one ICU bed per 452 in predominantly White boroughs with less poverty. Conclusion The greater prevalence of the factors associated with COVID-19 infection and adverse outcomes puts Black and Hispanic populations in NYC at a greater risk. These factors are also related to poverty and should be mitigated together with reducing racial/ethnic inequities.