Disparities in SARS-CoV-2 Testing for Hispanic/Latino Populations: An Analysis of State-Published Demographic Data.

Disparities in SARS-CoV-2 Testing for Hispanic/Latino Populations: An Analysis of State-Published Demographic Data.
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DOI:
10.1097/phh.0000000000001510
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发表时间:
2022-07-01
影响因子:
3.3
通讯作者:
Nuzzo, Jennifer B.
Nuzzo, Jennifer B.
中科院分区:
医学4区
文献类型:
--
作者:
Pond, Emily N.;Rutkow, Lainie;Blauer, Beth;Alonso, Angel Aliseda;de Lis, Sara Bertran;Nuzzo, Jennifer B.

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美国的少数种族和族裔受到COVID-19大流行的不成比例的影响,感染、住院和死亡的风险增加。在这项研究中,我们试图检查SARS-CoV-2检测中基于种族和民族的差异。我们使用公开的美国各州仪表板提取COVID-19病例和检测的人口统计数据。泊松回归模型用于模拟种族和民族对每个病例进行的SARS-CoV-2检测次数的影响。总共只有8个州按种族和民族报告了测试数据。在回归模型中,种族和民族是每个病例检测率的重要预测因素。在所有州,西班牙裔/拉丁裔患者的检测率显著低于非西班牙裔/拉丁裔患者,事件率比从0.45到0.81不等,具体取决于州和种族类别。这些结果表明,西班牙裔/拉丁裔个体之间的检测机会存在差异,他们已经处于不成比例的感染和严重后果风险中。
Racial and ethnic minorities in the United States have been disproportionately affected by the COVID-19 pandemic, experiencing increased risk of infection, hospitalization, and death. In this study, we sought to examine race- and ethnicity-based differences in SARS-CoV-2 testing. We used publicly available US state dashboards to extract demographic data for COVID-19 cases and tests. Poisson regression models were used to model the effect of race and ethnicity on the number of SARS-CoV-2 tests performed per case. In total, just 8 states reported testing data by race and ethnicity. In regression models, race and ethnicity was a significant predictor of testing rate per case. In all states, Hispanic/Latino patients had a significantly lower testing rate than their non-Hispanic/Latino counterparts, with an incident rate ratio varying from 0.45 to 0.81, depending on the state and referent race category. These results suggest disparities in testing access among Hispanic/Latino individuals, who are already at a disproportionate risk for infection and severe outcomes.