Racial disparities in COVID-19 mortality across Michigan, United States.
Racial disparities in COVID-19 mortality across Michigan, United States.
复制标题
DOI：
10.1016/j.eclinm.2021.100761
复制
发表时间：
2021-03
影响因子：
15.1
通讯作者：
Pandey A
中科院分区：
文献类型：
--
作者：
Parpia AS;Martinez I;El-Sayed AM;Wells CR;Myers L;Duncan J;Collins J;Fitzpatrick MC;Galvani AP;Pandey A
美国的黑人人口受到COVID-19大流行的不成比例的影响，但在考虑健康和其他人口统计特征后，死亡率负担的增加并没有得到很好的理解。我们研究了密歇根州死于COVID-19的个体的特征，这些个体按年龄、性别和合并症患病率按种族分层，以说明和理解死亡风险的这种差异。我们使用密歇根州卫生与公众服务部于2020年3月16日至10月26日收集的个人层面关联死亡证明和监测数据，根据人口统计学和健康特征评估了密歇根州的COVID-19死亡率。我们确定了死于COVID-19的个体在人口统计学和合并症患病率方面的种族差异，并按年龄、性别、种族和合并症数量计算了死亡率。在密歇根州的6，065例COVID-19相关死亡中，黑人个体的死亡率是白色个体的3.6倍（p<0.001），65岁以下无合并症的黑人个体的死亡率是白色对应人群的12.6倍（p<0.001）。在考虑了年龄、种族、性别和合并症数量后，我们发现，所有阶层的黑人个体患COVID-19的死亡率都高于白色人。我们的研究结果表明，黑人人口受到COVID-19死亡率的不成比例的负担，即使在考虑了人口统计和潜在的健康特征之后。我们强调，由于系统性种族主义而造成的种族差异在危机中如何加剧。ASP、AP和APG由NSF Expeditions资助1918784、NIH资助1 R 01 AI 151176 -01、NSF COVID-19快速反应研究资助RAPID-2027755和Notsew Orm Sands基金会资助。MCF得到了NIH资助K 01 AI 141576的支持。
Black populations in the United States are being disproportionately affected by the COVID-19 pandemic, but the increased mortality burden after accounting for health and other demographic characteristics is not well understood. We examined characteristics of individuals who died from COVID-19 in Michigan by race stratified by their age, sex and comorbidity prevalence to illustrate and understand this disparity in mortality risk. We evaluate COVID-19 mortality in Michigan by demographic and health characteristics, using individual-level linked death certificate and surveillance data collected by the Michigan Department of Health and Human Services from March 16 to October 26, 2020. We identified differences in demographics and comorbidity prevalence across race among individuals who died from COVID-19 and calculated mortality rates by age, sex, race, and number of comorbidities. Among the 6,065 COVID-19 related deaths in Michigan, Black individuals are experiencing 3·6 times the mortality rate of White individuals (p<0.001), with a mortality rate for Black individuals under 65 years without comorbidities that is 12·6 times that of their White counterparts (p<0.001). After accounting for age, race, sex, and number of comorbidities, we find that Black individuals in all strata are at higher risk of COVID-19 mortality than their White counterparts. Our findings demonstrate that Black populations are disproportionately burdened by COVID-19 mortality, even after accounting for demographic and underlying health characteristics. We highlight how disparities across race, which result from systemic racism, are compounded in crises. ASP, AP and APG were funded by NSF Expeditions grant 1918784, NIH grant 1R01AI151176-01, NSF Rapid Response Research for COVID-19 grant RAPID-2027755, and the Notsew Orm Sands Foundation. MCF was supported by NIH grant K01AI141576.
登录
查看更多内容
影响因子：
5.6
作者：
Dee, Deborah L.;Bensyl, Diana M.;Finelli, Lyn
通讯作者：
Finelli, Lyn
影响因子：
24.3
作者：
Guan, Wei-jie;Liang, Wen-hua;He, Jian-xing
通讯作者：
He, Jian-xing
影响因子：
12.7
作者：
Gaskin DJ;Thorpe RJ Jr;McGinty EE;Bower K;Rohde C;Young JH;LaVeist TA;Dubay L
通讯作者：
Dubay L
DOI：
10.1017/s1742058x11000130
发表时间：
2011-04
期刊：
Du Bois review : social science research on race
影响因子：
--
作者：
Gee GC;Ford CL
通讯作者：
Ford CL
影响因子：
2.5
作者：
Finch WH;Hernández Finch ME
通讯作者：
Hernández Finch ME