Changes in COVID-19-Associated Deaths During a Year Among Blacks and Hispanics Compared to Whites in the State of Connecticut.
Changes in COVID-19-Associated Deaths During a Year Among Blacks and Hispanics Compared to Whites in the State of Connecticut.
复制标题
DOI：
10.1007/s40615-021-01143-z
复制
发表时间：
2022-10
影响因子：
3.9
通讯作者：
Walker JM
中科院分区：
文献类型：
--
作者：
Laurencin CT;Wu ZH;Grady JJ;Wu R;Walker JM
由于美国近期的COVID-19疫苗接种率相对较高，尽管COVID-19病例、住院率和死亡率一直在下降，但美国仍是全球记录病例最多的国家。然而，在涉及少数种族和族裔的社区中，基本上感受到了健康负担。因此，为了更清楚地了解黑人、原住民和有色人种社区的情况，我们研究了康涅狄格州每月COVID-19死亡人数的种族/民族差异。这是一项流行病学研究，分析了从2020年3月1日至2021年2月28日的死亡率数据，这些数据来自康涅狄格州公共卫生部。数据包括死因（由ICD-10代码U 071识别的COVID-19死亡）、人种/种族（非西班牙裔白色（白色）、非西班牙裔黑人（黑人）和西班牙裔）、性别和年龄。按种族/族裔群体报告了粗比率和年龄调整比率。为了比较种族组之间的年龄调整率，估计的年龄调整死亡计数作为结果，种族组之间的比率，95%置信区间，以及p值显著性< 0.05，来自泊松回归模型。从2020年3月至2020年5月（第一波）的COVID-19病例中，所有三个种族群体（白人、黑人和西班牙裔）的COVID-19相关死亡率最高，具有统计学组间差异（p <0. 05）。黑人的死亡率最高，其次是西班牙裔，然后是白人。此外，与黑人和西班牙裔相比，更多的白人死于养老院。从2010年6月到2020年10月（第2波），所有三个种族组的COVID-19死亡率均显着下降，组间无统计学差异。在所有三个种族/民族群体中，养老院的COVID-19死亡人数都有所下降。从2020年11月至2021年2月（第三波），三个种族群体的COVID-19死亡率显著高于第二波，但低于第一波。黑人和西班牙裔的死亡率高于白人。西班牙裔的死亡率最高，其次是黑人，然后是白人（p < 0.05）。在所有三个种族/族裔群体中，白人的死亡率最低。总之，在这项研究中，黑人和西班牙裔人口之间的COVID-19健康差异是显而易见的。与白人相比，黑人和西班牙裔的死亡率明显更高。在第一波中，黑人的死亡率最高，在第三波中，西班牙裔的死亡率最高。我们的数据很重要，因为它们按种族显示每月COVID-19死亡数据。以这种方式报告的数据可以更好、更准确地了解黑人、土著人和有色人种的真实情况。
With recent COVID-19 vaccination rates relatively high in the USA, the USA still maintains the most documented cases globally, even though COVID-19 cases, hospitalization, and mortality have been declining. However, the health burden has been largely felt in communities involving racial and ethnic minorities. Thus, in order to provide a clearer picture of what is happening in Black, Indigenous, and people of color communities, we examined the racial/ethnic differences of monthly COVID-19 deaths in Connecticut. This is an epidemiological study analyzing mortality data from March 1, 2020, to February 28, 2021, obtained from the Connecticut State Department of Public Health. The data include cause of death (COVID-19 death identified by ICD-10 code U071), race/ethnicity (non-Hispanic White (White), non-Hispanic Black (Black), and Hispanic), sex, and age. Both crude and age-adjusted rates were reported by racial/ethnic groups. To compare age-adjusted rates between racial groups, with estimated age-adjusted death counts as outcomes, between-racial group rate ratios, 95% confidence intervals, and p values significant at < 0.05 were derived from the Poisson regression model. From March 2020 to May 2020 (wave 1) of COVID-19 cases, the COVID-19-related mortality rates were the highest for all three race groups (Whites, Blacks, and Hispanics) with statistical group differences (p < 0.05). Blacks had the highest rates of deaths followed by Hispanics and then Whites. Further, more Whites died in a nursing home when compared to Blacks and Hispanics. From June 2010 to October 2020 (wave 2), COVID-19 mortality declined significantly for all three race groups with no statistical differences between groups. COVID-19 deaths in nursing homes declined for all three racial/ethnic groups. From November 2020 to February 2021 (wave 3), COVID-19 mortality rates were significantly higher compared to wave 2 but lower than wave 1 for all three race groups. The mortality rates for Blacks and Hispanics were higher than Whites. Hispanics had the highest rates of deaths, followed by Blacks, and then Whites (p < 0.05). Whites showed the lowest mortality rates among all three racial/ethnic groups. In summary, COVID-19 health disparities among Black and Hispanic populations were evident in this study. Blacks and Hispanics had significantly higher mortality rates when compared to Whites. Blacks had the highest mortality rates during wave 1, and in wave 3, Hispanics has the highest mortality rates. Our data are important because they show monthly COVID-19 deaths data by race. Data reported this way gives a better and more accurate understanding of what is really happening in Black, Indigenous, and people of color populations.
影响因子：
5.6
作者：
Millett, Gregorio A.;Jones, Austin T.;Sullivan, Patrick S.
通讯作者：
Sullivan, Patrick S.
影响因子：
3.1
作者：
Li, Adam Y.;Hannah, Theodore C.;Choudhri, Tanvir F.
通讯作者：
Choudhri, Tanvir F.
DOI：
10.1007/s40615-020-00756-0
发表时间：
2020-04-18
影响因子：
3.9
作者：
Laurencin, Cato T.;McClinton, Aneesah
通讯作者：
McClinton, Aneesah