Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics.
Ann Epidemiol
; 52: 46-53.e2, 2020 12.
Article
in English
| MEDLINE | ID: covidwho-1023435
ABSTRACT
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 <35 yo).CONCLUSIONS:
COVID-19 risks and deaths among Latino populations differ by region. Structural factors place Latino populations and particularly monolingual Spanish speakers at elevated risk for COVID-19 acquisition.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Hispanic or Latino
/
Coronavirus Infections
/
Health Status Disparities
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Humans
/
Middle aged
Country/Region as subject:
North America
Language:
English
Journal:
Ann Epidemiol
Journal subject:
Epidemiology
Year:
2020
Document Type:
Article
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