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Trends in racial and ethnic disparities in coronavirus disease 2019 (COVID-19) outcomes among nursing home residents.
Li, Yue; Cai, Xueya; Mao, Yunjiao; Cheng, Zijing; Temkin-Greener, Helena.
  • Li Y; Department of Public Health Sciences, Division of Health Policy and Outcomes Research, University of Rochester Medical Center; Rochester, New York.
  • Cai X; Department of Biostatistics and Computational Biology, University of Rochester Medical Center; Rochester, New York.
  • Mao Y; Department of Public Health Sciences, Division of Health Policy and Outcomes Research, University of Rochester Medical Center; Rochester, New York.
  • Cheng Z; Department of Public Health Sciences, Division of Health Policy and Outcomes Research, University of Rochester Medical Center; Rochester, New York.
  • Temkin-Greener H; Department of Public Health Sciences, Division of Health Policy and Outcomes Research, University of Rochester Medical Center; Rochester, New York.
Infect Control Hosp Epidemiol ; 43(8): 997-1003, 2022 08.
Article in English | MEDLINE | ID: covidwho-1270639
ABSTRACT

OBJECTIVES:

To evaluate trends in racial and ethnic disparities in weekly cumulative rates of coronavirus disease 2019 (COVID-19) cases and deaths in Connecticut nursing homes.

DESIGN:

Longitudinal analysis of nursing-home COVID-19 reports and other databases. Multivariable negative binomial models were used to estimate disparities in COVID-19 incidence and fatality rates across nursing-home groups with varying proportions of racial and ethnic minority residents, defined as low-, medium-, medium-high-, and high-proportion groups. Trends in such disparities were estimated from week 1 (April 13) to week 10 (ending on June 19, 2020).

SETTING:

The study was conducted across 211 nursing homes.

RESULTS:

The average number of cases ranged from 6.1 cases per facility for the low-proportion group to 11.7 cases per facility for the high-proportion group in week 1, and from 26.7 to 58.5 cases per facility in week 10. Compared to the low-proportion group, the adjusted incidence rate ratios (IRRs) for the high-proportion group were 1.18 (95% confidence interval [CI], 0.77-1.80; P > .10) in week 1 and 1.54 (95% CI, 1.05-2.25; P < .05) in week 10, showing a 30% (95% CI, 5%-62%) relative increase (P < .05). The average weekly number of COVID-19-related deaths ranged from 0 to 0.3 deaths per facility for different groups in week 1, and from 7.6 to 13.3 deaths per facility in week 10. Adjusted disparities in fatalities similarly increased over time.

CONCLUSIONS:

Connecticut nursing homes caring for predominately racial and ethnic minority residents tended to have higher COVID-19 incidence and fatality rates. These across-facility disparities increased during the early periods of the pandemic.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Infect Control Hosp Epidemiol Journal subject: Communicable Diseases / Nursing / Epidemiology / Hospitals Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Infect Control Hosp Epidemiol Journal subject: Communicable Diseases / Nursing / Epidemiology / Hospitals Year: 2022 Document Type: Article