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Disproportionate Burden of COVID-19 Infection Among Hispanic Patients During the First COVID-19 Surge in South Texas.
Hosek, Meredith G; Sharma, Aditi; Nunn, Mary; Tran, Sydney T; Bousquet, Madeleine O; Allen, Zachary T; Allawi, Farah A L; Geller, Robert; McCracken, Andrew; Sanchez, Carmen G; Taranova, Anna G; Villarreal, Roberto; Goros, Martin; Gelfond, Jonathan; Taylor, Barbara S.
  • Hosek MG; Long School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Sharma A; Long School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Nunn M; Long School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Tran ST; Long School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Bousquet MO; Long School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Allen ZT; Long School of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Allawi FAL; Department of Internal Medicine, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, Texas, USA.
  • Geller R; Department of Population Health Sciences, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • McCracken A; Department of Research & Information Management, University Health, San Antonio, Texas, USA.
  • Sanchez CG; Department of Clinical & Business Analytics, University Health, San Antonio, Texas, USA.
  • Taranova AG; Department of Public Health, Innovation, and Equity, University Health, San Antonio, Texas, USA.
  • Villarreal R; Department of Public Health, Innovation, and Equity, University Health, San Antonio, Texas, USA.
  • Goros M; Department of Epidemiology and Biostatistics, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Gelfond J; Department of Epidemiology and Biostatistics, University of Texas Health San Antonio, San Antonio, Texas, USA.
  • Taylor BS; Department of Medicine, University of Texas Health San Antonio, San Antonio, Texas, USA.
Health Equity ; 6(1): 546-553, 2022.
Article in English | MEDLINE | ID: covidwho-1960966
ABSTRACT

Introduction:

The morbidity and mortality of the COVID-19 pandemic have disproportionately burdened Hispanic populations in the United States. While health equity research is typically conducted in populations where Hispanics are the minority, this project analyzes COVID-19 racioethnic transmission trends over the first 6 months of the pandemic within a large majority-minority city in South Texas.

Methods:

Patients diagnosed with COVID-19 across inpatient, emergency department, and outpatient settings of a large county health system were included in a clinical registry. For 4644 COVID-19-positive patients between March 16 and August 31, 2020, demographic and clinical data were abstracted from the registry. Race/ethnicity trends over time were compared for patients with and without COVID-19 diagnoses. Logistic regressions identified predictors of inpatient diagnosis by age, race/ethnicity, and testing delay.

Results:

The proportion of patients with COVID-19 identifying as Hispanic increased rapidly during the pandemic's first months from 55.6% in March to 85.7% in June. A significantly greater proportion of patients identified as Hispanic within the COVID-19 cohort compared to other diagnoses cohort. Testing delay was 11.6% longer for Hispanic patients, with each day of testing delay associated with 7% increased odds of inpatient COVID-19 diagnosis.

Conclusion:

These findings highlight the disproportionate impact of COVID-19 on Hispanic populations even within a majority-minority community. In the United States, Hispanic persons are more likely to work frontline jobs, live in multigenerational homes in poverty, and be uninsured. The burden of COVID-19 cases within Bexar County's largest hospital system reflects this systemic inequity. Identifying racioethnic health disparities supports efforts toward mitigating structural factors that predispose minority groups to illness and death.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Health Equity Year: 2022 Document Type: Article Affiliation country: Heq.2021.0185

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Health Equity Year: 2022 Document Type: Article Affiliation country: Heq.2021.0185