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Impact of the COVID-19 pandemic on racial and ethnic minorities in Japan.
Nomoto, Hidetoshi; Asai, Yusuke; Hayakawa, Kayoko; Matsunaga, Nobuaki; Kutsuna, Satoshi; Kodama, Eiichi N; Ohmagari, Norio.
  • Nomoto H; Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
  • Asai Y; Emerging and Reemerging Infectious Diseases, Graduate School of Medicine, Tohoku University, Miyagi, Japan.
  • Hayakawa K; Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
  • Matsunaga N; AMR Clinical Reference Center, National Center for Global Health and Medicine, Tokyo, Japan.
  • Kutsuna S; Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
  • Kodama EN; AMR Clinical Reference Center, National Center for Global Health and Medicine, Tokyo, Japan.
  • Ohmagari N; AMR Clinical Reference Center, National Center for Global Health and Medicine, Tokyo, Japan.
Epidemiol Infect ; 150: e202, 2022 Oct 26.
Article in English | MEDLINE | ID: covidwho-2087089
ABSTRACT
This study compared clinico-epidemiological characteristics between Japanese and non-Japanese coronavirus disease 2019 (COVID-19) patients under the pandemic in Japan. We retrospectively analysed nationwide data of hospitalised COVID-19 patients before 31 March 2021. Epidemic curves were constructed to identify the case distribution over time. A total of 28 093 patients were Japanese and 1335 patients were non-Japanese. The major racial and ethnic minorities were East Asians (n = 521), South Asians (n = 260) and Latin Americans (n = 270). Non-Japanese patients were younger and more likely to travel to COVID-19 endemic countries (7.7%), had meals with other people (17.8%), stayed in crowded places (17.9%) and worked mainly in restaurants (6.6%) and service facilities in nightlife businesses (5.2%). In the matched cohorts, we found no clear disparities in time to admission and clinical prognoses. The epidemic curve for non-Japanese patients showed a small peak in the first wave and no definite waves for the second or third waves. Racial and ethnic minorities were at less risk of severe disease but were at a greater risk of COVID-19 exposure; however, the healthcare system in Japan may provide them with equal opportunities to access inpatient care with Japanese. Further research on their social determinants of health in Japan is required.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Epidemiol Infect Journal subject: Communicable Diseases / Epidemiology Year: 2022 Document Type: Article Affiliation country: S0950268822001674

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Language: English Journal: Epidemiol Infect Journal subject: Communicable Diseases / Epidemiology Year: 2022 Document Type: Article Affiliation country: S0950268822001674