Assessing racial and ethnic disparities using a COVID-19 outcomes continuum for New York State.
Ann Epidemiol
; 48: 9-14, 2020 08.
Artículo
en Inglés
| MEDLINE | ID: covidwho-621914
ABSTRACT
PURPOSE:
Heightened COVID-19 mortality among Black non-Hispanic and Hispanic communities (relative to white non-Hispanic) is well established. This study aims to estimate the relative contributions to fatality disparities in terms of differences in SARS-CoV-2 infections, diagnoses, and disease severity.METHODS:
We constructed COVID-19 outcome continua (similar to the HIV care continuum) for white non-Hispanic, Black non-Hispanic, and Hispanic adults in New York State. For each stage in the COVID-19 outcome continua (population, infection experience, diagnosis, hospitalization, fatality), we synthesized the most recent publicly available data. We described each continuum using overall percentages, fatality rates, and relative changes between stages, with comparisons between race and ethnicity using risk ratios.RESULTS:
Estimated per-population COVID-19 fatality rates were 0.03%, 0.18%, and 0.12% for white non-Hispanic, Black non-Hispanic, and Hispanic adults, respectively. The 3.48-fold disparity for Hispanic, relative to white, communities was explained by differences in infection experience, whereas the 5.38-fold disparity for non-Hispanic Black, relative to white, communities was primarily driven by differences in both infection experience and in the need for hospitalization, given infection.CONCLUSIONS:
These findings suggest the most impactful stages on which to intervene with programs and policies to build COVID-19 health equity.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Etnicidad
/
Infecciones por Coronavirus
/
Grupos Raciales
/
Disparidades en el Estado de Salud
Tipo de estudio:
Estudios diagnósticos
/
Estudio observacional
/
Estudio pronóstico
/
Ensayo controlado aleatorizado
Límite:
Humanos
País/Región como asunto:
America del Norte
Idioma:
Inglés
Revista:
Ann Epidemiol
Asunto de la revista:
Epidemiología
Año:
2020
Tipo del documento:
Artículo
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