Display options
Cite
Boserup B, McKenney M, Elkbuli A. Disproportionate Impact of COVID-19 Pandemic on Racial and Ethnic Minorities. Am Surg. 2020;86(12):1615-1622doi: 10.1177/0003134820973356.
Boserup, B., McKenney, M., & Elkbuli, A. (2020). Disproportionate Impact of COVID-19 Pandemic on Racial and Ethnic Minorities. The American surgeon, 86(12), 1615-1622. https://doi.org/10.1177/0003134820973356
Boserup, Brad, et al. "Disproportionate Impact of COVID-19 Pandemic on Racial and Ethnic Minorities." The American surgeon vol. 86,12 (2020): 1615-1622. doi: https://doi.org/10.1177/0003134820973356
Boserup B, McKenney M, Elkbuli A. Disproportionate Impact of COVID-19 Pandemic on Racial and Ethnic Minorities. Am Surg. 2020 Dec;86(12):1615-1622. doi: 10.1177/0003134820973356. Epub 2020 Nov 24. PMID: 33231496; PMCID: PMC7691116.
Copy Download .nbib Format: NLM
Share it on

Am Surg. 2020 Dec;86(12):1615-1622. doi: 10.1177/0003134820973356. Epub 2020 Nov 24.

Disproportionate Impact of COVID-19 Pandemic on Racial and Ethnic Minorities.

The American surgeon

Brad Boserup, Mark McKenney, Adel Elkbuli

Affiliations

  1. Department of Surgery, Division of Trauma and Surgical Critical Care, 14506Kendall Regional Medical Center, Miami, FL, USA.
  2. Department of Surgery, University of South Florida, Tampa, FL, USA.

PMID: 33231496 PMCID: PMC7691116 DOI: 10.1177/0003134820973356

Abstract

BACKGROUND: Health disparities are prevalent in many areas of medicine. We aimed to investigate the impact of the COVID-19 pandemic on racial/ethnic groups in the United States (US) and to assess the effects of social distancing, social vulnerability metrics, and medical disparities.

METHODS: A cross-sectional study was conducted utilizing data from the COVID-19 Tracking Project and the Centers for Disease Control and Prevention (CDC). Demographic data were obtained from the US Census Bureau, social vulnerability data were obtained from the CDC, social distancing data were obtained from Unacast, and medical disparities data from the Center for Medicare and Medicaid Services. A comparison of proportions by Fisher's exact test was used to evaluate differences between death rates stratified by age. Negative binomial regression analysis was used to predict COVID-19 deaths based on social distancing scores, social vulnerability metrics, and medical disparities.

RESULTS: COVID-19 cumulative infection and death rates were higher among minority racial/ethnic groups than whites across many states. Older age was also associated with increased cumulative death rates across all racial/ethnic groups on a national level, and many minority racial/ethnic groups experienced significantly greater cumulative death rates than whites within age groups ≥ 35 years. All studied racial/ethnic groups experienced higher hospitalization rates than whites. Older persons (≥ 65 years) also experienced more COVID-19 deaths associated with comorbidities than younger individuals. Social distancing factors, several measures of social vulnerability, and select medical disparities were identified as being predictive of county-level COVID-19 deaths.

CONCLUSION: COVID-19 has disproportionately impacted many racial/ethnic minority communities across the country, warranting further research and intervention.

Keywords: COVID-19; health disparities; racial disparities; social determinants of health

References

  1. JAMA. 2020 Apr 7;323(13):1239-1242 - PubMed
  2. MMWR Morb Mortal Wkly Rep. 2020 Apr 17;69(15):458-464 - PubMed
  3. N Engl J Med. 2020 May 21;382(21):2005-2011 - PubMed
  4. Diabetes Res Clin Pract. 2020 Apr;162:108142 - PubMed
  5. Int J Infect Dis. 2020 Feb;91:264-266 - PubMed
  6. N Engl J Med. 2020 Mar 26;382(13):1199-1207 - PubMed
  7. Ann Epidemiol. 2020 Jul;47:37-44 - PubMed
  8. Eur Respir J. 2020 May 14;55(5): - PubMed
  9. J Travel Med. 2020 Mar 13;27(2): - PubMed

MeSH terms

Publication Types