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Journal article
COVID-19 Outcomes Among the Hispanic Population of 27 Large US Cities, 2020–2021
American journal of public health (1971), v 112(7), pp 1034-1044
Jul 2022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives. To examine racial/ethnic disparities in COVID-19 outcomes between Hispanics and Whites across 27 US jurisdictions whose health departments are members of the Big Cities Health Coalition (BCHC). Methods. Using surveillance data from the BCHC COVID-19 dashboard as of mid-June 2021, we computed crude incidence, age-adjusted hospitalization and mortality, and full vaccination coverage rates for Hispanics and Whites by city. We estimated relative and absolute disparities cumulatively and for 2020 and 2021 and explored associations between city-level social vulnerability and the magnitude of disparities. Results. In most of the cities with available COVID-19 incidence data, rates among Hispanics were 2.2 to 6.7 times higher than those among Whites. In all cities, Hispanics had higher age-adjusted hospitalization (1.5–8.6 times as high) and mortality (1.4–6.2 times as high) rates. Hispanics had lower vaccination coverage in all but 1 city. Disparities in incidence and hospitalizations narrowed in 2021, whereas disparities in mortality remained similar. Disparities in incidence, hospitalization, mortality, and vaccination rates were wider in cities with lower social vulnerability. Conclusions. A deeper exploration of racial/ethnic disparities in COVID-19 outcomes is essential to understand and prevent disparities among marginalized communities.
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Details
- Title
- COVID-19 Outcomes Among the Hispanic Population of 27 Large US Cities, 2020–2021
- Creators
- Isabel P. De Ramos - Drexel University, Urban Health CollaborativeMariana Lazo - Drexel UniversityAlina Schnake-Mahl - Drexel UniversityRan Li - Drexel UniversityAna P. Martinez-Donate - Drexel UniversityAna V. Diez Roux - Drexel University, Urban Health CollaborativeUsama Bilal - Drexel University
- Publication Details
- American journal of public health (1971), v 112(7), pp 1034-1044
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics; Health Management and Policy; Community Health and Prevention
- Web of Science ID
- WOS:000817916800028
- Scopus ID
- 2-s2.0-85132453641
- Other Identifier
- 991019168402904721
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- Web of Science research areas
- Public, Environmental & Occupational Health