Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States

作者：McKaylee Robertson, Meghana G. Shamsunder, Ellen Brazier, Mekhala Mantravadi, Rebecca Zimba, Madhura S. Rane, Drew A. Westmoreland, Angela M. Parcesepe, Andrew Maroko, Sarah Kulkarni, Christian Grov, Denis Nash · 发表于：Emerging infectious diseases · 年份：2022 · DOI：10.3201/eid2811.220072 · 被引用次数：46 · 研究领域：COVID-19 epidemiological studies、Vaccine Coverage and Hesitancy、COVID-19 and Mental Health

R esearchers have identified underlying medi- cal conditions, comorbidities, older age, and male sex as biologic vulnerabilities for more severe COVID-19 outcomes (1,2).Evidence also suggests a disproportionate burden of COVID-19 infection, hospitalization, and death among Hispanic/ Latino/a, Black non-Hispanic, and American Indian and Alaskan Native populations in the United States.(3-6).Early in the pandemic (March 2020), the Centers for Disease Control and Prevention (CDC) reported that twice as many Black persons were hospitalized because of COVID-19 than are proportionally represented in the United States.(3).Long-standing health and social inequities probably contribute to disparities in COVID-19 illness and death (7-9).Public health interventions and policies with the potential to improve health might inadvertently amplify existing health disparities (7).Prevention efforts, such as social distancing or work from home policies, might have inequitable benefits across racial and ethnic groups because of differential employment in essential work settings or likelihood of living in multigenerational households (7,8,10).Less access to or use of healthcare also result in differential COVID-19 outcomes among racial and ethnic minority groups because later care presentation might limit treatment options (6,8).Blumenshine et al. proposed a pandemic disease model in which differences in exposure to the pathogen, susceptibility to severe illness if infected, and poor/delayed acces...