The extent of the black / Hispanic disparity in COVID-19 mortality in counties across the United States during the first waves of the COVID-19 pandemic
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Int J Public Health. Sep 22, 2021; 66: 1604004. doi: 10.3389 / ijph.2021.1604004. Electronic collection 2021.
Goals: Quantify the disparity between Blacks and Hispanics in COVID-19 mortality in the United States (US). Methods : COVID-19 deaths in all counties in the United States nationwide were analyzed to estimate COVID-19 death rate ratios by county-level proportions of black / Hispanic residents, using a mixed-effects Poisson regression. The excess number of deaths from COVID-19, compared to that expected in a counterfactual scenario without a gradient of racial / ethnic disparity, has been estimated. Results: County-level COVID-19 death rates have increased monotonously with proportions of black and Hispanic residents at the county level up to 5.4 times (≥ 43% Black) and 11.6 times (≥ 55% Hispanic) higher than counties with Conclusion: In the first 8 months of the SARS-CoV-2 pandemic, the United States experienced the highest number of deaths from COVID-19. This COVID-19 death burden is strongly associated with racial / ethnic diversity at the county level, explaining most of the deaths from COVID-19 in the United States.
PMID: 34630005 | PMC: PMC8493931 | DOI: 10.3389 / ijph.2021.1604004