Alliance for Pandemic Preparedness

April 12, 2021

The Association of Structural Inequities and Race with Out-of-Hospital Sudden Death during the COVID-19 Pandemic

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  • New York City stratified data on out of hospital sudden death (OHSD) showed that between March 1 and April 10, 2020, educational attainment and the proportion of Black residents in zip codes were independent predictors of increased levels of zip code-level OHSD, after controlling for 2019 rates. The number of OHSD rose to 4,334 from 1,112 the year prior. Other social influencers of health associated with increased rates of OHSD within ZIP codes were proportions of single parent households, unemployed residents, people completing less than high school education, residents with no health insurance, people financially struggling or living in poverty, percent of non-citizens, and population density. 

Mountantonakis et al. (Apr 9, 2021). The Association of Structural Inequities and Race with Out-of-Hospital Sudden Death during the COVID-19 Pandemic. Circulation: Arrhythmia and Electrophysiology. https://doi.org/10.1161/CIRCEP.120.009646