Alliance for Pandemic Preparedness

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Tag: disparities

June 15, 2021

COVID-19 and Telehealth Operations in Texas Primary Care Clinics: Disparities in Medically Underserved Area Clinics

Texas clinics in medically underserved areas (MUAs) were less likely to conduct greater than half of their visits via telehealth compared to non-MUA clinics, according to an analysis of 1,344 pooled responses from Texas primary care providers between March 27 and May 22, 2020. Restricting the analysis to responses obtained after May 1, 2020 showed…

June 14, 2021

An Investigation of Associations Between Race, Ethnicity, and Past Experiences of Discrimination with Medical Mistrust and COVID-19 Protective Strategies

An online cross-sectional survey conducted in May 2020 (n=963) found that experiencing structural discrimination was associated with higher health-specific COVID-19 conspiracy beliefs, while everyday discrimination was associated with more general medical mistrust but not with health-specific COVID-19 conspiracy beliefs. In addition, higher endorsement of health-specific COVID-19 conspiracy beliefs, but not general medical mistrust, was associated…

Deaths Involving COVID-19 by Disability Status a Retrospective Analysis of 29 Million Adults during the First Two Waves of the Coronavirus Pandemic in England

[Pre-print, not peer-reviewed] A cohort study of over 29 million adults in the UK found that compared to people without disabilities, mortality involving COVID-19 was higher both among people who self-identified as more-disabled (HR=3.1) and less-disabled (HR=1.9). Between January 24, 2020 and February 28, 2021, >100,000 people in the UK died from COVID-19-related causes, 58%…

May 28, 2021

Patterns in COVID-19 Vaccination Coverage, by Social Vulnerability and Urbanicity — United States, December 14, 2020–May 1, 2021

As of May 1, 2021, vaccination coverage was lower among US adults living in counties with higher social vulnerability (social and structural factors associated with adverse health outcomes) and with higher percentages of households with children, single parents, and persons with disabilities. By May 1, vaccination coverage was lower among adults living in counties with…

May 27, 2021

Racial/Ethnic, Social, and Geographic Trends in Overdose-Associated Cardiac Arrests Observed by US Emergency Medical Services During the COVID-19 Pandemic

Overdose-associated cardiac arrests requiring activation of emergency medical services (EMS) were 42% higher in 2020 compared to levels from 2018 and 2019 (60 vs 42 cardiac arrests per 100,000 EMS activations). The highest percentage increases were seen among Latinx and African American individuals (50% increase) and among individuals living in more impoverished neighborhoods (46% increase)….

May 21, 2021

Clinical, Behavioural and Social Factors Associated with Racial Disparities in COVID-19 Patients from an Integrated Healthcare System in Georgia: A Retrospective Cohort Study

A retrospective cohort study of Kaiser Permanente Georgia members with laboratory-confirmed COVID-19 (N=5,712) found Black (OR=1.4) and Hispanic (OR=1.6) members had higher odds of hospitalization, but not mortality, compared to white and Asian members. Additionally, a higher proportion of members diagnosed with COVID-19 were Black or Hispanic, compared to white or Asian (58% vs 9%)….

May 19, 2021

Disparities in COVID-19 Vaccination Coverage Between Urban and Rural Counties — United States, December 14, 2020–April 10, 2021

Vaccination for COVID-19 among US adults aged 18-64 years was lower in rural (39%) than urban (46%) counties as of April 10, 2021 according to administrative data reported to the CDC. Disparities persisted across age and sex. Among 46 health jurisdictions where urban-rural comparisons could be assessed, only 5 had higher coverage in rural counties…

May 11, 2021

Demographic and Social Factors Associated with COVID-19 Vaccination Initiation Among Adults Aged =65 Years — United States, December 14, 2020–April 10, 2021

79% of US older adults (aged ≥65 years, n>42 million) have received at least 1 dose of a COVID-19 vaccine as of April 10, 2021. On average, counties with low vaccination rates (<50% of older adults) compared with counties with high vaccination rates (≥75% of older adults) had higher percentages of older adults who do…

May 4, 2021

Severe Acute Respiratory Syndrome Coronavirus 2: A Canary in the Coal Mine for Public Safety Net Hospitals

Among 350 women admitted for delivery at a safety net hospital in Maricopa County, Arizona in July 2020, women with refugee status (n=45) had a 2-fold higher prevalence of PCR-positive SARS-CoV-2 infection compared to nonrefugee patients (18% vs 9%). Johnson-Agbakwu et al. (Mar 21, 2021). Severe Acute Respiratory Syndrome Coronavirus 2: A Canary in the Coal…

April 28, 2021

Actual Racial/Ethnic Disparities in COVID-19 Mortality for the Non-Hispanic Black Compared to Non-Hispanic White Population in 35 US States and Their Association with Structural Racism

A study using CDC data to examine COVID-19 mortality rates for non-Hispanic white and non-Hispanic Black populations across US states found that structural racism was associated with increased mortality in Black populations. Using a state-level index of structural racism and adjusting for age, each standard deviation increase in the racism index was associated with a…

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