Alliance for Pandemic Preparedness

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Tag: disparities


September 4, 2020

Racial/Ethnic Disparities in Hospital Admissions from COVID-19 and Determining the Impact of Neighborhood Deprivation and Primary Language

[Pre-print, not peer reviewed] Compared with white patients, minority race/ethnicity was found to be associated with hospital admission for Hispanic (OR: 3.8, 95% CI: 2.72-5.30), Asian (OR: 2.39, 95% CI: 1.74-3.29, and Black (OR: 1.50, 95% CI: 1.15-1.94) patients. Within each racial/ethnic group, quintiles of neighborhood-level deprivation were not associated with hospitalization. The analysis was…


September 1, 2020

Telemedicine and Healthcare Disparities: A Cohort Study in a Large Healthcare System in New York City during COVID-19

While electronic health record data from a New York university healthcare system (n=140,184) showed that the proportion of Black patients using telemedicine for urgent care increased from 2019 to 2020, Black patients were less likely than white patients to accessing care through telemedicine. The increase in utilization of telemedicine among Black patients was predominantly among…


August 26, 2020

Socio-Demographic Heterogeneity in the Prevalence of COVID-19 during Lockdown Is Associated with Ethnicity and Household Size: Results from an Observational Cohort Study

A UK-based retrospective cohort study including people tested for SARS-CoV-2 at university hospitals (n=4051) found that individuals from ethnic minority communities and larger households had an increased likelihood of SARS-CoV-2 PCR positivity. After adjustment, compared to people with white ethnicity, people with South Asian (aOR=2.4, 95%CI 2.0-3.0), Black (aOR=2.6, 95%CI 1.7-3.8), and other (aOR=2.5, 95%CI…


August 24, 2020

Perceived Discrimination and Mental Distress Amid the COVID-19 Pandemic: Evidence From the Understanding America Study

Liu et al. report that the overall percentage of American adults experiencing COVID-19-associated discrimination more than doubled from 4% to 10% between March and April of 2020. In particular, non-Hispanic Black and Asian people were more likely to report experiencing discrimination, as were people who reported wearing facemasks in public. Experiencing COVID-19-associated discrimination was associated…


How Do Presenting Symptoms and Outcomes Differ by Race/Ethnicity Among Hospitalized Patients with COVID-19 Infection? Experience in Massachusetts

McCarty et al. found no association between race or ethnicity and COVID-19-associated morbidity and mortality after controlling for demographic and clinical characteristics (including age, gender, obesity, cardiopulmonary comorbidities, hypertensions, and diabetes) among a cohort of patients with COVID-19 (n=379) patients admitted to nine Massachusetts hospitals. McCarty et al. (Aug 22, 2020). How Do Presenting Symptoms…


SARS-CoV-2 Community Transmission Disproportionately Affects Latinx Population during Shelter-in-Place in San Francisco

Chamie et al. tested 3,953 people who live or work within a census block in San Francisco and found a point prevalence of SARS-CoV-2 infection (by PCR) of 2% and an estimated cumulative incidence (by antibody testing) of 6%. Among those with positive PCR tests, 95% were Latinx and 53% were asymptomatic when tested. Among…


August 21, 2020

A Rapid Qualitative Assessment of the Impact of the COVID-19 Pandemic on a Racially/Ethnically Diverse Sample of Gay, Bisexual, and Other Men Who Have Sex with Men Living with HIV in the US South

• [pre-print, not peer-reviewed] A racially diverse cohort of HIV+ gay, bisexual, and other men who have sex with men in the American South was interviewed about the early impact of the COVID-19 pandemic. Rhodes et al. identified themes related to knowledge about the pandemic, information sources, personal impact on health and behaviors, and general…


Health Inequalities in the Use of Telehealth in the United States in the Lens of COVID-19

• Disparities in accessing telehealth appointments since the beginning of the COVID-19 pandemic were identified in a retrospective cohort study using a database linking insurance claims with patient-reported data. There was a rise in telehealth use from 0.2% to 2% in March 2020 compared to a similar time period in 2019. Adults over 45 were…


July 31, 2020

Findings from a Probability-Based Survey of U.S. Households about Prevention Measures Based on Race, Ethnicity, and Age in Response to SARS-CoV-2

Self-reported individual behaviors to protect against SARS-CoV-2 exposure (e.g. wearing a facemask, maintaining physical distance from others, etc.) were nearly identical across white, African American, and Latino respondents in a nationally representative survey (n=1,395) of American households. Relative to white participants, African American and Latino participants were less likely to install an app that asked…



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