Alliance for Pandemic Preparedness

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Tag: disparities


April 23, 2021

Addressing Racial/ethnic Disparities in the COVID-19 Vaccination Campaign

[Pre-print, not peer-reviewed] An analysis of state-level, race-stratified COVID-19 vaccination data found that Black and Hispanic adults have received proportionally lower levels of vaccinations compared to white adults. Across all states, adjusted for eligible population size, vaccine coverage among Black and Hispanic adults was 27% compared to 44% in white adults as of March 31,…


April 16, 2021

Effect of SARS-CoV-2 Infection on Pregnancy Outcomes in an Inner-City Black Patient Population

No statistical differences in obstetric or neonatal outcomes were observed between SARS-CoV-2 positive and negative individuals in a cohort study of predominantly Black pregnant women in Brooklyn (n=335). On admission, most (86%) patients who tested positive for SARS-CoV-2 were asymptomatic, and remained asymptomatic throughout their time in the hospital. Rates of preterm birth, cesarean delivery,…


Disparities in SARS-CoV-2 Vaccination-to-Infection Risk Massachusetts 2020-2021

[Pre-print, not peer-reviewed] An analysis of the distribution of SARS-CoV-2 cases and the number of people vaccinated in Massachusetts indicated that communities with increased socioeconomic vulnerability and higher proportions of Black/Latinx residents had fewer people vaccinated per cumulative number of individuals infected, measured by the vaccination-to-infection risk (VIR) ratio. Improved VIRs were associated with higher…


April 15, 2021

Differences in COVID-19 Vaccine Concerns Among Asian Americans and Pacific Islanders: The COMPASS Survey

76% of respondents reported having one or more concerns about the COVID-19 vaccine in a cross-sectional national survey of Asian Americans and Pacific Islander (AAPI) adults in the US (n=1,646) conducted between October to December 2020. The most common concern was side effects (65%). In multivariable analyses, participant who were more likely to report more…


April 12, 2021

Seroprevalence of SARS-CoV-2 Following the Largest Initial Epidemic Wave in the United States: Findings from New York City, May 13-July 21, 2020

In a serosurvey of 45,367 New York City adult residents, 23.6% were infected with SARS-CoV-2 during the first few months of the pandemic (May 13 – July 21, 2020). High seroprevalence (>30%) was observed among Black and Hispanic individuals, people from high poverty neighborhoods, and people in health care or essential worker industry sectors. Reporting…


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

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…


Emergency Department Visits for COVID-19 by Race and Ethnicity — 13 States, October–December 2020

Between October and December 2020, data from 13 US states indicate that the rate of emergency department (ED) visits for COVID-19 was 1.7 times higher among Hispanic and American Indian or Alaska Native (AI/AN) persons, and 1.4 times higher among Black persons, than white persons. Hispanic, AI/AN, and Black persons had significantly more COVID-19–related ED…


Trends in Racial and Ethnic Disparities in COVID-19 Hospitalizations, by Region — United States, March – December 2020

Based on hospitalization discharge data from each of the four US census regions, the age-adjusted COVID-19 proportionate hospitalization ratios (aPHRs) were highest for Hispanic or Latino patients (range 2.7-3.9) relative to non-Hispanic white patients. Racial and ethnic disparities in COVID-19 hospitalization were largest during May–July 2020, and while aPHRs declined for most racial and ethnic…


April 9, 2021

COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020

A review of COVID-19 surveillance data from March-November 2020 in Montana revealed that COVID-19 incidence and mortality were higher among American Indian/Alaska Native (AI/AN) persons compared to white persons. The incidence of COVID-19 among AI/AN persons was 2.2-times higher than among White persons and COVID-19 mortality was 3.8-times higher. The case fatality rate was 1.7-times…


April 8, 2021

Incidence and Severity of Depression Among Recovered African Americans with COVID-19-Associated Respiratory Failure

44% (32 of 73) of African American patients who were admitted to the ICU and underwent invasive mechanical ventilation for COVID-19 were diagnosed with major depressive disorder (MMD) within 90 days of discharge. Patients were identified during depression screening following discharge from a hospital in Atlanta, Georgia. MDD was more frequently diagnosed in women than…



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