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Tag: disparities
March 12, 2021
Differences in COVID-19-Related Testing and Healthcare Utilization by Race and Ethnicity in the Veterans Health Administration
SARS-CoV-2 testing rates (4%) and positivity rates (12%) among Black veterans and Hispanic veterans (5% and 12%, respectively) were higher compared to white veterans (3% and 6%) according to a retrospective cohort study of all US veterans who were active users of the Veterans Health Administration (VHA) services. 252,702 veterans were tested (3%) for SARS-CoV-2…
March 10, 2021
Racial and Ethnic Disparities in COVID-19 Incidence by Age, Sex, and Period Among Persons Aged <25 Years — 16 U.S. Jurisdictions, January 1–December 31, 2020
There were substantial racial and ethnic disparities in COVID-19 incidence among people under age 25 in the US during January-April 2020 (rate ratio range = 1.1-4.6), which generally decreased during May-December (RR range = 0.37-1.69), largely due to increased incidence among white individuals rather than a decline among racial and ethnic minority groups. The largest…
SARS-COV-2 Antibody Prevalence in Patients on Dialysis in the US in January 2021
[Pre-print, not peer-reviewed] A cross-sectional assessment of SARS-CoV-2 seroprevalence among patients in the US receiving dialysis (n = 21,424) in January 2021 with the goal of estimating the seroprevalence in the general US adult population found that seroprevalence was 18.9% in the study sample, which translated to an estimated 18.7% in the US dialysis population,…
March 9, 2021
Elevated Mortality among People Experiencing Homelessness with COVID-19
[Pre-print, not peer-reviewed] The COVID-19 case fatality rate (CFR) among people experiencing homelessness (PEH) residing in 7 of the most populous US health jurisdictions was 1.3-times higher than that of the general population. In Los Angeles County, where PEH data is further stratified by additional demographic characteristics, the PEH CFR was up to 14-times higher…
March 3, 2021
Assessment of a Hotel-Based COVID-19 Isolation and Quarantine Strategy for Persons Experiencing Homelessness
Among people who were referred to isolation and quarantine (I/Q) hotels in San Francisco from hospitals, outpatient settings, and public health surveillance, 81% completed their recommended I/Q course. The retrospective cohort study found that of the 1,009 I/Q hotel guests, 501 (50%) were persons experiencing sheltered (n=295) or unsheltered (n=206) homelessness, 33% had other medical…
February 24, 2021
The COVID-19 Symptom to Isolation Cascade in a Latinx Community: A Call to Action
Approximately a quarter of SARS-CoV-2 infected patients at a low-barrier testing site serving a low-income Latinx community in San Francisco were already outside the 10-day window of isolation at the time they received counseling on isolation. Among symptomatic participants (n=145), 83% percent had moderate to high levels of virus (Ct <33). All participants received post-test…
Nonmetropolitan COVID‐19 Incidence and Mortality Rates Surpassed Metropolitan Rates within the First 24 Weeks of the Pandemic Declaration: United States, March 1–October 18, 2020
The incidence and mortality trends of COVID-19 in rural counties increased and surpassed those in metropolitan areas beginning in early August 2020. Residents of nonmetropolitan counties accounted for 14% of the 8,085,214 confirmed COVID‐19 cases and 11% of the 217,510 deaths in the United States from March 1-October 18, 2020. The average daily COVID‐19 incidence rate over the…
February 23, 2021
Demographic Benchmarks for Equitable Coverage of the COVID-19 Vaccination Program among Priority Populations
[Pre-print, not peer-reviewed] Essential healthcare workers included in the Phase 1a population defined by the Advisory Committee on Immunization Practices (ACIP) prioritized for vaccination were estimated to have a larger share of women (74%), non-Hispanic Black individuals (18%), and adults aged 25-44 years (41%) compared to the general US population. Phase 1b has a more…
February 22, 2021
Higher SARS-CoV-2 Infection Rate in Pregnant Patients
The SARS-CoV-2 infection rate among pregnant individuals in Washington State (13.9/1,000 deliveries) was 70% higher than the rate among similarly-aged adults, which was not completely explained by universal screening at delivery. 240 pregnant patients with PCR-confirmed SARS-CoV-2 infection were identified from March 1-June 3, 2020, and the proportion of cases in pregnancy among most ethnic…
Assessment of the Inclusion of Racial/Ethnic Minority, Female, and Older Individuals in Vaccine Clinical Trials
A cross-sectional study of 230 US-based clinical COVID-19 vaccine trials (n = 219,555 participants) found that, compared with the US population, Black or African American (11%), American Indian or Alaska Native (0.4%), Hispanic or Latino (121.6%), and older (age 65+, 12%) individuals were underrepresented, while women (56%) were overrepresented, in trials. Black or African American…
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