Health affairs (Millwood, Va.), 2021-06, Vol.40 (6), p.870-52
2021
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Details
- Autor(en) / Beteiligte
- Titel
- Racial/Ethnic Disparities In COVID-19 Exposure Risk, Testing, And Cases At The Subcounty Level In California
- Ist Teil von
- Health affairs (Millwood, Va.), 2021-06, Vol.40 (6), p.870-52
- Ort / Verlag
- United States: The People to People Health Foundation, Inc., Project HOPE
- Erscheinungsjahr
- 2021
- Quelle
- PAIS Index
- Beschreibungen/Notizen
- With a population of forty million and substantial geographic variation in sociodemographics and health services, California is an important setting in which to study disparities. Its population (37.5 percent White, 39.1 percent Latino, 5.3 percent Black, and 14.4 percent Asian) experienced 59,258 COVID-19 deaths through April 14, 2021-the most of any state. We analyzed California's racial/ethnic disparities in COVID-19 exposure risks, testing rates, test positivity, and case rates through October 2020, combining data from 15.4 million SARS-CoV-2 tests with subcounty exposure risk estimates from the American Community Survey. We defined "high-exposure-risk" households as those with one or more essential workers and fewer rooms than inhabitants. Latino people in California are 8.1 times more likely to live in high-exposure-risk households than White people (23.6 percent versus 2.9 percent), are overrepresented in cumulative cases (3,784 versus 1,112 per 100,000 people), and are underrepresented in cumulative testing (35,635 versus 48,930 per 100,000 people). These risks and outcomes were worse for Latino people than for members of other racial/ethnic minority groups. Subcounty disparity analyses can inform targeting of interventions and resources, including community-based testing and vaccine access measures. Tracking COVID-19 disparities and developing equity-focused public health programming that mitigates the effects of systemic racism can help improve health outcomes among California's populations of color.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0278-2715eISSN: 2694-233X, 1544-5208DOI: 10.1377/hlthaff.2021.00098Titel-ID: cdi_proquest_journals_2539313554
- Format
- –
- Schlagworte
- Access, California, Community-based programs, Coronaviruses, COVID-19, Cultural differences, Discrimination, Disease transmission, Essential workers, Ethnic differences, Ethnic factors, Ethnic groups, Ethnicity, Exposure, Geographical variations, Health disparities, Health services, Health status, Health Status Disparities, Health surveillance, Hispanic Americans, Households, Humans, Latin American cultural groups, Minority & ethnic groups, Minority Groups, Occupational exposure, Population, Population studies, Public health, Race, Racial differences, Racial inequality, Racism, Risk, SARS-CoV-2, Severe acute respiratory syndrome coronavirus 2, Sociodemographics, Socioeconomic factors, Surveillance, Systemic racism, Tracking, United States, Vaccines, White people