About: Sociodemographic predictors of outcomes in COVID-19: examining the impact of ethnic disparities in Northern Nevada

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About: Sociodemographic predictors of outcomes in COVID-19: examining the impact of ethnic disparities in Northern Nevada Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Sociodemographic predictors of outcomes in COVID-19: examining the impact of ethnic disparities in Northern Nevada
Creator	Antwi-Amoabeng, Daniel Beutler, Bryce Boppana, Harsha Gullapalli, Nageshwara Kanji, Zahara Mahboob, Sumaiya Awad, Munadel Ghuman, Jasmine Sheikh, Mohammad Ulanja, Mark
Source	MedRxiv
abstract	Background: On March 11, 2020, the World Health Organization declared coronavirus disease-19 (COVID-19) a pandemic. Nearly five million individuals have since been diagnosed with this increasingly common and potentially lethal viral infection. Emerging evidence suggests a disproportionate burden of illness and death among minority communities. We aimed to evaluate the effect of ethnicity on outcomes among patients diagnosed with COVID-19 in Northern Nevada. Design: Single-center, retrospective observational study Materials and methods: The electronic health records of 172 patients diagnosed with COVID-19 were obtained from a 946-bed tertiary referral center serving Northern Nevada. Demographic and clinical characteristics were compared by ethnic group (Hispanic versus non-Hispanic). Logistic regression was used to determine predictors of mortality. Results: Among 172 patients who were diagnosed with COVID-19 between March 12th and May 8th, 2020, 87 (50.6%) identified as Hispanic and 81 (47.1%) as non-Hispanic. The mean age was 46.0 among Hispanics and 55.8 among non-Hispanics. Comorbidities linked to increased COVID-19-related mortality - hypertension, obesity, and chronic obstructive pulmonary disease - were more common among the non-Hispanic population. Hispanic individuals were significantly more likely to be uninsured and to live in low-income communities as compared to their non-Hispanic counterparts (27.6% versus 8.2% and 52.9% versus 30.6%, respectively). Hispanic patients were also less likely than non-Hispanics to have a primary care provider (42.5% versus 61.2%). However, mortality was significantly higher among the non-Hispanic population (15.3% versus 5.8%). Conclusion: The COVID-19 pandemic has disproportionately affected Hispanic individuals in Northern Nevada, who account for only 25.7% of the population but over half of the confirmed cases. Hispanic individuals were younger and had fewer comorbidities than their non-Hispanic counterparts; consequently, despite considerable socioeconomic disadvantage, mortality was lower among the Hispanic population. The underlying causes of ethnic disparities in COVID-19 incidence remain to be established, but further investigation may lead to more effective community- and systems-based interventions.
has issue date	2020-05-25(xsd:dateTime)
bibo:doi	10.1101/2020.05.24.20112094
has license	medrxiv
sha1sum (hex)	5628635a1c3410d4a1e40479150e07e27613b6b0
schema:url	https://doi.org/10.1101/2020.05.24.20112094
resource representing a document's title	Sociodemographic predictors of outcomes in COVID-19: examining the impact of ethnic disparities in Northern Nevada
resource representing a document's body	covid:5628635a1c3410d4a1e40479150e07e27613b6b0#body_text
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