Racial and/or Ethnic and Socioeconomic Disparities of SARS-CoV-2 Infection Among Children

Monika K Goyal1,2, Joelle N Simpson3,2, Meleah D Boyle3

  • 1Children's National Hospital, Washington, District of Columbia; and mgoyal@childrensnational.org.

Pediatrics
|August 8, 2020
PubMed

Insights

Minority and low-income children experienced higher rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Addressing these disparities is crucial for controlling the pandemic

Area of Science:

  • Pediatric infectious diseases
  • Public health
  • Epidemiology

Background:

  • Racial/ethnic and socioeconomic disparities in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rates among children are not well understood.
  • Understanding these differences is critical for developing targeted interventions and mitigating health inequities.

Purpose of the Study:

  • To evaluate racial/ethnic and socioeconomic disparities in SARS-CoV-2 infection rates among children.
  • To assess the association between race/ethnicity, socioeconomic status, and SARS-CoV-2 infection and exposure in pediatric populations.

Main Methods:

  • A cross-sectional study was conducted involving 1000 children tested for SARS-CoV-2 at a dedicated pediatric testing site.
  • Bivariable and multivariable logistic regression analyses were used to examine the relationship between patient demographics (race/ethnicity, estimated median family income) and SARS-CoV-2 infection and exposure.

Main Results:

  • Overall, 20.7% of children tested positive for SARS-CoV-2.
  • Minority children (Hispanic and non-Hispanic Black) exhibited significantly higher infection rates compared to non-Hispanic white children.
  • Children from lower socioeconomic quartiles (income) demonstrated increased rates of SARS-CoV-2 infection and reported exposure.

Conclusions:

  • Racial/ethnic minority and socioeconomically disadvantaged children bear a disproportionately high burden of SARS-CoV-2 infection.
  • Investigating the underlying causes of these disparities is essential for effective public health strategies and reducing infection spread.
Abstract

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