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Racial Disparities in COVID-19 Hospitalization and In-hospital Mortality at the Height of the New York City Pandemic

Benjamin D Renelus1, Neil C Khoury2, Karthik Chandrasekaran2

  • 1Division of Gastroenterology and Hepatology, Morehouse School of Medicine, Atlanta, GA, USA.

Journal of Racial and Ethnic Health Disparities
|September 18, 2020
PubMed

Insights

Blacks faced higher COVID-19 hospitalization rates compared to Whites. Hispanics experienced greater in-hospital mortality. Further research is needed to understand these racial disparities in coronavirus disease-2019 outcomes.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Disparities

Background:

  • The coronavirus disease-2019 (COVID-19) pandemic disproportionately affected minority populations.
  • Understanding racial disparities in COVID-19 outcomes is crucial for targeted public health interventions.

Purpose of the Study:

  • To investigate the association between race and hospitalization rates for COVID-19.
  • To examine the relationship between race and in-hospital survival among COVID-19 patients during the pandemic's peak in New York City.

Main Methods:

  • A retrospective cohort study of 734 hospitalized COVID-19 patients in New York City.
  • Comparison of hospitalization rates with regional population data by race.
  • Analysis of in-hospital survival using Cox proportional hazards regression.

Main Results:

  • Black patients were nearly twice as likely to be hospitalized for COVID-19 compared to White patients (OR 1.89).
  • Hispanic patients showed a significantly higher hazard of in-hospital mortality compared to White patients (HR 1.84).
  • A non-significant trend of increased in-hospital mortality was observed for Black patients compared to White patients (HR 1.30).

Conclusions:

  • Racial disparities exist in COVID-19 hospitalization and mortality.
  • Black individuals faced higher hospitalization risks, while Hispanic individuals experienced greater in-hospital mortality.
  • Socioeconomic factors contributing to these disparities require further national-level investigation.
Abstract

Keywords:
Coronavirus disease-2019Infectious diseaseRacial disparitiesSex disparities

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