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Racial disparities in COVID-19 mortality across Michigan, United States
Alyssa S Parpia1, Isabel Martinez1, Abdulrahman M El-Sayed2,3
1Center for Infectious Disease Modeling and Analysis (CIDMA), Yale School of Public Health, New Haven, CT, United States.
Black individuals face significantly higher COVID-19 mortality rates than White individuals, even after considering health and demographic factors. Systemic racism exacerbates these disparities during health crises.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- COVID-19 disproportionately impacts Black populations in the U.S.
- Understanding racial disparities in COVID-19 mortality is crucial.
Purpose of the Study:
- To examine COVID-19 mortality differences by race in Michigan.
- To stratify risk by age, sex, and comorbidities.
Main Methods:
- Analysis of linked death certificate and surveillance data (March-October 2020).
- Evaluation of demographic and comorbidity prevalence across racial groups.
- Calculation of age-, sex-, and comorbidity-adjusted mortality rates.
Main Results:
- Black individuals had 3.6 times the COVID-19 mortality rate of White individuals.
- Black individuals under 65 without comorbidities had 12.6 times the mortality rate of White counterparts.
- Black individuals consistently showed higher COVID-19 mortality risk across all strata.
Conclusions:
- Black populations bear a disproportionate burden of COVID-19 mortality.
- Racial disparities, amplified by systemic racism, worsen during health crises.
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