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Racial disparities in patients hospitalized for COVID-19
Amber Mirajkar1, Adam Oswald1, Mark Rivera1
1University of Central Florida College of Medicine, Orlando, FL, USA.
Journal of the National Medical Association
|July 5, 2023
Summary
COVID-19 disparities persist, with White patients experiencing higher mortality despite being older. Black patients faced greater critical care needs, underscoring the need to address social determinants of health.
Area of Science:
- Public Health
- Epidemiology
- Health Disparities
Background:
- COVID-19 disproportionately affected older adults and minority groups.
- Black, Hispanic, and Native American populations experienced higher infection, hospitalization, and mortality rates compared to Whites.
Purpose of the Study:
- To analyze COVID-19 outcomes stratified by race and age.
- To identify racial disparities in critical care needs and mortality.
Main Methods:
- Retrospective cohort study using de-identified patient data from 178 US hospitals.
- Analyzed outcomes including length of stay, in-hospital mortality, disease severity, and discharge disposition.
- Stratified outcomes by sex and racial groups.
Main Results:
- White patients had higher median age (71) and mortality (17%) compared to Black (60, 10%), Hispanic (57, 14%), and Other (61, 15%) groups.
- Black patients were disproportionately more likely to require ICU admission and mechanical ventilation (15.6% vs. 13.9%).
- Race remained a significant factor in multivariable models including age and sex.
Conclusions:
- White patients had higher COVID-19 mortality, while Black patients faced greater critical care burdens.
- Significant racial disparities in COVID-19 outcomes highlight the impact of social and structural determinants of health.
Keywords:
COVID-19 impactsCommunities of colorHealth disparitiesSocial and moral determinants of healthMore Related Videos
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