Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States
We examined racial/ethnic disparities for COVID-19 seroconversion and hospitalization within a prospective cohort (n = 6,740) in the United States enrolled in March 2020 and followed-up through October 2021. Potential SARS-CoV-2 exposure, susceptibility to COVID-19 complications, and access to heal...
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Format: | Article |
Language: | English |
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Centers for Disease Control and Prevention
2022-11-01
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Series: | Emerging Infectious Diseases |
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Online Access: | https://wwwnc.cdc.gov/eid/article/28/11/22-0072_article |
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author | McKaylee M. Robertson Meghana G. Shamsunder Ellen Brazier Mekhala Mantravadi Rebecca Zimba Madhura S. Rane Drew A. Westmoreland Angela M. Parcesepe Andrew R. Maroko Sarah G. Kulkarni Christian Grov Denis Nash |
author_facet | McKaylee M. Robertson Meghana G. Shamsunder Ellen Brazier Mekhala Mantravadi Rebecca Zimba Madhura S. Rane Drew A. Westmoreland Angela M. Parcesepe Andrew R. Maroko Sarah G. Kulkarni Christian Grov Denis Nash |
author_sort | McKaylee M. Robertson |
collection | DOAJ |
description |
We examined racial/ethnic disparities for COVID-19 seroconversion and hospitalization within a prospective cohort (n = 6,740) in the United States enrolled in March 2020 and followed-up through October 2021. Potential SARS-CoV-2 exposure, susceptibility to COVID-19 complications, and access to healthcare varied by race/ethnicity. Hispanic and Black non-Hispanic participants had more exposure risk and difficulty with healthcare access than white participants. Participants with more exposure had greater odds of seroconversion. Participants with more susceptibility and more barriers to healthcare had greater odds of hospitalization. Race/ethnicity positively modified the association between susceptibility and hospitalization. Findings might help to explain the disproportionate burden of SARS-CoV-2 infections and complications among Hispanic/Latino/a and Black non-Hispanic persons. Primary and secondary prevention efforts should address disparities in exposure, vaccination, and treatment for COVID-19.
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first_indexed | 2024-04-13T18:06:55Z |
format | Article |
id | doaj.art-d32062b5802a426e8f1de79dde64ec6e |
institution | Directory Open Access Journal |
issn | 1080-6040 1080-6059 |
language | English |
last_indexed | 2024-04-13T18:06:55Z |
publishDate | 2022-11-01 |
publisher | Centers for Disease Control and Prevention |
record_format | Article |
series | Emerging Infectious Diseases |
spelling | doaj.art-d32062b5802a426e8f1de79dde64ec6e2022-12-22T02:36:03ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592022-11-0128112171218010.3201/eid2811.220072Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United StatesMcKaylee M. RobertsonMeghana G. ShamsunderEllen BrazierMekhala MantravadiRebecca ZimbaMadhura S. RaneDrew A. WestmorelandAngela M. ParcesepeAndrew R. MarokoSarah G. KulkarniChristian GrovDenis Nash We examined racial/ethnic disparities for COVID-19 seroconversion and hospitalization within a prospective cohort (n = 6,740) in the United States enrolled in March 2020 and followed-up through October 2021. Potential SARS-CoV-2 exposure, susceptibility to COVID-19 complications, and access to healthcare varied by race/ethnicity. Hispanic and Black non-Hispanic participants had more exposure risk and difficulty with healthcare access than white participants. Participants with more exposure had greater odds of seroconversion. Participants with more susceptibility and more barriers to healthcare had greater odds of hospitalization. Race/ethnicity positively modified the association between susceptibility and hospitalization. Findings might help to explain the disproportionate burden of SARS-CoV-2 infections and complications among Hispanic/Latino/a and Black non-Hispanic persons. Primary and secondary prevention efforts should address disparities in exposure, vaccination, and treatment for COVID-19. https://wwwnc.cdc.gov/eid/article/28/11/22-0072_articleCOVID-19coronavirus diseasesevere acute respiratory syndrome coronavirus 2SARS-CoV-2coronavirusesviruses |
spellingShingle | McKaylee M. Robertson Meghana G. Shamsunder Ellen Brazier Mekhala Mantravadi Rebecca Zimba Madhura S. Rane Drew A. Westmoreland Angela M. Parcesepe Andrew R. Maroko Sarah G. Kulkarni Christian Grov Denis Nash Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States Emerging Infectious Diseases COVID-19 coronavirus disease severe acute respiratory syndrome coronavirus 2 SARS-CoV-2 coronaviruses viruses |
title | Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States |
title_full | Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States |
title_fullStr | Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States |
title_full_unstemmed | Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States |
title_short | Racial/Ethnic Disparities in Exposure, Disease Susceptibility, and Clinical Outcomes during COVID-19 Pandemic in National Cohort of Adults, United States |
title_sort | racial ethnic disparities in exposure disease susceptibility and clinical outcomes during covid 19 pandemic in national cohort of adults united states |
topic | COVID-19 coronavirus disease severe acute respiratory syndrome coronavirus 2 SARS-CoV-2 coronaviruses viruses |
url | https://wwwnc.cdc.gov/eid/article/28/11/22-0072_article |
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