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10.1016/j.annepidem.2020.08.016

http://scihub22266oqcxt.onion/10.1016/j.annepidem.2020.08.016
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suck abstract from ncbi


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pmid32927056      Ann+Epidemiol 2021 ; 53 (ä): 56-62.e2
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  • Regional variation in COVID-19 disparities: connections with immigrant and Latinx communities in U S counties #MMPMID32927056
  • Strully K; Yang TC; Liu H
  • Ann Epidemiol 2021[Jan]; 53 (ä): 56-62.e2 PMID32927056show ga
  • PURPOSE: To evaluate associations between counties' COVID-19 cases and racial-ethnic and nativity composition, considering heterogeneity across Latin American-origin subgroups and regions of the United States. METHODS: Using county-level data and multilevel negative binomial models, we evaluate associations between COVID-19 cases and percentages of residents that are foreign-born, Latinx, Black, or Asian, presenting estimates for all counties combined and stratifying across regions. Given varying risk factors among Latinx, we also evaluate associations for percentages of residents from specific Latin American-origin groups. RESULTS: Percentage of foreign-born residents is positively associated with COVID-19 case rate (IRR = 1.106; 95% CI: 1.074-1.139). Adjusted associations for percentage Latinx are nonsignificant for all counties combined, but this obscures heterogeneity. Counties with more Central Americans have higher case rates (IRR = 1.130; 95% CI: 1.067-1.197). And, in the Northeast and Midwest, counties with more Puerto Ricans have higher case rates. Associations with percentage Asians are nonsignificant after adjusting for percentage foreign-born. With the confirmation of prior evidence, the percentage of Black residents is positively and robustly associated with COVID-19 case rate (IRR = 1.031; 95% CI: 1.025-1.036). CONCLUSIONS: Counties with more immigrants, as well as more Central American or Black residents, have more COVID-19 cases. In the Northeast and Midwest, counties with more Puerto Rican residents also have more COVID-19 cases.
  • |*Health Status Disparities[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/epidemiology/*ethnology[MESH]
  • |Emigrants and Immigrants/*statistics & numerical data[MESH]
  • |Ethnicity/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Healthcare Disparities/*ethnology[MESH]
  • |Hispanic or Latino/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Local Government[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Residence Characteristics/*statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]
  • |Social Class[MESH]
  • |United States/epidemiology[MESH]


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