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10.1097/EDE.0000000000001314

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33323745!8641438!33323745
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suck abstract from ncbi


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pmid33323745      Epidemiology 2021 ; 32 (2): 157-161
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  • Estimating the Unknown: Greater Racial and Ethnic Disparities in COVID-19 Burden After Accounting for Missing Race and Ethnicity Data #MMPMID33323745
  • Labgold K; Hamid S; Shah S; Gandhi NR; Chamberlain A; Khan F; Khan S; Smith S; Williams S; Lash TL; Collin LJ
  • Epidemiology 2021[Mar]; 32 (2): 157-161 PMID33323745show ga
  • BACKGROUND: Black, Hispanic, and Indigenous persons in the United States have an increased risk of SARS-CoV-2 infection and death from COVID-19, due to persistent social inequities. However, the magnitude of the disparity is unclear because race/ethnicity information is often missing in surveillance data. METHODS: We quantified the burden of SARS-CoV-2 notification, hospitalization, and case fatality rates in an urban county by racial/ethnic group using combined race/ethnicity imputation and quantitative bias analysis for misclassification. RESULTS: The ratio of the absolute racial/ethnic disparity in notification rates after bias adjustment, compared with the complete case analysis, increased 1.3-fold for persons classified Black and 1.6-fold for those classified Hispanic, in reference to classified White persons. CONCLUSIONS: These results highlight that complete case analyses may underestimate absolute disparities in notification rates. Complete reporting of race/ethnicity information is necessary for health equity. When data are missing, quantitative bias analysis methods may improve estimates of racial/ethnic disparities in the COVID-19 burden.
  • |Asian/statistics & numerical data[MESH]
  • |Black or African American/*statistics & numerical data[MESH]
  • |COVID-19/*ethnology/mortality[MESH]
  • |Data Collection[MESH]
  • |Georgia/epidemiology[MESH]
  • |Health Status Disparities[MESH]
  • |Hispanic or Latino/*statistics & numerical data[MESH]
  • |Hospitalization/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Indigenous Peoples/*statistics & numerical data[MESH]
  • |Mortality/*ethnology[MESH]
  • |Native Hawaiian or Other Pacific Islander/statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]
  • |Statistics as Topic[MESH]
  • |United States/epidemiology[MESH]


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