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10.1007/s40615-020-00948-8

http://scihub22266oqcxt.onion/10.1007/s40615-020-00948-8
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suck abstract from ncbi


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pmid33469868      J+Racial+Ethn+Health+Disparities 2022 ; 9 (1): 236-246
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  • Structural Racism and COVID-19 in the USA: a County-Level Empirical Analysis #MMPMID33469868
  • Tan SB; deSouza P; Raifman M
  • J Racial Ethn Health Disparities 2022[Feb]; 9 (1): 236-246 PMID33469868show ga
  • Substantial health disparities exist across race/ethnicity in the USA, with Black Americans often most affected. The current COVID-19 pandemic is no different. While there have been ample studies describing racial disparities in COVID-19 outcomes, relatively few have established an empirical link between these disparities and structural racism. Such empirical analyses are critically important to help defuse "victim-blaming" narratives about why minority communities have been badly hit by COVID-19. In this paper, we explore the empirical link between structural racism and disparities in county-level COVID-19 outcomes by county racial composition. Using negative binomial regression models, we examine how five measures of county-level residential segregation and racial disparities in socioeconomic outcomes as well as incarceration rates are associated with county-level COVID-19 outcomes. We find significant associations between higher levels of measured structural racism and higher rates of COVID-19 cases and deaths, even after adjusting for county-level population sociodemographic characteristics, measures of population health, access to healthcare, population density, and duration of the COVID-19 outbreak. One percentage point more Black residents predicted a 1.1% increase in county case rate. This association decreased to 0.4% when structural racism indicators were included in our model. Similarly, one percentage point more Black residents predicted a 1.8% increase in county death rates, which became non-significant after adjustment for structural racism. Our findings lend empirical support to the hypothesis that structural racism is an important driver of racial disparities in COVID-19 outcomes, and reinforce existing calls for action to address structural racism as a fundamental cause of health disparities.
  • |*COVID-19[MESH]
  • |*Racism[MESH]
  • |Health Status Disparities[MESH]
  • |Humans[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]
  • |Systemic Racism[MESH]


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