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10.1093/aje/kwab059

http://scihub22266oqcxt.onion/10.1093/aje/kwab059
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suck abstract from ncbi


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pmid33710272      Am+J+Epidemiol 2021 ; 190 (8): 1439-1446
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  • A Geography of Risk: Structural Racism and Coronavirus Disease 2019 Mortality in the United States #MMPMID33710272
  • Zalla LC; Martin CL; Edwards JK; Gartner DR; Noppert GA
  • Am J Epidemiol 2021[Aug]; 190 (8): 1439-1446 PMID33710272show ga
  • Coronavirus disease 2019 (COVID-19) is disproportionately burdening racial and ethnic minority groups in the United States. Higher risks of infection and mortality among racialized minorities are a consequence of structural racism, reflected in specific policies that date back centuries and persist today. Yet our surveillance activities do not reflect what we know about how racism structures risk. When measuring racial and ethnic disparities in deaths due to COVID-19, the Centers for Disease Control and Prevention statistically accounts for the geographic distribution of deaths throughout the United States to reflect the fact that deaths are concentrated in areas with different racial and ethnic distributions from those of the larger United States. In this commentary, we argue that such an approach misses an important driver of disparities in COVID-19 mortality, namely the historical forces that determine where individuals live, work, and play, and that consequently determine their risk of dying from COVID-19. We explain why controlling for geography downplays the disproportionate burden of COVID-19 on racialized minority groups in the United States. Finally, we offer recommendations for the analysis of surveillance data to estimate racial disparities, including shifting from distribution-based to risk-based measures, to help inform a more effective and equitable public health response to the pandemic.
  • |*Health Status Disparities[MESH]
  • |COVID-19/*ethnology/*mortality[MESH]
  • |Ethnicity/*statistics & numerical data[MESH]
  • |Geography[MESH]
  • |Healthcare Disparities[MESH]
  • |Humans[MESH]
  • |Minority Groups/*statistics & numerical data[MESH]
  • |Racial Groups/*statistics & numerical data[MESH]
  • |Racism/statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]


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