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10.1016/j.annepidem.2021.03.006

http://scihub22266oqcxt.onion/10.1016/j.annepidem.2021.03.006
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33746033!8005258!33746033
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suck abstract from ncbi


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pmid33746033      Ann+Epidemiol 2021 ; 58 (ä): 69-75
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  • COVID-19 mortality in California based on death certificates: disproportionate impacts across racial/ethnic groups and nativity #MMPMID33746033
  • Garcia E; Eckel SP; Chen Z; Li K; Gilliland FD
  • Ann Epidemiol 2021[Jun]; 58 (ä): 69-75 PMID33746033show ga
  • PURPOSE: To examine characteristics of coronavirus disease 2019 (COVID-19) decedents in California (CA) and evaluate for disproportionate mortality across race/ethnicity and ethnicity/nativity. METHODS: COVID-19 deaths were identified from death certificates. Age-adjusted mortality rate ratios (MRR) were compared across race/ethnicity. Proportionate mortality rates (PMR) were compared across race/ethnicity and by ethnicity/nativity. RESULTS: We identified 10,200 COVID-19 deaths in CA occurring February 1 through July 31, 2020. The most frequently observed characteristics among decedents were age 65 years or above, male, Hispanic, foreign-born, and educational attainment of High School or below. MRR indicated elevated COVID-19 morality rates among Asian/Pacific Islander, Black, and Hispanic groups compared with the White group, with Black and Hispanic groups having the highest MRR at 2.75 (95%CI: 2.54-2.97) and 4.18 (95%CI: 3.99-4.37), respectively. Disparities were larger at younger ages. Similar results were observed with PMR, and patterns of age-racial/ethnic disparities remained in analyses stratified by education. Elevated PMR were observed in all ethnicity/nativity groups, especially foreign-born Hispanic individuals, relative to U.S.-born non-Hispanic individuals. These were generally larger at younger ages and persisted after stratifying by education. CONCLUSIONS: Differential COVID-19 mortality was observed in California across racial/ethnic groups and by ethnicity/nativity groups with evidence of greater disparities among younger age groups. Identifying COVID-19 disparities is an initial step toward mitigating disease impacts in vulnerable communities.
  • |*COVID-19[MESH]
  • |*Ethnicity[MESH]
  • |Aged[MESH]
  • |California/epidemiology[MESH]
  • |Death Certificates[MESH]
  • |Hispanic or Latino[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Racial Groups[MESH]
  • |SARS-CoV-2[MESH]


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