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10.1016/j.annepidem.2020.07.007

http://scihub22266oqcxt.onion/10.1016/j.annepidem.2020.07.007
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suck abstract from ncbi


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pmid32711053
      Ann+Epidemiol 2020 ; 52 (ä): 46-53.e2
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  • Risk for COVID-19 infection and death among Latinos in the United States: examining heterogeneity in transmission dynamics #MMPMID32711053
  • Rodriguez-Diaz CE ; Guilamo-Ramos V ; Mena L ; Hall E ; Honermann B ; Crowley JS ; Baral S ; Prado GJ ; Marzan-Rodriguez M ; Beyrer C ; Sullivan PS ; Millett GA
  • Ann Epidemiol 2020[Dec]; 52 (ä): 46-53.e2 PMID32711053 show ga
  • PURPOSE: The purpose of this study was to ascertain COVID-19 transmission dynamics among Latino communities nationally. METHODS: We compared predictors of COVID-19 cases and deaths between disproportionally Latino counties (?17.8% Latino population) and all other counties through May 11, 2020. Adjusted rate ratios (aRRs) were estimated using COVID-19 cases and deaths via zero-inflated binomial regression models. RESULTS: COVID-19 diagnoses rates were greater in Latino counties nationally (90.9 vs. 82.0 per 100,000). In multivariable analysis, COVID-19 cases were greater in Northeastern and Midwestern Latino counties (aRR: 1.42, 95% CI: 1.11-1.84, and aRR: 1.70, 95% CI: 1.57-1.85, respectively). COVID-19 deaths were greater in Midwestern Latino counties (aRR: 1.17, 95% CI: 1.04-1.34). COVID-19 diagnoses were associated with counties with greater monolingual Spanish speakers, employment rates, heart disease deaths, less social distancing, and days since the first reported case. COVID-19 deaths were associated with household occupancy density, air pollution, employment, days since the first reported case, and age (fewer <35 yo). CONCLUSIONS: COVID-19 risks and deaths among Latino populations differ by region. Structural factors place Latino populations and particularly monolingual Spanish speakers at elevated risk for COVID-19 acquisition.
  • |*Health Status Disparities [MESH]
  • |Adult [MESH]
  • |Age Distribution [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |COVID-19 [MESH]
  • |Coronavirus Infections/ethnology/*mortality/transmission [MESH]
  • |Hispanic or Latino/*statistics & numerical data [MESH]
  • |Humans [MESH]
  • |Local Government [MESH]
  • |Middle Aged [MESH]
  • |Pandemics [MESH]
  • |Pneumonia, Viral/ethnology/*mortality/transmission [MESH]
  • |Population Surveillance [MESH]
  • |Residence Characteristics [MESH]
  • |SARS-CoV-2 [MESH]


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