Anna M. Acosta|Shikha Garg|Huong Pham|Michael Whitaker|Onika Anglin|Alissa O’Halloran|Jennifer Milucky|Kadam Patel|Christopher A. Taylor|Jonathan M. Wortham|Shua J. Chai|Pam Daily Kirley|Nisha B Alden|Breanna Kawasaki|James Meek|Kimberly Yousey?Hindes|Evan J. Anderson|Kyle P. Openo|Andrew Weigel|Maya Monroe|Patricia Ryan|Libby Reeg|Alexander Kohrman|Ruth Lynfield|Erica Bye|Salina Torres|Yadira Salazar-Sanchez|Alison Muse|Grant Barney|Nancy M. Bennett|Sophrena Bushey|Laurie M Billing|Eli Shiltz|Melissa Sutton|Nasreen Abdullah|H. Keipp Talbot|William Schaffner|Jake Ortega|Andrea Price|Alicia M. Fry|Aron J. Hall|Lindsay Kim|Fiona Havers
Racial and Ethnic Disparities in Rates of COVID-19–Associated Hospitalization, Intensive Care Unit Admission, and In-Hospital Death in the United States From March 2020 to February 2021
Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|United States Public Health Service|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|General Dynamics (United States)|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|General Dynamics (United States)|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|United States Public Health Service|Ibis Reproductive Health|Centers for Disease Control and Prevention|Ibis Reproductive Health|Colorado Department of Public Health and Environment|Colorado Department of Public Health and Environment|Veterans Health Administration|Emory University|Georgia Department of Public Health|Emory University|Georgia Department of Public Health|Veterans Health Administration|Iowa Department of Public Health|Maryland Department of Health|Maryland Department of Health|Michigan Department of Health and Human Services|Michigan Department of Health and Human Services|Minnesota Department of Health|Minnesota Department of Health|New Mexico Department of Health|New Mexico Department of Health|New York State Department of Health|New York State Department of Health|University of Rochester|University of Rochester|Ohio Department of Health|Ohio Department of Health|Oregon Health Authority|Oregon Health Authority|Vanderbilt University|Vanderbilt University|Lake County|Lake County|Centers for Disease Control and Prevention|United States Public Health Service|Centers for Disease Control and Prevention|Centers for Disease Control and Prevention|United States Public Health Service|Centers for Disease Control and Prevention|United States Public Health Service
h3importanceh3 racial ethnic minority groups disproportionately affected covid19 h3objectivesh3 evaluate whether rates severe covid19 defined hospitalization intensive care unit icu admission inhospital death higher among racial ethnic minority groups compared nonhispanic white persons h3design setting participantsh3 crosssectional study included 99 counties within 14 us states participating covid19associated hospitalization surveillance network participants persons ages hospitalized covid19 march 1 2020 february 28 2021 h3exposuresh3 laboratoryconfirmed covid19associated hospitalization defined positive sarscov2 test within 14 days prior hospitalization h3main outcomes measuresh3 cumulative ageadjusted rates per 100 000 population hospitalization icu admission death race ethnicity rate ratios rr calculated racial ethnic group compared white persons h3resultsh3 among 153 692 patients covid19associated hospitalizations 143 342 933 information race ethnicity included analysis 105 421 735 50 years older 72 159 503 male 28 762 201 hispanic latino 2056 14 nonhispanic american indian alaska native 7737 54 nonhispanic asian pacific islander 40 806 285 nonhispanic black 63 981 446 white compared white persons american indian alaska native latino black asian pacific islander persons likely higher cumulative ageadjusted rates hospitalization icu admission death follows american indian alaska native hospitalization rr 370 95 ci 354387 icu admission rr 649 95 ci 601701 death rr 719 95 ci 647799 latino hospitalization rr 306 95 ci 301310 icu admission rr 420 95 ci 408433 death rr 385 95 ci 368401 black hospitalization rr 285 95 ci 281289 icu admission rr 317 95 ci 309326 death rr 258 95 ci 248269 asian pacific islander hospitalization rr 103 95 ci 101106 icu admission rr 191 95 ci 183198 death rr 164 95 ci 155174 h3conclusions relevanceh3 crosssectional analysis american indian alaska native latino black asian pacific islander persons likely white persons covid19associated hospitalization icu admission inhospital death first year us covid19 pandemic equitable access covid19 preventive measures including vaccination needed minimize gap racial ethnic disparities severe covid19