More than two years after the pandemic, multiple federal, state, and local knowledge analyses show that other people of color have been and continue to be disproportionately affected by COVID-19. New studies by doctors and researchers at Mid-Atlantic Permanente Research Institute (MAPRI) and Mid-Atlantic Permanente Medical Group show that those disparities also existed in the early months of the pandemic and were more likely to have a negative effect on black and Hispanic men. The study, “Differences in COVID-19 testing and adverse outcomes across race, ethnicity, gender, and health system in a large and diverse cohort in the United States,” was published in PLOS One.
From March 2020 to August 2020,
Hispanic patients had COVID-19 PCR testing rates and positivity.
Black patients, male and female, were more likely to be hospitalized with COVID-19 than white patients.
Black men had the highest death rate from COVID-19.
Regardless of ethnicity, men were more likely to be hospitalized or die from COVID-19 than women.
Men of any ethnicity were less likely to check for COVID-19, but were more likely to test positive for COVID-19 when they took the test.
The number of patients hospitalized for COVID-19 and overall death rates due to COVID-19 decreased in built-in fitness systems (p. e. g. , Kaiser Permanente) regardless of race or sex.
Understanding disparities in other populations helps us identify gaps in care. Studies like ours show us that, across the country, medical systems want to be more proactive in making sure everyone has access to equitable physical care, especially during a global pandemic. “
Researchers analyzed the electronic medical records of more than five million adult patients in U. S. medical systems from March 2020 to August 2020.
The analyses revealed that Hispanic patients had COVID-19 PCR test and positivity rates. These findings were consistent with other reports that appeared Hispanic patients were more than two-and-a-half times more likely to test positive for COVID-19 than their white counterparts.
“Some patients in this population were unable to work from home or socially distance at the height of the lockdowns,” said study co-author and infectious disease physician Michael Horberg, MD. “This may have resulted in an increased threat of exposure. to COVID-19, so a higher proportion of patients tested positive. “
Asia-Pacific Islanders had low COVID-19 PCR testing rates and low positivity rates. White patients had the lowest overall COVID-19 positivity rates despite the highest control rates. Compared to women, men of any ethnicity were less likely to test for COVID-19, but were more likely to test positive for COVID-19 when they did.
A total of 5,724 patients studied were hospitalized due to COVID-19 infection. The study found that black patients were more likely to be hospitalized due to COVID-19 than white patients. Regardless of ethnicity, men have been hospitalized with COVID-19 more than women. The authors said many points may have resulted in serious outcomes for black patients and men during this period.
“We know that, in general, men are less likely to seek care when they are sick,” Watson explained. “Delaying care for COVID-19 could lead to more serious outcomes. “
Almost 1400 patients studied have died after being hospitalized with COVID-19. Black men had death rates, followed largely by Hispanic men.
The researchers noted that patients who got care in embedded fitness systems like Kaiser Permanente were less likely to experience serious COVID-19 consequences than educational fitness systems. The percentage of patients hospitalized for COVID-19 and overall death rates due to COVID-19 19 were a decrease in built-in fitness systems, regardless of race or gender.
“Our style of care makes it less difficult for patients to save and treat the disease,” Watson explained. “Our patients have a team of doctors who advise them through their fitness journey. Point them in the right direction for proper care. Not all fitness systems can do that. “
Dr. Horberg said built-in fitness systems have improved outcomes, there are still disparities in fitness. He hopes long-term studies can identify how to best fill gaps in care.
“While access to care is important, it represents the end of the road to disparity, not the beginning,” Dr. Horberg said. “We want to better understand what individual, family and structural differences would look like within certain populations. “generating disparities in COVID-19 tests and results.
Doctors and researchers at the Permanent Mid-Atlantic Research Institute are recently concerned about studies related to the long COVID, officially known as post-acute sequelae of SARS-CoV-2 infection (PASC). These studies will also look at fitness disparities similar to vaccination. state.
“If you get vaccinated against COVID-19, you’re less likely to have symptoms of PASC,” Watson said. “So if we find that there is a disparity between those who received the vaccine, there may be a disparity between those who had more severe acute symptoms or PASC symptoms. “
Permanent Mid-Atlantic Medical Group
Jefferson, C. , et al. (2022) Differences in COVID-19 testing and adverse outcomes by race, ethnicity, gender, and health care formula in a large U. S. cohortU. S. PLOS ONE. doi. org/10. 1371/journal. pone. 0276742.
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