| Popis: |
Background: Structural racism leads to adverse health outcomes, as highlighted by inequities in COVID-19 infections. We characterized black/white disparities among pregnant women with SARS-CoV-2 in a county with some of the most extreme health disparities in the U.S. Methods: This was a retrospective cohort study using data collected as part of public health surveillance. Findings: One hundred and sixty-two women submitted information to the surveillance team from March to October 2020. 81 (50%) were Black, 67 (41%) White, 9 (0.05%) Hispanic, 2 (0·01%) Asian; and three did not self-identify with any particular race. More than half who supplied occupational information (n=132) were essential workers as classified by the CDC definition (55%, n=73). Black women were younger (p=0.0062), more likely to be obese (p=0·052), and more likely to identify an occupational contact as exposing them to SARS-CoV-2 (p=0·020). Non-black women were more likely to work from home (p=0·018) and indicate a personal or household contact as their exposure (p=0·020). Occupation was a risk factor for severe symptoms (aOR 4·487, p = 0·037). Most black women lived in areas with median income |
