Persistently high SARS-CoV-2 positivity rate and incidence for Hispanic/Latinos during state reopening in an urban setting: a retrospective cohort study

Autor: Chien-Hsiang Weng, Philip A. Chan, Andrew Saal, Daniel C. McGuire
Rok vydání: 2021
Předmět:
Male
Urban Population
Epidemiology
Hispanic
01 natural sciences
Health Services Accessibility
Cohort Studies
0302 clinical medicine
Medicine
030212 general & internal medicine
Young adult
Child
Aged
80 and over

education.field_of_study
reopening
Incidence (epidemiology)
Incidence
Hispanic or Latino
Middle Aged
Infectious Diseases
Child
Preschool

Female
Cohort study
Adult
Coronavirus disease 2019 (COVID-19)
Adolescent
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Population
03 medical and health sciences
Young Adult
Humans
Short Paper
0101 mathematics
Healthcare Disparities
education
Aged
Retrospective Studies
Insurance
Health

business.industry
SARS-CoV-2
010102 general mathematics
COVID-19
Infant
Retrospective cohort study
positivity rate
Relative risk
Housing
business
urban
Demography
Zdroj: Epidemiology and Infection
ISSN: 1469-4409
Popis: Hispanic/Latino populations are disproportionately impacted by coronavirus disease 2019 (COVID-19) in the United States. The impact of state reopening on COVID-19 in this population after stay-at-home orders is unknown. We evaluated the incidence, prevalence and trends during reopening of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) at a major federally qualified health centre in Providence, Rhode Island. A total of 14 505 patients were tested for SARS-CoV-2 from 19 March to 18 August 2020, of which, data on 13 318 (91.8%) patients were available; 70.0% were Hispanic/Latino, and 2905 were positive for SARS-CoV-2 infection. The urban Hispanic/Latino population was almost five times more likely to test positive for SARS-CoV-2 (risk ratio 4.97, 95% CI 2.59–9.53, P < 0.001) compared to non-Hispanic White. The positivity rates among the urban Hispanic/Latino population remained >10% during all phases of reopening. The trends of the incidence rates showed similar associations to those we observed for positivity rates. Public health interventions to address SARS-CoV-2 in Hispanic/Latino communities are urgently needed, even in latter phases of state reopening.
Databáze: OpenAIRE