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Census tract socioeconomic indicators and COVID-19-associated hospitalization rates-COVID-NET surveillance areas in 14 states, March 1-April 30, 2020.


ABSTRACT:

Objectives

Some studies suggested more COVID-19-associated hospitalizations among racial and ethnic minorities. To inform public health practice, the COVID-19-associated Hospitalization Surveillance Network (COVID-NET) quantified associations between race/ethnicity, census tract socioeconomic indicators, and COVID-19-associated hospitalization rates.

Methods

Using data from COVID-NET population-based surveillance reported during March 1-April 30, 2020 along with socioeconomic and denominator data from the US Census Bureau, we calculated COVID-19-associated hospitalization rates by racial/ethnic and census tract-level socioeconomic strata.

Results

Among 16,000 COVID-19-associated hospitalizations, 34.8% occurred among non-Hispanic White (White) persons, 36.3% among non-Hispanic Black (Black) persons, and 18.2% among Hispanic or Latino (Hispanic) persons. Age-adjusted COVID-19-associated hospitalization rate were 151.6 (95% Confidence Interval (CI): 147.1-156.1) in census tracts with >15.2%-83.2% of persons living below the federal poverty level (high-poverty census tracts) and 75.5 (95% CI: 72.9-78.1) in census tracts with 0%-4.9% of persons living below the federal poverty level (low-poverty census tracts). Among White, Black, and Hispanic persons living in high-poverty census tracts, age-adjusted hospitalization rates were 120.3 (95% CI: 112.3-128.2), 252.2 (95% CI: 241.4-263.0), and 341.1 (95% CI: 317.3-365.0), respectively, compared with 58.2 (95% CI: 55.4-61.1), 304.0 (95%: 282.4-325.6), and 540.3 (95% CI: 477.0-603.6), respectively, in low-poverty census tracts.

Conclusions

Overall, COVID-19-associated hospitalization rates were highest in high-poverty census tracts, but rates among Black and Hispanic persons were high regardless of poverty level. Public health practitioners must ensure mitigation measures and vaccination campaigns address needs of racial/ethnic minority groups and people living in high-poverty census tracts.

SUBMITTER: Wortham JM 

PROVIDER: S-EPMC8462704 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

Census tract socioeconomic indicators and COVID-19-associated hospitalization rates-COVID-NET surveillance areas in 14 states, March 1-April 30, 2020.

Wortham Jonathan M JM   Meador Seth A SA   Hadler James L JL   Yousey-Hindes Kimberly K   See Isaac I   Whitaker Michael M   O'Halloran Alissa A   Milucky Jennifer J   Chai Shua J SJ   Reingold Arthur A   Alden Nisha B NB   Kawasaki Breanna B   Anderson Evan J EJ   Openo Kyle P KP   Weigel Andrew A   Monroe Maya L ML   Ryan Patricia A PA   Kim Sue S   Reeg Libby L   Lynfield Ruth R   McMahon Melissa M   Sosin Daniel M DM   Eisenberg Nancy N   Rowe Adam A   Barney Grant G   Bennett Nancy M NM   Bushey Sophrena S   Billing Laurie M LM   Shiltz Jess J   Sutton Melissa M   West Nicole N   Talbot H Keipp HK   Schaffner William W   McCaffrey Keegan K   Spencer Melanie M   Kambhampati Anita K AK   Anglin Onika O   Piasecki Alexandra M AM   Holstein Rachel R   Hall Aron J AJ   Fry Alicia M AM   Garg Shikha S   Kim Lindsay L  

PloS one 20210924 9


<h4>Objectives</h4>Some studies suggested more COVID-19-associated hospitalizations among racial and ethnic minorities. To inform public health practice, the COVID-19-associated Hospitalization Surveillance Network (COVID-NET) quantified associations between race/ethnicity, census tract socioeconomic indicators, and COVID-19-associated hospitalization rates.<h4>Methods</h4>Using data from COVID-NET population-based surveillance reported during March 1-April 30, 2020 along with socioeconomic and  ...[more]

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