Racial disparities in COVID-19 hospitalizations do not lead to disparities in outcomes.

Abstract:

OBJECTIVES:The objective of the study is the identification of racial differences in characteristics and comorbidities in patients hospitalized for COVID-19 and the impact on outcomes. STUDY DESIGN:The study design is a retrospective observational study. METHODS:Data for all patients admitted to seven community hospitals in Michigan, United States, with polymerase chain reaction confirmed diagnosis of COVID-19 from March 10 to April 15, 2020 were analyzed. The primary outcomes of racial disparity in inpatient mortality and intubation were analyzed using descriptive statistics and multivariate regression models. RESULTS:The study included 336 Black and 408 White patients. Black patients were younger (62.9 ± 15.0 years vs 71.8 ± 16.4, P < .001), had a higher mean body mass index (32.4 ± 8.6 kg/m2 vs 28.8 ± 7.5, P < .001), had higher prevalence of diabetes (136/336 vs 130/408, P = .02), and presented later (6.6 ± 5.3 days after symptom onset vs. 5.4 ± 5.4, P = .006) compared with White patients. Younger Black patients had a higher prevalence of obesity (age <65 years, 69.9%) than older Black patients (age >65 years, 39.2%) and younger White patients (age < 65, 55.1%). Intubation did not reach statistical significance for racial difference (Black patients 61/335 vs. 54/406, P = .08). Mortality was not higher in Black patients (65/335 vs. 142/406 in White patients, odds ratio 0.61, 95% confidence interval: 0.37 to 0.99, 2-sided P = .05) in multivariate analysis, accounting for other risk factors associated with mortality. CONCLUSIONS:Higher prevalence of obesity and diabetes in young Black populations may be the critical factor driving disproportionate COVID-19 hospitalizations in Black populations. Hospitalized Black patients do not have worse outcomes compared with White patients.

journal_name

Public Health

journal_title

Public health

authors

Krishnamoorthy G,Arsene C,Jena N,Mogulla SM,Coakley R,Khine J,Khosrodad N,Klein A,Sule AA

doi

10.1016/j.puhe.2020.11.021

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

93-98

eissn

0033-3506

issn

1476-5616

pii

S0033-3506(20)30509-6

journal_volume

190

pub_type

杂志文章
  • Increasing the frequency of physical activity very brief advice by nurses to cancer patients. A mixed methods feasibility study of a training intervention.

    abstract:OBJECTIVES:To examine the impact, acceptability, practicability and implementation of a training intervention, designed using the Behaviour Change Wheel, on the delivery of very brief advice on physical activity, by nurses to cancer patients. STUDY DESIGN:A mixed methods feasibility study. METHOD:A purposeful sample ...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2016.05.015

    authors: Webb J,Hall J,Hall K,Fabunmi-Alade R

    更新日期:2016-10-01 00:00:00

  • Caregivers's knowledge, attitude and practice on childhood malaria and treatment in urban and rural communities in Enugu, south-east Nigeria.

    abstract:OBJECTIVE:To ascertain caregivers's knowledge, attitude and practice regarding malaria and treatment of children in rural and urban communities in Enugu, Nigeria. STUDY DESIGN:This was a cross-sectional study, and caregivers were selected by convenience sampling. METHOD:In total, 224 and 184 respondents were intervie...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2004.05.008

    authors: Oguonu T,Okafor HU,Obu HA

    更新日期:2005-05-01 00:00:00

  • Trends in motorcycle helmet use in Vietnam: results from a four-year study.

    abstract:OBJECTIVES:Helmet use is a major risk factor for road traffic injuries and fatalities. This study sought to determine the state of helmet use in Ha Nam and Ninh Binh provinces in Vietnam, and ascertain knowledge, attitudes, and practices of helmet use over time. STUDY DESIGN:Observational helmet use studies, and roads...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2017.01.010

    authors: Bao J,Bachani AM,Viet CP,Quang N,Nguyen N,Hyder AA

    更新日期:2017-03-01 00:00:00

  • Effect of a newly developed ready-to-use supplementary food on growth indicators in children with mild to moderate malnutrition.

    abstract:OBJECTIVES:Malnutrition is one of the leading causes of death among children younger than five years. In this study, we aimed to formulate a ready-to-use supplementary food (RUSF), based on local food products, and investigate its efficacy on growth indicators in children with mild to moderate malnutrition. STUDY DESI...

    journal_title:Public health

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.puhe.2020.06.025

    authors: Azimi F,Esmaillzadeh A,Alipoor E,Moslemi M,Yaseri M,Hosseinzadeh-Attar MJ

    更新日期:2020-08-01 00:00:00

  • Oral fluid collection by post--a pilot study of two approaches.

    abstract::This pilot study aimed to assess the feasibility of the postal collection of oral fluid samples for surveillance purposes and the effect of two different approaches on the response rates. This cross-sectional, antibody prevalence study collected oral fluid samples and questionnaire data from randomly selected individu...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1038/sj.ph.1900833

    authors: Morris MC,Edmunds WJ,Miller E,Brown DW

    更新日期:2002-03-01 00:00:00

  • Socio-economic inequalities in the incidence of four common cancers: a population-based registry study.

    abstract:OBJECTIVES:To investigate the relationship between socio-economic circumstances and cancer incidence in Scotland in recent years. STUDY DESIGN:Population-based study using cancer registry data. METHODS:Data on incident cases of colorectal, lung, female breast, and prostate cancer diagnosed between 2001 and 2012 were ...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2017.10.005

    authors: Tweed EJ,Allardice GM,McLoone P,Morrison DS

    更新日期:2018-01-01 00:00:00

  • Palestinian primary health care in light of the National Strategic Health Plan 1999--2003.

    abstract:BACKGROUND:In 1994, the Palestinian Health Authority took over responsibility for primary health care (PHC) in Gaza Strip and West Bank. OBJECTIVES:This paper reports on the Palestinian National Strategic Health Plan (PNSHP 1999--2003). The extent to which the PHC objectives were achieved is discussed, together with a...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2007.04.017

    authors: Abu Mourad T,Radi S,Shashaa S,Lionis C,Philalithis A

    更新日期:2008-02-01 00:00:00

  • Attendance for injury at accident and emergency departments in London: a cross-sectional study.

    abstract:OBJECTIVE:In order to set the foundation for the possible development of injury surveillance initiatives in north-west London, data on all presentations during 2002 at the nine accident and emergency departments (AEDs) in the relevant strategic health authority were examined. STUDY DESIGN:Descriptive, cross-sectional ...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2007.10.011

    authors: Jamrozik K,Samarasundera E,Miracle R,Blair M,Sethi D,Saxena S,Bowen S

    更新日期:2008-09-01 00:00:00

  • Difficulties in getting treatment for injuries in rural Vietnam.

    abstract:OBJECTIVES:Knowledge about the health-seeking behaviour of injury patients is important for the improvement of community health services. The aims of this study were: (1) to describe the healthcare-seeking behaviour of injury patients; (2) to examine factors associated with injury patients seeking care at health facili...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2008.07.018

    authors: Hang HM,Byass P

    更新日期:2009-01-01 00:00:00

  • Contribution of previable live births to disparity in infant mortality of US-born Puerto Ricans compared with infants of other Hispanic origins.

    abstract:OBJECTIVES:Although US-born Hispanics experience infant mortality rates (IMRs) which are lower than the national rate, within the Hispanic population, infants of Puerto Rican origin experience higher IMRs than other Hispanics. We aimed to describe the contribution of deaths among previable live-born infants to disparit...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2018.04.001

    authors: Hall ES,Lee M,DeFranco EA

    更新日期:2018-07-01 00:00:00

  • Cases of euthanasia and physician assisted suicide among AIDS patients reported to the Public Prosecutor in North Holland.

    abstract:BACKGROUND:Euthanasia is performed relatively frequently among AIDS patients. OBJECTIVE:To examine the relationship between euthanasia and physician assisted suicide (EAS) and AIDS. METHODS:A descriptive retrospective study in which data was collected from all cases of EAS which were reported to the Public Prosecutor...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/s0033-3506(98)00207-8

    authors: Onwuteaka-Philipsen BD,van der Wal G

    更新日期:1998-01-01 00:00:00

  • Developing best practice response to carbon monoxide incidents: a toolkit for health protection frontline staff.

    abstract:OBJECTIVES:Carbon monoxide (CO) poisoning represents a significant public health burden. CO incidents require multiple responders, including the Health Protection Agency (HPA). However, best practice guidance does not yet exist in the UK for chemicals. Since CO is a good template for chemical incidents, the authors aim...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2010.11.011

    authors: Mandal S,Ruggles R,Leonardi G,Goodfellow F,Bradley N,Murray V

    更新日期:2011-03-01 00:00:00

  • General practitioners and public health.

    abstract::Family Health Service Authorities (FHSAs), since 1st April 1991, have been both 'managed', by the Regional Health Authority, and 'managing', their contractor services. Both situations are relatively new to them, their Region and the contractors. We examine the opportunities and potential problems of this major strateg...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/s0033-3506(05)80184-2

    authors: Paris JA,Wakeman AP,Griffiths RK

    更新日期:1992-09-01 00:00:00

  • Variation in insurance-mortality relationship amid macroeconomic shifts: a study of SEER female-specific cancer patients in USA.

    abstract:OBJECTIVES:Health insurance availability and affordability are vital elements in diagnosis and treatment of patients with cancer and thus constitute clinical significance as well. Although past studies have explored the disparity in mortality figures for patients with different insurance statuses, this population-based...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2020.03.006

    authors: Adnan H,Adnan SM,Deng K,Yang C,Zhao W,Li K

    更新日期:2020-08-01 00:00:00

  • Road-traffic-related mortality in Iran: a descriptive study.

    abstract::Road traffic accidents are considered to be the second highest cause of mortality in Iran. A study was conducted to describe road-traffic-related mortality data in Iran in a given period. All Iranian mortality data on road traffic accidents between March 1999 and 2000 (one complete Iranian calendar year) were obtained...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/S0033-3506(03)00173-2

    authors: Montazeri A

    更新日期:2004-03-01 00:00:00

  • Seroepidemiology of diphtheria and pertussis in Chongqing, China: serology-based evidence of Bordetella pertussis infection.

    abstract:OBJECTIVES:In order to gain further insight into the seroepidemiology of Bordetella pertussis infection and immunity against diphtheria in Chongqing, China, the concentrations of antibodies to pertussis toxin (PT) and diphtheria toxin (DT) were investigated in a healthy population. STUDY DESIGN:Cross-sectional study. ...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2017.12.009

    authors: Yao N,Zeng Q,Wang Q

    更新日期:2018-03-01 00:00:00

  • Residence, delivery and referral patterns of infants and fetuses with birth defects delivered in Hawaii, 1986-1999.

    abstract::Information on residence, delivery and referral patterns is useful to a birth defects program for allocation of resources, predicting where deliveries may have occurred, and estimating the impact of altering geographic inclusion criteria. The purpose of this study was to describe the residence, delivery and referral p...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/S0033-3506(02)00024-0

    authors: Forrester MB,Merz RD

    更新日期:2003-03-01 00:00:00

  • Exploring the support for UK migrants experiencing gambling-related harm: insights from two focus groups.

    abstract:OBJECTIVES:To obtain insights about the accessibility of UK gambling support services from the perspectives of individuals and organisations supporting migrants experiencing gambling-related harm. STUDY DESIGN:Two focus groups were conducted in Leeds and London, United Kingdom, in 2018. METHODS:Thirty-two participant...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2020.04.005

    authors: Bramley S,Norrie C,Manthorpe J

    更新日期:2020-07-01 00:00:00

  • Introducing Vi polysaccharide typhoid fever vaccine to primary school children in North Jakarta, Indonesia, via an existent school-based vaccination platform.

    abstract:OBJECTIVES:To report results on coverage, safety and logistics of a large-scale, school-based Vi polysaccharide immunization campaign in North Jakarta. METHODS:Of 443 primary schools in North Jakarta, Indonesia, 18 public schools were randomly selected for this study. Exclusion criteria were fever 37.5 degrees C or hi...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2006.06.008

    authors: Agtini MD,Ochiai RL,Soeharno R,Lee HJ,Sundoro J,Hadinegoro SR,Han OP,Tana L,Halim FX,Ghani L,Delima,Lestari W,Sintawati FX,Kusumawardani N,Malik R,Santoso TS,Nadjib M,Soeroso S,Wangsasaputra F,Ali M,Ivanoff B,Ga

    更新日期:2006-11-01 00:00:00

  • Changing patterns of neurological mortality in the 10 major developed countries--1979-2010.

    abstract:OBJECTIVES:To examine whether there is a continued increase in neurological deaths in the major developed countries over the period 1979-2010. STUDY DESIGN:Analyzes changing patterns of neurological deaths and Total Mortality of people aged 55-74 years by sex. METHODS:Baseline WHO 3-year average mortality for 1979-81...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2012.12.018

    authors: Pritchard C,Mayers A,Baldwin D

    更新日期:2013-04-01 00:00:00

  • Child health clinic attendance during the first two years of life.

    abstract::Attendance at child health clinics in three contrasting urban areas is described. Sociodemographic analysis of clinic attenders in the inner city area showed that families in poor socio-economic circumstance attended child health clinics more frequently than their more fortunate contemporaries during the first six mon...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/s0033-3506(05)80365-8

    authors: While A

    更新日期:1990-03-01 00:00:00

  • Comparison of the Hungarian and Scottish communicable disease control systems: lessons for a convergent European Community.

    abstract:BACKGROUND:European public health systems are converging, particularly in relation to communicable disease control. This process requires mutual learning through comparison; this was undertaken for Scotland (population 5.1 million) and Hungary (population 10.5 million). METHODS:Using the official web- and paper-based ...

    journal_title:Public health

    pub_type: 杂志文章,评审

    doi:10.1016/j.puhe.2010.02.005

    authors: Stefler D,Bhopal R

    更新日期:2010-03-01 00:00:00

  • Determinants of healthcare use by homeless people with schizophrenia or bipolar disorder: results from the French Housing First Study.

    abstract:OBJECTIVES:There is limited evidence available on the health-seeking behaviours of individuals in relation to determinants of healthcare use. This study aimed to analyse the determinants of healthcare use (including both hospital and outpatient services) among homeless people with severe mental health illnesses. STUDY...

    journal_title:Public health

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.puhe.2020.05.019

    authors: Loubière S,Tinland A,Taylor O,Loundou A,Girard V,Boyer L,Auquier P

    更新日期:2020-08-01 00:00:00

  • Epidemiology Congresses XIX, XX and beyond: back to the future of population health.

    abstract::The XIX World Congress of Epidemiology discussed 'Changing populations, changing diseases: epidemiology for tomorrow's world' and was able to set a benchmark for the current state for the science of population health. However, 'changing populations and changing diseases' mean that robust epidemiological enquiry is, an...

    journal_title:Public health

    pub_type:

    doi:10.1016/j.puhe.2011.12.011

    authors: Bhala N,Patterson D,Johnman C,Bhopal R

    更新日期:2012-03-01 00:00:00

  • Global cancer prevention: an important pathway to global health and development.

    abstract::Cancer is a leading global cause of death and disability, responsible for approximately 7.6 million deaths each year. Around one-third of cancers are attributable to a small number of preventable risk factors - including smoking and the harmful consumption of alcohol - for which effective interventions exist at the po...

    journal_title:Public health

    pub_type: 杂志文章,评审

    doi:10.1016/j.puhe.2011.09.029

    authors: Beaglehole R,Bonita R,Magnusson R

    更新日期:2011-12-01 00:00:00

  • How good is the evidence relating to the frequency of childhood sexual abuse and the impact such abuse has on the lives of adult survivors?

    abstract::Concerns relating to the methodological rigour of studies examining the frequency and effects of childhood sexual abuse (CSA) have comforted those who dismiss the results as scaremongering. This review highlights the difficulties to be overcome in interpreting the epidemiological data currently available, and the lack...

    journal_title:Public health

    pub_type: 杂志文章,评审

    doi:

    authors: Ferguson AG

    更新日期:1997-11-01 00:00:00

  • Single motherhood and neonatal and infant mortality in Sierra Leone, Burkina Faso and Burundi.

    abstract:BACKGROUND:Childhood mortality is a stubborn problem and remains highest in Sub-Saharan Africa (SSA). Existing research on childhood mortality in SSA indicate that most of the childhood deaths are from preventable causes such as diarrhoea, pneumonia, measles, malaria, HIV and underlying malnutrition, acute respiratory ...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2016.01.017

    authors: Izugbara C

    更新日期:2016-06-01 00:00:00

  • Understanding how transport choices are affected by the environment and health: views expressed in a study on the use of carbon calculators.

    abstract:OBJECTIVES:To examine the influence that the provision of environmental information might be able to make on personal travel behaviour through analysis of the views of members of the public expressed in a study for the UK Department for Transport on attitudes towards carbon calculator tools. STUDY DESIGN:A three-stage...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2008.10.022

    authors: Chatterton TJ,Coulter A,Musselwhite C,Lyons G,Clegg S

    更新日期:2009-01-01 00:00:00

  • Hospital admission rates, length of stay, and in-hospital mortality for common acute care conditions in COVID-19 vs. pre-COVID-19 era.

    abstract:OBJECTIVES:The impact of COVID-19 upon acute care admission rates and patterns are unknown. We sought to determine the change in rates and types of admissions to tertiary and specialty care hospitals in the COVID-19 era compared with pre-COVID-19 era. METHODS:Acute care admissions to the largest tertiary care referral...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2020.09.010

    authors: Butt AA,Kartha AB,Masoodi NA,Azad AM,Asaad NA,Alhomsi MU,Saleh HAH,Bertollini R,Abou-Samra AB

    更新日期:2020-12-01 00:00:00

  • What types of injuries did seriously injured pedestrians and cyclists receive in a Swedish urban region in the time period 2003-2017 when Vision Zero was implemented?

    abstract:OBJECTIVES:The aim of the study is to examine what types of injuries that seriously injured pedestrians and cyclists received in urban road spaces from 2003 to 2017 in the Swedish region of Västmanland, when the road safety policy Vision Zero was implemented. STUDY DESIGN:This is a cross-sectional data annually collec...

    journal_title:Public health

    pub_type: 杂志文章

    doi:10.1016/j.puhe.2019.11.019

    authors: Värnild A,Tillgren P,Larm P

    更新日期:2020-04-01 00:00:00