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 Healthjournal_title
Public healthauthors
Krishnamoorthy G,Arsene C,Jena N,Mogulla SM,Coakley R,Khine J,Khosrodad N,Klein A,Sule AAdoi
10.1016/j.puhe.2020.11.021subject
Has Abstractpub_date
2021-01-01 00:00:00pages
93-98eissn
0033-3506issn
1476-5616pii
S0033-3506(20)30509-6journal_volume
190pub_type
杂志文章相关文献
PUBLIC HEALTH文献大全abstract::The paper aims to improve our understanding about the prevalence and determinants of child abuse in rural Bangladesh. Data from the 1995 sample survey of 4643 children aged 10-15 y in 150 villages were used. Findings revealed that 21% of the children were in the labour force although the Bangladeshi laws prohibited ch...
journal_title:Public health
pub_type: 杂志文章
doi:10.1038/sj.ph.1900664
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVES:The proportion of extrapulmonary tuberculosis (EPTB) cases in the United States (US) has been rising due to a slower rate of decline in EPTB compared to pulmonary tuberculosis (PTB). The purpose of this study was to characterise the clinical and treatment differences between EPTB and PTB patients, and identi...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2016.03.033
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:To investigate the ways in which participation in physical activity is prevented or facilitated among older people with acquired sight loss later in life. STUDY DESIGN:Qualitative research. METHODS:Interviews were conducted with 48 visually impaired adults age 60+ years, recruited from a range of settings ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2014.10.001
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:To investigate the prevalence of substance use, sexual behaviours, and suicidal ideation and attempts among adolescents in Guangzhou, China, and to explore the associations between these risk behaviours and demographics. STUDY DESIGN:A two-stage stratified cluster sample design produced a representative sam...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2008.10.013
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVES:Migration is a complex and contested topic of public debate. Professionals working in public health must negotiate this politicised complexity, yet few studies examine the perspectives and practices of public health professionals in relation to migrant health. This study seeks to redress this by exploring ho...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2019.06.019
更新日期:2019-10-01 00:00:00
abstract::Compulsory detention of an individual in hospital, because they have a notifiable disease, is controversial. Difficulties experienced by the authors in applying Sections 37 and 38 of the Public Health (Control of Disease) Act 1984 led them to conduct a postal survey of the experience of Consultants in Communicable Dis...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(05)80442-1
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:This study estimated the prevalence of uncorrected refractive error (URE) and its determinants in a socially vulnerable older population living in Armenia. STUDY DESIGN:The study design used in the stidy is a cross-sectional study. METHODS:A total of 485 people responded to a survey on sociodemographic char...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.10.028
更新日期:2021-01-01 00:00:00
abstract::Tobacco use is the single most preventable cause of death in the world today. Unchecked, tobacco-related deaths will increase to more than eight million per year by 2030. Galvanized by the seriousness of the threat, the Member States of the World Health Organization (WHO) negotiated the WHO Framework Convention on Tob...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2011.09.022
更新日期:2011-12-01 00:00:00
abstract::In order to understand the commissioning of smoking and pregnancy interventions across England prior to the implementation of the Government's national strategy, "Smoking Kills: A White Paper on Tobacco" in 1998, a postal survey was undertaken amongst all 96 Health Authorities (purchasers) and 207 Maternity Service Pr...
journal_title:Public health
pub_type: 杂志文章
doi:10.1038/sj.ph.1900760
更新日期:2001-05-01 00:00:00
abstract::This paper compares the demographic characteristics of abortion seekers with the characteristics of the base population from which they were drawn. Medical charts of nearly 4000 low income abortion patients were used to compare with a base population represented by the Houston Metropolitan Area Project which studied ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(82)80003-6
更新日期:1982-11-01 00:00:00
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
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to compare immunization rates of American Indian (AI) and White children in North Dakota and identify disparities in immunization rates by race. STUDY DESIGN:The study design was to assess immunization coverage rates by race using immunization information system (IIS) data. ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.06.050
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:To explore if self-rated health (SRH) can predict differences in outcomes of patient education programmes among patients with type 2 diabetes over time. STUDY DESIGN:This is an observational cohort study conducted among 83 patients with type 2 diabetes participating in patient education programmes in the Cap...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2016.06.018
更新日期:2016-10-01 00:00:00
abstract::Many papers and pilot studies have considered whether school entry auditory screening should include testing with tympanometry. Some of these papers expressed concern that this type of screening would lead to an excessive number of failures and an overloading of ENT facilities. School children in the Worcester distric...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(89)80052-6
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:To investigate the incidence rates for different malignancies and assess the risk factors for all-cancer incidence in Tehran. STUDY DESIGN:Cohort study. METHODS:This study consists of 8599 participants aged ≥ 30 years who were free of cancer (3935 men). Cancer diagnosis was based on pathology reports. Sex-...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.01.003
更新日期:2020-04-01 00:00:00
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:
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:Research has given a comprehensive picture of the negative health consequences of unemployment without offering sufficient comparison between different age groups. The aim of this study was to analyse whether the associations between ill health, particularly poor psychological health and smoking, and unemplo...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2003.10.008
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Stabilizing of skin cancer incidence by 2005 is a Health of the Nation target and many purchasers and practitioners are actively endeavouring to meet it. This study aims to describe the extent and nature of primary and secondary prevention programmes amongst health authorities in the UK and general practices...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(96)80006-0
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVES:To explore barriers to, and ways to improve, uptake of cervical screening among Somali women in Camden, London. STUDY DESIGN:A qualitative research study using focus group discussions and in-depth interviews. METHODS:A qualitative study (comprising seven focus groups and eight in-depth interviews) was cond...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2009.09.011
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:To assess the utilization and efficiency of the primary health care (PHC) centres in the delivery of care to epileptic patients. DESIGN:Sixty health centres were randomly selected to represent various socioeconomic classes and urban/ rural population in Riyadh. The study was conducted during August 1993. A ...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(96)80035-7
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:Extensive empirical and theoretical studies have been devoted to analyzing the relationship between tobacco and income. The price and income elasticities of demand for cigarette consumption are the main focus of studies in this body of literature. However, few empirical studies exist that analyze how economi...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2020.05.059
更新日期:2020-08-01 00:00:00
abstract::Although UK general practice is highly computerized, comprehensive use of these computers is often limited to registration data and the issue of repeat prescriptions. The recording of diagnostic data is patchy. This study examines whether patients with, or at risk of, osteoporosis can be readily identified from genera...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/S0033-3506(03)00129-X
更新日期:2003-11-01 00:00:00
abstract::The recent 90-year anniversary of the Battle of the Somme presents an opportunity to examine the public health response to the trench diseases, new conditions which arose in the trenches of World War I. Throughout history, there have been two views of epidemic disease: the configurationist and contagionist perspective...
journal_title:Public health
pub_type: 历史文章,杂志文章
doi:10.1016/j.puhe.2006.12.014
更新日期:2007-08-01 00:00:00
abstract::Biobanks are a key resource in unravelling the association between genetic background, lifestyle and environmental determinants of the incidence, natural course and treatment response for various complex diseases and health traits. Biobanks are goldmines for epidemiological research, provided that they are set up prop...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2011.12.007
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:To investigate whether standardised cigarette packaging increases the time spent looking at health warnings, regardless of the format of those warnings. STUDY DESIGN:A factorial (two pack styles x three warning types) within-subject experiment, with participants randomised to different orders of conditions, ...
journal_title:Public health
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.puhe.2014.10.019
更新日期:2015-01-01 00:00:00
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
更新日期:1990-03-01 00:00:00
abstract::WHO reform has become a perennial subject of debate that has seen familiar issues raised time and again by incumbent director-generals and member states. This paper begins by reflecting on the distinct nature of WHO reform debates since the 1990s and the global factors behind the pressures to change. It then argues fo...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2013.08.002
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:Reliable and valid measures of waterpipe smoking are essential to study its health effects. The purpose of this study was to examine the reliability and validity of an Arabic translation of Maziak questionnaire that assesses various aspects of waterpipe smoking in epidemiological studies. STUDY DESIGN:A cro...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/j.puhe.2016.12.007
更新日期:2017-04-01 00:00:00
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
更新日期:2009-01-01 00:00:00
abstract::There is an increasing interest in the origins of adult disease in early life. The elucidation of such explanations of current morbidity and mortality must depend upon the follow-up of previously established cohorts. This paper describes the design of and background to such a follow-up of one of the richest data sourc...
journal_title:Public health
pub_type: 杂志文章
doi:10.1016/s0033-3506(96)80052-7
更新日期:1996-03-01 00:00:00