Citation
Robertson, McKaylee; Shamsunder, Meghana; Brazier, Ellen; Mantravadi, Mekhala; Rane, Madhura; Westmoreland, Drew; Parcesepe, Angela M.; Zimba, Rebecca; Maroko, Andrew; & Kulkarni, Sarah Gorrell, et al. (Preprint). Racial/Ethnic Disparities in Exposure to COVID-19, Susceptibility to COVID-19 and Access to Health Care - Findings from a U.S. National Cohort. medRxiv. PMCID: PMC8764735Abstract
We examined the influence of racial/ethnic differences in socioeconomic position on COVID-19 seroconversion and hospitalization within a community-based prospective cohort enrolled in March 2020 and followed through October 2021 (N=6740). The ability to social distance as a measure of exposure to COVID-19, susceptibility to COVID-19 complications, and access to healthcare varied by race/ethnicity with non-white participants having more exposure risk and more difficulty with healthcare access than white participants. Participants with more (versus less) exposure had greater odds of seroconversion (aOR:1.64, 95% Confidence Interval [CI] 1.18-2.29). Participants with more susceptibility and more barriers to healthcare had greater odds of hospitalization (respective aOR:2.36; 1.90-2.96 and 2.31; 1.69-2.68). Race/ethnicity positively modified the association between susceptibility and hospitalization (aORnon-White:2.79, 2.06-3.78). Findings may explain the disproportionate burden of COVID-19 infections and complications among Hispanic and non-Hispanic Black persons. Primary and secondary prevention efforts should address disparities in exposure, COVID-19 vaccination, and treatment.URL
http://dx.doi.org/10.1101/2022.01.11.22269101Reference Type
Journal ArticleYear Published
PreprintJournal Title
medRxivAuthor(s)
Robertson, McKayleeShamsunder, Meghana
Brazier, Ellen
Mantravadi, Mekhala
Rane, Madhura
Westmoreland, Drew
Parcesepe, Angela M.
Zimba, Rebecca
Maroko, Andrew
Kulkarni, Sarah Gorrell
Grov, Christian
Nash, Denis