The Disproportionate Impact of COVID-19 on Racial and Ethnic Minorities in the United States

Abstract The COVID-19 pandemic has disproportionately affected racial and ethnic minority groups, with high rates of death in African American, Native American, and LatinX communities. While the mechanisms of these disparities are being investigated, they can be conceived as arising from biomedical factors as well as social determinants of health. Minority groups are disproportionately affected by chronic medical conditions and lower access to healthcare that may portend worse COVID-19 outcomes. Furthermore, minority communities are more likely to experience living and working conditions that predispose them to worse outcomes. Underpinning these disparities are long-standing structural and societal factors that the COVID-19 pandemic has exposed. Clinicians can partner with patients and communities to reduce the short-term impact of COVID-19 disparities while advocating for structural change.

[1]  E. Schor The Henry J. Kaiser Family Foundation. , 1990, Academic medicine : journal of the Association of American Medical Colleges.

[2]  Carol M. Mangione,et al.  Disparities in health and health care , 2001, Journal of General Internal Medicine.

[3]  R. Mockenhaupt,et al.  Pandemic Influenza Planning in the United States from a Health Disparities Perspective , 2008, Emerging infectious diseases.

[4]  S. Kumanyika,et al.  Targeted marketing and public health. , 2010, Annual review of public health.

[5]  Joseph A Hill United States Life Tables , 2013 .

[6]  M. Ploeg,et al.  Characteristics and Influential Factors of Food Deserts , 2013 .

[7]  S. Bergstresser Health Communication, Public Mistrust, and the Politics of “Rationality” , 2015, The American journal of bioethics : AJOB.

[8]  Kelly M. Hoffman,et al.  Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites , 2016, Proceedings of the National Academy of Sciences.

[9]  S. Hurst,et al.  Implicit bias in healthcare professionals: a systematic review , 2017, BMC medical ethics.

[10]  Timothy J. Cunningham,et al.  Vital Signs: Racial Disparities in Age-Specific Mortality Among Blacks or African Americans — United States, 1999–2015 , 2017, MMWR. Morbidity and mortality weekly report.

[11]  E. Arias United States Life Tables, 2017. , 2019, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[12]  Nathaniel P. Springer,et al.  Inequity in consumption of goods and services adds to racial–ethnic disparities in air pollution exposure , 2019, Proceedings of the National Academy of Sciences.

[13]  K. Kim,et al.  What Is COVID-19? , 2020, Frontiers for Young Minds.

[14]  L Rampal,et al.  Coronavirus disease (COVID-19) pandemic. , 2020, The Medical journal of Malaysia.

[15]  K. Khunti,et al.  Is ethnicity linked to incidence or outcomes of covid-19? , 2020, BMJ.

[16]  F. Passarini,et al.  SARS-Cov-2 RNA Found on Particulate Matter of Bergamo in Northern Italy: First Preliminary Evidence , 2020, medRxiv.

[17]  Lynnette Brammer,et al.  Hospitalization Rates and Characteristics of Patients Hospitalized with Laboratory-Confirmed Coronavirus Disease 2019 — COVID-NET, 14 States, March 1–30, 2020 , 2020, MMWR. Morbidity and mortality weekly report.

[18]  Eun Ji Kim,et al.  Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. , 2020, JAMA.

[19]  Frederick W. Kron,et al.  A call for grounding implicit bias training in clinical and translational frameworks , 2020, The Lancet.