Racial and ethnic differences in COVID-19 hospitalizations by metropolitan status among Medicare beneficiaries, 1 January–31 December 2020

Details

• Alternative Title:
  J Public Health (Oxf)
• Personal Author:
  Chang, Man-Huei ; Moonesinghe, Ramal ; Truman, Benedict I.
• Description:
  Background ; Risk for COVID-19 hospitalizations increases with increasing age and presence of underlying medical conditions. However, the burden has not been well-assessed in metropolitan and nonmetropolitan areas by race/ethnicity among Medicare population with chronic conditions. ; Methods ; We used the 2020 Medicare data to estimate COVID-19 hospitalization rates by race/ethnicity among Medicare beneficiaries for COVID-19 by metropolitan status and to assess the association of hospitalizations from COVID-19 with each of selected 29 chronic conditions for patients by metropolitan status and by race/ethnicity. ; Results ; The COVID-19 hospitalization rate was higher among beneficiaries residing in nonmetropolitan counties than those residing in metropolitan counties in 2020. Approximately 1 in 2 AI/AN, 1 in 3 NHB, Hispanic and A/PI, and 1 in 4 NHW beneficiaries with COVID-19 residing in nonmetropolitan counties were hospitalized. Beneficiaries with COVID-19 and chronic conditions were more likely to be hospitalized compared with those without chronic conditions. ; Conclusions ; Hospitalization rates among beneficiaries with COVID-19 and chronic conditions were not distributed equally by race/ethnicity and by metropolitan status. Researchers, policymakers and practitioners can use these findings to explore more effective ways of reducing racial/ethnic and geographic disparities among minorities disproportionately affected by COVID-19 and are at highest risk of hospitalization.
• Subjects:
  • Aged
  • COVID-19
  • Ethnicity
  • Hispanic or Latino
  • Hospitalization
  • Humans
  • Medicare
• Source:
  J Public Health (Oxf). 44(2):e211-e220
• Pubmed ID:
  34611709
• Pubmed Central ID:
  PMC8980106
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  44
• Issue:
  2
• Download URL:
  https://stacks.cdc.gov/view/cdc/116020/cdc_116020_DS1.pdf
• File Type:
  [PDF - 233.45 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:07b21f797f49d75feec134506f98e3edb37b01a085a39136e0c7c1e8dcbc6bd0