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

Supporting Files
File Language:
English


Details

  • Alternative Title:
    J Public Health (Oxf)
  • Personal Author:
  • 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:
  • 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
  • Collection(s):
  • Main Document Checksum:
    urn:sha256:07b21f797f49d75feec134506f98e3edb37b01a085a39136e0c7c1e8dcbc6bd0
  • Download URL:
  • File Type:
    Filetype[PDF - 233.45 KB ]
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