Vaccination Status and Trends in Adult Coronavirus Disease 2019–Associated Hospitalizations by Race and Ethnicity: March 2020–August 2022

Ko, Jean Y.; Pham, Huong; Anglin, Onika; Chai, Shua J.; Alden, Nisha B.; Meek, James; Anderson, Evan J.; Weigel, Andy; Kohrman, Alexander; Lynfield, Ruth; Rudin, Dominic; Barney, Grant; Bennett, Nancy M.; Billing, Laurie M.; Sutton, Melissa; Talbot, H. Keipp; Swain, Ashley; Havers, Fiona P.; Taylor, Christopher A.

doi:10.1093/cid/ciad266

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Vaccination Status and Trends in Adult Coronavirus Disease 2019–Associated Hospitalizations by Race and Ethnicity: March 2020–August 2022

9 18 2023
By Ko, Jean Y. ; Pham, Huong ; Anglin, Onika ; ...
http://dx.doi.org/10.1093/cid/ciad266
Source: Clin Infect Dis. 77(6):827-838

[PDF-1.06 MB]

English

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Details:

Alternative Title:

Clin Infect Dis
Personal Author:

Ko, Jean Y. ; Pham, Huong ; Anglin, Onika ; Chai, Shua J. ; Alden, Nisha B. ; ... More +

Ko, Jean Y. ; Pham, Huong ; Anglin, Onika ; Chai, Shua J. ; Alden, Nisha B. ; Meek, James ; Anderson, Evan J. ; Weigel, Andy ; Kohrman, Alexander ; Lynfield, Ruth ; Rudin, Dominic ; Barney, Grant ; Bennett, Nancy M. ; Billing, Laurie M. ; Sutton, Melissa ; Talbot, H. Keipp ; Swain, Ashley ; Havers, Fiona P. ; Taylor, Christopher A. Less -
Corporate Authors:

COVID-NET Surveillance Team
Description:

Background.

We sought to determine whether race/ethnicity disparities in severe coronavirus disease 2019 (COVID-19) outcomes persist in the era of vaccination.

Methods.

Population-based age-adjusted monthly rate ratios (RRs) of laboratory-confirmed COVID-19–associated hospitalizations were calculated among adult patients from the COVID-19–Associated Hospitalization Surveillance Network, March 2020 - August 2022 by race/ethnicity. Among randomly sampled patients July 2021 - August 2022, RRs for hospitalization, intensive care unit (ICU) admission, and in-hospital mortality were calculated for Hispanic, Black, American Indian/Alaskan Native (AI/AN), and Asian/Pacific Islander (API) persons vs White persons.

Results.

Based on data from 353 807 patients, hospitalization rates were higher among Hispanic, Black, and AI/AN vs White persons March 2020 - August 2022, yet the magnitude declined over time (for Hispanic persons, RR = 6.7; 95% confidence interval [CI], 6.5–7.1 in June 2020 vs RR < 2.0 after July 2021; for AI/AN persons, RR = 8.4; 95% CI, 8.2–8.7 in May 2020 vs RR < 2.0 after March 2022; and for Black persons RR = 5.3; 95% CI, 4.6–4.9 in July 2020 vs RR < 2.0 after February 2022; all P ≤ .001). Among 8706 sampled patients July 2021 - August 2022, hospitalization and ICU admission RRs were higher for Hispanic, Black, and AI/AN patients (range for both, 1.4–2.4) and lower for API (range for both, 0.6–0.9) vs White patients. All other race and ethnicity groups had higher in-hospital mortality rates vs White persons (RR range, 1.4–2.9).

Conclusions.

Race/ethnicity disparities in COVID-19–associated hospitalizations declined but persist in the era of vaccination. Developing strategies to ensure equitable access to vaccination and treatment remains important.
Subjects:

[+]

Adult American Indian Or Alaska Native Asian American Native Hawaiian And Pacific Islander Asian People Black Or African American COVID-19 COVID-19 Vaccines Ethnicity Hispanic Or Latino Hospitalization Hospital Mortality Humans Intensive Care Units Racial Groups White
Keywords:

[+]

COVID-19–associated Hospitalizations Race And Ethnicity Trends
Source:

Clin Infect Dis. 77(6):827-838
Pubmed ID:

37132204
Pubmed Central ID:

PMC11019819
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHSUnited States/ ; NU38OT000297/CC/CDC HHSUnited States/

CC999999/ImCDC/Intramural CDC HHSUnited States/ ; NU38OT000297/CC/CDC HHSUnited States/ Less -
Place as Subject:

United States
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha-512:d671b5a8cc59f3b8ade8461746d506a61bc8189ee21cc33755e4c92195eea363860dad089588f64efae8c77c7ea3e39e5a550230c4091c29e8f1c6799a532e7c
Download URL:

https://stacks.cdc.gov/view/cdc/154404/cdc_154404_DS1.pdf
File Type:

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	NIHMS1980202-supplement-Supplemental_file.docx	docx

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