Journal
JOURNAL OF GENERAL INTERNAL MEDICINE
Volume 36, Issue 11, Pages 3545-3549Publisher
SPRINGER
DOI: 10.1007/s11606-021-07003-0
Keywords
Asian American; mortality; COVID; health disparities; racism
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The COVID-19 pandemic has highlighted the structural inequities facing communities of color, with Asian Americans experiencing higher mortality and case fatality rates. Disproportionately low testing rates, disease severity, socioeconomic factors, and racial discrimination contribute to the observed disparities. Improving data reporting and addressing racism are crucial in addressing health inequities.
The coronavirus disease 2019 (COVID-19) pandemic has underscored the structural inequities facing communities of color and its consequences in lives lost. However, little is known about the COVID-related disparities facing Asian Americans amidst the heightened racism and violence against this community. We analyze the mortality toll of COVID-19 on Asian Americans using multiple measures. In 2020, one in seven Asian American deaths was attributable to COVID-19. We find that while Asian Americans make up a small proportion of COVID-19 deaths in the USA, they experience significantly higher excess all-cause mortality (3.1 times higher), case fatality rate (as high as 53% higher), and percentage of deaths attributed to COVID-19 (2.1 times higher) compared to non-Hispanic Whites. Mounting evidence suggest that disproportionately low testing rates, greater disease severity at care presentation, socioeconomic factors, and racial discrimination contribute to the observed disparities. Improving data reporting and uniformly confronting racism are key components to addressing health inequities facing communities of color.
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