Journal
EMERGING INFECTIOUS DISEASES
Volume 28, Issue 11, Pages 2171-2180Publisher
CENTERS DISEASE CONTROL & PREVENTION
DOI: 10.3201/eid2811.220072
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Funding
- National Institutes of Health, National Institute of Allergy and Infectious Diseases [3UH3AI133675-04S1]
- CUNY Institute for Implementation Science in Population Health
- COVID-19 Grant Program of the CUNY Graduate School of Public Health and Health Policy
- National Institute of Child Health and Human Development [P2C HD050924]
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This study examined racial/ethnic disparities in COVID-19 seroconversion and hospitalization. The findings showed that Hispanic and Black non-Hispanic participants had higher exposure risk and difficulty in accessing healthcare, and participants with more exposure and susceptibility had higher odds of seroconversion and hospitalization. The study highlighted the importance of addressing disparities in exposure, vaccination, and treatment for COVID-19 among different racial/ethnic groups.
We examined racial/ethnic disparities for COVID-19 se-roconversion and hospitalization within a prospective co-hort (n = 6,740) in the United States enrolled in March 2020 and followed-up through October 2021. Potential SARS-CoV-2 exposure, susceptibility to COVID-19 complications, and access to healthcare varied by race/ethnicity. Hispanic and Black non-Hispanic participants had more exposure risk and difficulty with healthcare ac-cess than white participants. Participants with more ex-posure had greater odds of seroconversion. Participants with more susceptibility and more barriers to healthcare had greater odds of hospitalization. Race/ethnicity posi-tively modified the association between susceptibility and hospitalization. Findings might help to explain the disproportionate burden of SARS-CoV-2 infections and complications among Hispanic/Latino/a and Black non-Hispanic persons. Primary and secondary prevention ef-forts should address disparities in exposure, vaccination, and treatment for COVID-19.
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