A First Look: Disparities in COVID-19 Mortality Among US-Born and Foreign-Born Minnesota Residents

This research brief provides one of the first examinations of the impact of COVID-19 mortality on immigrant communities in the United States. In the absence of national data, we examine COVID-19 deaths in Minnesota, historically one of the major U.S. refugee destinations, using individual-level death certificates obtained from the Minnesota Department of Health Office of Vital Records. Minnesota's foreign-born crude COVID-19 death rates were similar to rates for the US-born, but COVID-19 death rates adjusted for age and gender were twice as high among the foreign-born. Among foreign-born Latinos, in particular, COVID-19 mortality was concentrated in relatively younger, prime working age men. Moreover, the place-based and temporal patterns of COVID-19 mortality were quite distinct, with the majority of US-born mortality concentrated in long-term care facilities and late in 2020, and foreign-born mortality occurring outside of residential institutions and earlier in the pandemic. The disparate impacts of COVID-19 for foreign-born Minnesotans demonstrate the need for targeted public health planning and intervention in immigrant communities.

Automated summary

The study found that in Minnesota, the COVID-19 death rate is twice as high among foreign-born individuals. Particularly among foreign-born Latinos, the mortality rate is concentrated in relatively younger males. Mortality among US-born individuals is mainly concentrated in long-term care facilities, while foreign-born individuals have earlier deaths and more outside of residential institutions.