Counties with higher proportion of Black residents have more COVID-19 cases, deaths


SARS-CoV-2 under a microscope

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FINDINGS

Drawing from a large number of national datasets, UCLA researchers found that counties across the U.S. have 2.8% more COVID-19 cases and 2.9% more COVID-19–related deaths for every 1.0 percentage point increase in the population of Black residents.

BACKGROUND

By the end of May 2020, there were more than 1.5 million confirmed COVID-19 infections and 100,000 COVID-19–related deaths in the U.S. since the beginning of the pandemic. While previous studies have found a disproportionate number of cases and deaths in communities with a high proportion of racial and ethnic minorities, those focused on counties within limited geographic areas, did not adjust for potential confounding factors such as access to health care, or used statistical methods that did not allow for a broad comparison of counties both within and between states.

METHOD

The researchers used data on demographics, income, poverty, unemployment, environmental factors, access to physicians, hospital bed access, stay-at-home policies and COVID-19 from the 2018 American Community Survey, the February 2020 Bureau of Labor Statistics report, Johns Hopkins University, the National Center for Health Statistics 2013 Urban-Rural Classification Scheme, the 2020 Robert Wood Johnson Foundation County Health Rankings and Roadmaps, and the 2018–2019 Area Health Resources Files from the Health Resources and Services Administration. They limited their analysis to the 50 states and the District of Columbia from Jan. 22 to May 31, 2020.

IMPACT

The findings highlight the need for multifaceted policy solutions and more robust data collection to prevent the exacerbation of racial disparities and protect vulnerable populations during the COVID-19 pandemic.

AUTHORS

Dr. Christopher Scannell, Dr. Carlos Oronce and Dr. Yusuke Tsugawa of UCLA.

JOURNAL

The study was published in the peer-reviewed Journal of General Internal Medicine.

FUNDING

The study was funded by the National Clinician Scholars Program at UCLA and the Veterans Affairs Office of Academic Affiliations, through the VA/National Clinician Scholars Program.

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