Race, socioeconomic deprivation, and hospitalization for COVID-19 in English participants of a national biobank.
Identifieur interne : 000071 ( Main/Corpus ); précédent : 000070; suivant : 000072Race, socioeconomic deprivation, and hospitalization for COVID-19 in English participants of a national biobank.
Auteurs : Aniruddh P. Patel ; Manish D. Paranjpe ; Nina P. Kathiresan ; Manuel A. Rivas ; Amit V. KheraSource :
- International journal for equity in health [ 1475-9276 ] ; 2020.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Biological Specimen Banks (MeSH), Continental Population Groups (statistics & numerical data), Coronavirus Infections (ethnology), Coronavirus Infections (therapy), Female (MeSH), Health Status Disparities (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (ethnology), Pneumonia, Viral (therapy), Prospective Studies (MeSH), Socioeconomic Factors (MeSH), United Kingdom (epidemiology).
- MESH :
- geographic , epidemiology : United Kingdom.
- ethnology : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Continental Population Groups, Hospitalization.
- therapy : Coronavirus Infections, Pneumonia, Viral.
- Adult, Aged, Biological Specimen Banks, Female, Health Status Disparities, Humans, Male, Middle Aged, Pandemics, Prospective Studies, Socioeconomic Factors.
Abstract
Preliminary reports suggest that the Coronavirus Disease 2019 (COVID- 19) pandemic has led to disproportionate morbidity and mortality among historically disadvantaged populations. We investigate the racial and socioeconomic associations of COVID- 19 hospitalization among 418,794 participants of the UK Biobank, of whom 549 (0.13%) had been hospitalized. Both Black participants (odds ratio 3.7; 95%CI 2.5-5.3) and Asian participants (odds ratio 2.2; 95%CI 1.5-3.2) were at substantially increased risk as compared to White participants. We further observed a striking gradient in COVID- 19 hospitalization rates according to the Townsend Deprivation Index - a composite measure of socioeconomic deprivation - and household income. Adjusting for socioeconomic factors and cardiorespiratory comorbidities led to only modest attenuation of the increased risk in Black participants, adjusted odds ratio 2.4 (95%CI 1.5-3.7). These observations confirm and extend earlier preliminary and lay press reports of higher morbidity in non-White individuals in the context of a large population of participants in a national biobank. The extent to which this increased risk relates to variation in pre-existing comorbidities, differences in testing or hospitalization patterns, or additional disparities in social determinants of health warrants further study.
DOI: 10.1186/s12939-020-01227-y
PubMed: 32631328
PubMed Central: PMC7336098
Links to Exploration step
pubmed:32631328Le document en format XML
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<term>Coronavirus Infections (ethnology)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Female (MeSH)</term>
<term>Health Status Disparities (MeSH)</term>
<term>Hospitalization (statistics & numerical data)</term>
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<term>Male (MeSH)</term>
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<front><div type="abstract" xml:lang="en">Preliminary reports suggest that the Coronavirus Disease 2019 (COVID- 19) pandemic has led to disproportionate morbidity and mortality among historically disadvantaged populations. We investigate the racial and socioeconomic associations of COVID- 19 hospitalization among 418,794 participants of the UK Biobank, of whom 549 (0.13%) had been hospitalized. Both Black participants (odds ratio 3.7; 95%CI 2.5-5.3) and Asian participants (odds ratio 2.2; 95%CI 1.5-3.2) were at substantially increased risk as compared to White participants. We further observed a striking gradient in COVID- 19 hospitalization rates according to the Townsend Deprivation Index - a composite measure of socioeconomic deprivation - and household income. Adjusting for socioeconomic factors and cardiorespiratory comorbidities led to only modest attenuation of the increased risk in Black participants, adjusted odds ratio 2.4 (95%CI 1.5-3.7). These observations confirm and extend earlier preliminary and lay press reports of higher morbidity in non-White individuals in the context of a large population of participants in a national biobank. The extent to which this increased risk relates to variation in pre-existing comorbidities, differences in testing or hospitalization patterns, or additional disparities in social determinants of health warrants further study.</div>
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<Abstract><AbstractText>Preliminary reports suggest that the Coronavirus Disease 2019 (COVID- 19) pandemic has led to disproportionate morbidity and mortality among historically disadvantaged populations. We investigate the racial and socioeconomic associations of COVID- 19 hospitalization among 418,794 participants of the UK Biobank, of whom 549 (0.13%) had been hospitalized. Both Black participants (odds ratio 3.7; 95%CI 2.5-5.3) and Asian participants (odds ratio 2.2; 95%CI 1.5-3.2) were at substantially increased risk as compared to White participants. We further observed a striking gradient in COVID- 19 hospitalization rates according to the Townsend Deprivation Index - a composite measure of socioeconomic deprivation - and household income. Adjusting for socioeconomic factors and cardiorespiratory comorbidities led to only modest attenuation of the increased risk in Black participants, adjusted odds ratio 2.4 (95%CI 1.5-3.7). These observations confirm and extend earlier preliminary and lay press reports of higher morbidity in non-White individuals in the context of a large population of participants in a national biobank. The extent to which this increased risk relates to variation in pre-existing comorbidities, differences in testing or hospitalization patterns, or additional disparities in social determinants of health warrants further study.</AbstractText>
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