Thomas M. Selden (
Terceira A. Berdahl is a social science analyst in the Division of Research and Modeling, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality.
Health Aff (Millwood). 2020 Sep;39(9):1624-1632. doi: 10.1377/hlthaff.2020.00897. Epub 2020 Jul 14.
We used data from the Medical Expenditure Panel Survey to explore potential explanations for racial/ethnic disparities in coronavirus disease 2019 (COVID-19) hospitalizations and mortality. Black adults in every age group were more likely than White adults to have health risks associated with severe COVID-19 illness. However, Whites were older, on average, than Blacks. Thus, when all factors were considered, Whites tended to be at higher overall risk compared with Blacks, with Asians and Hispanics having much lower overall levels of risk compared with either Whites or Blacks. We explored additional explanations for COVID-19 disparities-namely, differences in job characteristics and how they interact with household composition. Blacks at high risk for severe illness were 1.6 times as likely as Whites to live in households containing health-sector workers. Among Hispanic adults at high risk for severe illness, 64.5 percent lived in households with at least one worker who was unable to work from home, versus 56.5 percent among Black adults and only 46.6 percent among White adults.
我们利用医疗支出面板调查(Medical Expenditure Panel Survey)的数据,探索了导致 2019 年冠状病毒病(COVID-19)住院和死亡的种族/族裔差异的潜在原因。每个年龄段的黑人成年人都比白人成年人更容易出现与 COVID-19 重症相关的健康风险。然而,白人的平均年龄比黑人更大。因此,当考虑所有因素时,白人的总体风险往往高于黑人,而亚洲人和西班牙裔的总体风险则远低于白人或黑人。我们探讨了 COVID-19 差异的其他解释——即工作特征的差异以及它们如何与家庭构成相互作用。有重症风险的黑人患 COVID-19 的可能性是白人的 1.6 倍,而生活在有卫生保健部门工作者的家庭中。在有重症风险的西班牙裔成年人中,64.5%的人生活在至少有一名无法在家工作的工人的家庭中,而黑人成年人中这一比例为 56.5%,白人成年人中这一比例仅为 46.6%。