Rogers Tiana N, Rogers Charles R, VanSant-Webb Elizabeth, Gu Lily Y, Yan Bin, Qeadan Fares
World Med Health Policy. 2020 Sep;12(3):311-327. doi: 10.1002/wmh3.358. Epub 2020 Aug 5.
Racial disparities are apparent in the impact of coronavirus disease 2019 (COVID-19) in the United States, yet the factors contributing to racial inequities in COVID-19 mortality remain controversial. To better understand these factors, we investigated racial disparities in COVID-19 mortality among America's essential workers. Data from the American Community Survey and Current Population Survey was used to examine the correlation between the prevalence of COVID-19 deaths and occupational differences across racial/ethnic groups and states. COVID-19 mortality was higher among non-Hispanic (NH) Blacks compared with NH Whites, due to more NH Blacks holding essential-worker positions. Vulnerability to coronavirus exposure was increased among NH Blacks, who disproportionately occupied the top nine essential occupations. As COVID-19 death rates continue to rise, existing structural inequalities continue to shape racial disparities in this pandemic. Policies mandating the disaggregation of state-level data by race/ethnicity are vital to ensure equitable and evidence-based response and recovery efforts.
2019年冠状病毒病（COVID-19）在美国造成的影响中，种族差异显而易见，但导致COVID-19死亡率存在种族不平等的因素仍存在争议。为了更好地理解这些因素，我们调查了美国关键岗位工作者中COVID-19死亡率的种族差异。利用美国社区调查和当前人口调查的数据，研究了COVID-19死亡患病率与不同种族/族裔群体和各州职业差异之间的相关性。非西班牙裔（NH）黑人的COVID-19死亡率高于NH白人，原因是有更多NH黑人从事关键岗位工作。NH黑人感染冠状病毒的风险增加，他们在九大关键职业中所占比例过高。随着COVID-19死亡率持续上升，现有的结构性不平等继续影响着这场大流行中的种族差异。要求按种族/族裔对州级数据进行分类的政策对于确保公平且基于证据的应对和恢复工作至关重要。
