School of Medicine, University of California San Francisco, 513 Parnassus Ave., Suite S-214, San Francisco, CA, 94143, USA.
Asian American Research Center on Health (ARCH), San Francisco, CA, USA.
J Gen Intern Med. 2021 Nov;36(11):3545-3549. doi: 10.1007/s11606-021-07003-0. Epub 2021 Aug 4.
The coronavirus disease 2019 (COVID-19) pandemic has underscored the structural inequities facing communities of color and its consequences in lives lost. However, little is known about the COVID-related disparities facing Asian Americans amidst the heightened racism and violence against this community. We analyze the mortality toll of COVID-19 on Asian Americans using multiple measures. In 2020, one in seven Asian American deaths was attributable to COVID-19. We find that while Asian Americans make up a small proportion of COVID-19 deaths in the USA, they experience significantly higher excess all-cause mortality (3.1 times higher), case fatality rate (as high as 53% higher), and percentage of deaths attributed to COVID-19 (2.1 times higher) compared to non-Hispanic Whites. Mounting evidence suggest that disproportionately low testing rates, greater disease severity at care presentation, socioeconomic factors, and racial discrimination contribute to the observed disparities. Improving data reporting and uniformly confronting racism are key components to addressing health inequities facing communities of color.
2019 年冠状病毒病（COVID-19）大流行突显了有色人种社区面临的结构性不平等及其导致的生命损失。然而，在针对这个群体的种族主义和暴力加剧的情况下，针对亚裔美国人的与 COVID 相关的差异却知之甚少。我们使用多种措施分析 COVID-19 对亚裔美国人的死亡率。在 2020 年，每七个亚裔美国人死亡中就有一个归因于 COVID-19。我们发现，尽管亚裔美国人在美国 COVID-19 死亡人数中所占比例较小，但他们的全因超额死亡率（高 3.1 倍）、病死率（高达高 53%）和归因于 COVID-19 的死亡比例（高 2.1 倍）显著更高，而非西班牙裔白人。越来越多的证据表明，不成比例的低检测率、就诊时病情更严重、社会经济因素和种族歧视是造成这些差异的原因。改善数据报告和统一应对种族主义是解决有色人种社区面临的健康不平等问题的关键组成部分。
