Florida Atlantic University, 777 Glades Road, Boca Raton, FL, 33431, USA.
J Racial Ethn Health Disparities. 2022 Oct;9(5):1965-1975. doi: 10.1007/s40615-021-01135-z. Epub 2021 Sep 17.
This study investigates the association of racial and ethnic composition, segregation, and 2020 presidential election voting results with COVID-19 infections and deaths in Florida counties.
Florida county COVID-19 infection and death counts reported through March 2021 were supplemented with socioeconomic characteristics and 2020 presidential results to form the dataset employed in this ecological study. Poisson regression analysis measured the association of infection and mortality rates with county demographic and economic characteristics, then assessed the moderating role of county political preferences.
Counties with higher proportions of Black residents experience disproportionately higher COVID-19 infection and mortality rates. Disparities are further inflated in counties with larger Republican vote shares. That voting effect extends to Hispanic population proportions and segregation, both of which are associated with higher COVID-19 infection and mortality rates in more Republican-leaning counties.
Communities challenged by pre-existing health disparities, segregation, and economic hardship before the pandemic bear disproportionate risk of COVID-19 infection and mortality. Factors associated with voter preference for the 2020 Republican presidential candidate compound those problems, worsening consequences for all county residents, suggesting deeper structural health challenges.
本研究调查了种族和民族构成、隔离以及 2020 年总统选举投票结果与佛罗里达州各县 COVID-19 感染和死亡之间的关联。
通过补充社会经济特征和 2020 年总统选举结果，对截至 2021 年 3 月报告的佛罗里达州县 COVID-19 感染和死亡人数进行了补充，形成了本生态研究中使用的数据集。泊松回归分析衡量了感染和死亡率与县人口统计学和经济特征的关联，然后评估了县政治偏好的调节作用。
拥有较高比例黑人居民的县经历了不成比例的 COVID-19 感染和死亡率。在拥有更大共和党选票份额的县，这种差异进一步扩大。这种投票效应延伸到西班牙裔人口比例和隔离程度，两者都与更倾向共和党的县的 COVID-19 感染和死亡率较高有关。
在大流行之前就面临着先前存在的健康差距、隔离和经济困难的社区承担着不成比例的 COVID-19 感染和死亡风险。与 2020 年共和党总统候选人选民偏好相关的因素加剧了这些问题，使所有县居民的后果更加严重，这表明存在更深层次的结构性健康挑战。
