Office of Ambulatory Care and Population Health, New York City Health + Hospitals, New York, NY, USA.
New York City Health + Hospitals/Elmhurst, Queens, NY, USA.
Public Health Rep. 2022 Mar-Apr;137(2):317-325. doi: 10.1177/00333549211061313. Epub 2021 Dec 30.
Data on the health burden of COVID-19 among Asian American people of various ethnic subgroups remain limited. We examined COVID-19 outcomes of people of various Asian ethnic subgroups and other racial and ethnic groups in an urban safety net hospital system.
We conducted a retrospective analysis of 85 328 adults aged ≥18 tested for COVID-19 at New York City's public hospital system from March 1 through May 31, 2020. We examined COVID-19 positivity, hospitalization, and mortality, as well as demographic characteristics and comorbidities known to worsen COVID-19 outcomes. We conducted adjusted multivariable regression analyses examining racial and ethnic disparities in mortality.
Of 9971 Asian patients (11.7% of patients overall), 48.2% were South Asian, 22.2% were Chinese, and 29.6% were in other Asian ethnic groups. South Asian patients had the highest rates of COVID-19 positivity (30.8%) and hospitalization (51.6%) among Asian patients, second overall only to Hispanic (32.1% and 45.8%, respectively) and non-Hispanic Black (27.5% and 57.5%, respectively) patients. Chinese patients had a mortality rate of 35.7%, highest of all racial and ethnic groups. After adjusting for demographic characteristics and comorbidities, only Chinese patients had significantly higher odds of mortality than non-Hispanic White patients (odds ratio = 1.44; 95% CI, 1.04-2.01).
Asian American people, particularly those of South Asian and Chinese descent, bear a substantial and disproportionate health burden of COVID-19. These findings underscore the need for improved data collection and reporting and public health efforts to mitigate disparities in COVID-19 morbidity and mortality among these groups.
关于不同族裔亚美人种群体中 COVID-19 带来的健康负担的数据仍然有限。我们在一个城市医疗保障系统中研究了不同族裔的亚洲人以及其他种族群体的 COVID-19 结局。
我们对 2020 年 3 月 1 日至 5 月 31 日期间在纽约市公立医院系统接受 COVID-19 检测的 85328 名年龄≥18 岁的成年人进行了回顾性分析。我们研究了 COVID-19 阳性率、住院率和死亡率，以及已知会恶化 COVID-19 结局的人口统计学特征和合并症。我们进行了调整后的多变量回归分析，以检查死亡率方面的种族和族裔差异。
在 9971 名亚裔患者（占所有患者的 11.7%）中，48.2%是南亚裔，22.2%是华裔，29.6%来自其他亚洲族裔群体。南亚裔患者的 COVID-19 阳性率（30.8%）和住院率（51.6%）在亚裔患者中最高，仅次于西班牙裔（分别为 32.1%和 45.8%）和非西班牙裔黑人（分别为 27.5%和 57.5%）。华裔患者的死亡率为 35.7%，是所有种族和族裔中最高的。在调整人口统计学特征和合并症后，只有华裔患者的死亡风险明显高于非西班牙裔白人患者（比值比=1.44；95%CI，1.04-2.01）。
亚美人种，特别是南亚裔和华裔，承受着 COVID-19 带来的巨大且不成比例的健康负担。这些发现强调需要改进数据收集和报告，以及公共卫生工作，以减轻这些群体在 COVID-19 发病率和死亡率方面的差异。
