Emmanuella Ngozi Asabor is an MD-PhD student with the Epidemiology Department, Yale University Schools of Medicine and Public Health, New Haven, CT. Joshua L. Warren is with the Biostatistics Department, Yale University School of Public Health. Ted Cohen is with the Epidemiology Department, Yale University School of Public Health.
Am J Public Health. 2022 Mar;112(3):518-526. doi: 10.2105/AJPH.2021.306558.
To quantify the relationship between the segregation of Black, Indigenous, and Latinx communities and COVID-19 testing sites in populous US cities. We mapped testing sites as of June 2020 in New York City; Chicago, Illinois; Los Angeles, California; and Houston, Texas; we applied Bayesian methods to estimate the association between testing site location and the proportion of the population that is Black, Latinx, or Indigenous per block group, the smallest unit for which the US Census collects sociodemographic data. In New York City, Chicago, and Houston, the expected number of testing sites decreased by 1.29%, 3.05%, and 1.06%, respectively, for each percentage point increase in the Black population. In Chicago, Houston, and Los Angeles, testing sites decreased by 5.64%, 1.95%, and 1.69%, respectively, for each percentage point increase in the Latinx population. In the largest highly segregated US cities, neighborhoods with more Black and Latinx residents had fewer COVID-19 testing sites, likely limiting these communities' participation in the early response to COVID-19. In light of conversations on the ethics of racial vaccine prioritization, authorities should consider structural barriers to COVID-19 control efforts. (. 2022;112(3):518-526. https://doi.org/10.2105/AJPH.2021.306558).
量化美国人口众多的城市中黑人和拉丁裔社区与 COVID-19 检测点之间的隔离程度。我们绘制了截至 2020 年 6 月在纽约市、伊利诺伊州芝加哥市、加利福尼亚州洛杉矶市和德克萨斯州休斯敦市的检测点位置；我们应用贝叶斯方法估计了检测点位置与每个街区组（美国人口普查收集社会人口数据的最小单位）的黑人、拉丁裔或原住民人口比例之间的关联。在纽约市、芝加哥市和休斯敦市，黑人人口每增加一个百分点，预计检测点数量分别减少 1.29%、3.05%和 1.06%。在芝加哥市、休斯敦市和洛杉矶市，拉丁裔人口每增加一个百分点，检测点数量分别减少 5.64%、1.95%和 1.69%。在最大的高度隔离的美国城市中，黑人居民和拉丁裔居民较多的社区的 COVID-19 检测点较少，这可能限制了这些社区参与 COVID-19 的早期应对。鉴于关于种族疫苗优先排序的伦理讨论，当局应考虑控制 COVID-19 努力的结构性障碍。（2022 年；112（3）：518-526。https://doi.org/10.2105/AJPH.2021.306558）。
