Disparities in COVID-19 Cases, Deaths, and Vaccination, by Race and Ethnicity and Asian Ethnic Groups, Santa Clara County, California, 2020-2021.

IF 3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Reports Pub Date : 2025-01-24 DOI:10.1177/00333549241308165

Wen Lin, Madeleine Swart, Pamela Stoddard, Kate Kelsey, Anandi Sujeer, Christopher M Hoover, Wayne Enanoria

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引用次数: 0

Abstract

Objectives: Disaggregated data on Asian ethnic groups are needed to identify health disparities among Asian people. We examined COVID-19 incidence, deaths, and vaccinations among Asian ethnic groups in Santa Clara County, California.

Methods: We extracted data on SARS-CoV-2 infections and COVID-19 vaccinations from December 15, 2020, through August 6, 2021, from the California Reportable Diseases Information Exchange and the California Immunization Registry. We assigned Asian ethnic group based on name for missing self-reported information. We calculated age-adjusted rates and rate ratios of infections and deaths and percentages of vaccinations by race and ethnicity and Asian ethnic group. We conducted multivariable logistic regression to examine factors associated with COVID-19 deaths.

Results: Although Asian residents had the lowest rate of SARS-CoV-2 infections per 100 000 people (1801.9; 95% CI, 1771.5-1832.7) among all racial and ethnic groups, when disaggregated by Asian ethnicity, Filipino (3169.0; 95% CI, 3049.1-3292.4) and Vietnamese (3008.4; 95% CI, 2916.9-3102.1) residents had the highest age-adjusted rates. Asian (38.7; 95% CI, 33.7-44.3) and non-Hispanic White (42.3; 95% CI, 37.5-47.5) residents had the lowest rate of COVID-19 deaths compared with all other racial and ethnic groups; however, Filipino (67.6; 95% CI, 49.1-90.8) and Vietnamese (63.7; 97% CI, 48.9-81.6) residents had significantly higher rates than the aforementioned groups did. Among all racial and ethnic groups, Asian residents had the highest completion rate of primary COVID-19 vaccine series by August 6, 2021 (87.0%; 95% CI, 86.8%-87.3%). Within Asian ethnic groups, Filipino residents had the lowest vaccination rate (65.0%; 95% CI, 64.4%-65.6%).

Conclusions: Differences in COVID-19 incidence, deaths, and vaccinations among Asian ethnic groups highlight the importance of data collection of ethnic groups as a standard practice.

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2020-2021年加利福尼亚州圣克拉拉县按种族、族裔和亚裔群体划分的COVID-19病例、死亡和疫苗接种差异

目的：需要亚洲族群的分类数据来确定亚洲人之间的健康差异。我们研究了加州圣克拉拉县亚裔群体的COVID-19发病率、死亡率和疫苗接种情况。方法：我们提取了2020年12月15日至2021年8月6日期间加州可报告疾病信息交换中心和加州免疫登记中心的SARS-CoV-2感染和COVID-19疫苗接种数据。对于缺失的自我报告信息，我们根据名字分配亚裔族群。我们按种族、民族和亚洲族裔计算了年龄调整率、感染率、死亡率和疫苗接种率。我们进行了多变量logistic回归来检查与COVID-19死亡相关的因素。结果：虽然亚洲居民的SARS-CoV-2感染率最低(每10万人1801.9例；95% CI, 1771.5-1832.7)，当按亚洲种族分类时，菲律宾人(3169.0；95% CI, 3049.1-3292.4)和越南语(3008.4；95% CI, 2916.9-3102.1)的居民年龄调整率最高。亚洲(38.7;95% CI, 33.7-44.3)和非西班牙裔白人(42.3；与所有其他种族和族裔群体相比，95% CI（37.5-47.5）居民的COVID-19死亡率最低；然而，菲律宾人(67.6；95% CI, 49.1-90.8)和越南语(63.7；97% CI, 48.9-81.6)居民的发病率明显高于上述组。在所有种族和族裔群体中，截至2021年8月6日，亚裔居民的COVID-19初级疫苗系列完成率最高(87.0%；95% ci, 86.8%-87.3%)。在亚洲族裔群体中，菲律宾居民的疫苗接种率最低(65.0%；95% ci, 64.4%-65.6%)。结论：亚洲少数民族在COVID-19发病率、死亡和疫苗接种方面的差异突出了将少数民族数据收集作为标准做法的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Reports 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.00

自引率

6.10%

发文量

164

审稿时长

6-12 weeks

期刊介绍： Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health. The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.