Racial Income Inequality and COVID-19 Burden in Louisiana: A Spatial Analysis of Public Health Disparities.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI:10.1353/hpu.2026.a982963

Hyunsu Oh, Shriya Thakkar

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Abstract

Background: Louisiana has experienced one of the highest COVID-19 burdens in the United States. This article investigates the geospatial pattern of COVID-19 in Louisiana using the perspective of racial capitalism.

Methods: Using data from the Louisiana Department of Health and the American Community Survey, we employed spatial autoregressive models to assess how racial income inequality between White and Black residents was connected to COVID-19 case rates in Louisiana parishes, controlling for other parish-level characteristics.

Results: When a parish was characterized by greater White-Black income inequality, there was a higher risk of COVID-19 in the state of Louisiana. The relationship is primarily attributable to conditions in parishes with greater racial income inequality, rather than to the diffusion of COVID-19 cases across parish boundaries.

Conclusions: Racial and socioeconomic inequity is an ecological driver associated with the COVID-19 burden in Louisiana. Based on Louisiana's historical and sociocultural contexts, implications are further discussed.

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路易斯安那州种族收入不平等与COVID-19负担：公共卫生差异的空间分析

背景：路易斯安那州是美国COVID-19负担最重的州之一。本文从种族资本主义的角度考察了路易斯安那州COVID-19的地理空间格局。方法：利用路易斯安那州卫生部和美国社区调查的数据，我们采用空间自回归模型来评估路易斯安那州教区白人和黑人居民之间的种族收入不平等与COVID-19病例率之间的关系，并控制其他教区层面的特征。结果：当一个教区的特点是更大的白人和黑人收入不平等时，路易斯安那州的COVID-19风险更高。这种关系主要归因于种族收入不平等更大的教区的情况，而不是COVID-19病例在教区边界上的扩散。结论：种族和社会经济不平等是与路易斯安那州COVID-19负担相关的生态驱动因素。基于路易斯安那州的历史和社会文化背景，进一步讨论其影响。

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

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.