Like I’ve mentioned in a few of my previous posts, this pandemic has brought on a lot of changes for everyone– but there is variation in how COVID-19 has impacted different groups of people. The experience of racial and ethnic minorities during this pandemic has been very different from other groups and is reflective of health outcomes that often exist for minorities in the U.S.
COVID-19
In New York City, the death rates for Black/African American individuals is much higher due to the virus, than it is for other racial/ethnic groups (1). The chart below shows the disproportionality of the effects of COVID on the population of African American individuals in a few states. 
Compared to the total state population, the majority of patients affected by COVID are African American (2).
These disparities exist not only during this pandemic, but in healthcare in general:
Reasons for the Disparity
People who belong to racial or ethnic minority groups experience the health care system differently than others– many of the existing disparities in society lead to poorer health outcomes, as well as greater vulnerability to viruses and other illnesses. Many minority groups live in heavily populated areas or live in households with multiple generations, where social distancing might not be possible (1). Many work hourly, so health benefits are not part of the package and health services become difficult to access (2). There is also a much higher population of racial and ethnic minorities in jails, prisons, etc. which are again, places that increase the risk of spread of viruses and other illnesses (1).
Also, because of the social distancing measures that have to be taken because of the pandemic, there has been a decrease in quality of care for patients who don’t speak English (4). Before, interpreters/translators could be present in person during a patient’s visit, which makes it much easier to translate and understand the patient’s concerns and symptoms. Now, a lot of interpreters have to work over the phone and it’s possible that a lot of information is getting lost in translation because it’s just harder to have a conversation and understand each other that way.
While the pandemic has affected everyone in one way or another, it has not affected everyone equally. The social determinants of health that I talked about in my first blog, in addition to factors such as racism, geographic location, and poverty, play a large part in deciding how an individual is affected. Unfortunately, the same level and quality of healthcare are not available to every person. Moving towards a system that addresses these disparities and provides excellent health care to each patient will involve first resolving the inequalities that exist in health care delivery in general and access to healthier food, exercise, etc. Additionally, training healthcare providers to better understand cultural differences and barriers to care could improve health outcomes for minority groups (3).
216,153 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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The recent drop of the yen provides become a center point in discussions surrounding Japan’s economic landscape. As the currency depreciates, the implications for that export industry happen to be significant, creating both opportunities and problems. On one hand, a weaker yen enhances the competition of Japanese export products in the worldwide market, pote
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No significant difference was found in the sigmoid D2cc dose goal. Conclusions In small volume tumors ( less then 30 cc), hybrid applicators may offer improved OAR sparing compared with conventional tandem and ring applicators, and may increase the proportion of patients meeting EMBRACE II OAR goals. Copyright © 2020 Termedia.Purpose To monitor the outcomes for intermediate-risk prostate cancer patients treated wi
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Weight loss diets may reduce serum urate (SU) by lowering insulin resistance while providing cardiometabolic benefits, something urate-lowering drugs have not shown in trials. We aimed to examine the effects of weight loss diets on SU and cardiometabolic risk factors.
This secondary study of the Dietary Intervention Randomized Controlled Trial (DIRECT) used stored samples fr
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Human AlkB homolog H5 (ALKBH5) is a primary m6A demethylase, which is dysregulated and acts as a biological and pharmacological role in human cancers or non-cancers. ALKBH5 plays a dual role in various cancers through regulating kinds of biological processes, such as proliferation, migration, invasion, metastasis and tumor growth. In addition, it takes a great part in human non-cancer, including reproductive syste
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انتخاب مکانی مناسب برای زندگی، یکی از مهمترین تصمیمات زندگی است. ایالات متحده آمریکا با تنوع فرهنگی، اقتصادی و جغرافیایی خود، گزینههای بسیاری را پیش روی افراد قرار میدهد. اما چه عواملی باعث میشود یک ایالت نسبت به سایرین برتری پیدا کند و به عنوان بهترین مقصد برای زندگی انتخاب شود؟ در این مقاله، به بررسی عواملی میپردازیم که در رتبهبندی تاثیرگذار هستند.
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RESULTS Four stable trajectories were identified, including excellent (n=607, 6%), good (n=2111, 19%), moderate (n=7677, 65%) and poor SRH (n=1205, 10%). Being women (OR 1.4; 95% CI 1.0 to 1.9), low education (OR 2.1; 95% CI 1.5 to 3.0), one (OR 10.4; 95% CI 7.4 to 14.7) or multiple chronic diseases (OR 37.8; 95% CI 22.4 to 71.8), smoking (OR 1.8; 95% CI 1.0 to 3.2), p
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Students who ate their breakfast rarely were 8-times more likely to be underweight than those who ate their breakfast always (AOR=7.9, 95% CI=4.8-14.8). Those who were sick in the past 2 weeks were more likely to be underweight than their counterparts (AOR=7.3, 95% CI=2.8-14.4). Those who never consume milk or milk products were 6.5 (AOR=6.5, 95% CI=1.7-23) times more likely to be stunted than those who consumed this always
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Phosphatidylinositol-4,5-bisphosphate 3-kinases (PI3Ks) regulate several important cellular and subcellular processes including cell proliferation and differentiation. LY294002 was originally reported to be a selective inhibitor of PI3K-Akt. Later, it showed that this compound also inhibits several other molecules. In this study, we investigated the effect of LY294002 on the growth of suspension (MV4-11 and TF-1
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with increased awareness and public funding to cater for the oral health needs of children of less affluent families. A dynamic and practical community-oriented program is fundamental for enhancing pediatric oral hygiene status, particularly for children attending government schools.Generally, detoxification fabrics are defined as fabrics that remove or inhibit the production of toxic compounds, e
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Influenza is a major public health issue, with the primary preventive measure being an annual influenza vaccination. Nevertheless, vaccination coverage among the at-risk population is low. Our understanding of the behaviour of the influenza virus during the SARS-CoV-2 coronavirus pandemic is limited, meaning influenza vaccination is still recommended for individuals at risk for severe complications due t
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BACKGROUND In Brazil, the Model for End-Stage Liver Disease (MELD) score is used to prioritize patients for deceased donor liver transplantation (DDLT). Patients with hepatocellular carcinoma (HCC) receive standardized MELD exception points to account for their cancer risk of mortality, which is not reflected by their MELD score. OBJECTIVE To compare DDLT rates between patients with and without HCC in Rio G
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Differentiation of ADSCs into osteoblasts or adipocytes rarely occurred in the elderly group compared with the young group. Overall, these results indicate that age may affect the cellular function of ADSCs and should be considered prior to ADSC transplantation.Following the publication of the above paper, we were contacted by the University of Illinois at Chicago, to request the retraction of the above article. Fol
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We can expect that translation from bench to bedside, through continuous effort and collaborative work, will ultimately transform our understanding of what causes OCD and thus how best to treat it.Technological advances and innovation in endourology have significantly reduced the indications of extracorporeal shockwave lithotripsy in the management of moderate-sized renal stones. In the last decade, we have wit
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Number concentration is an important index to measure atmospheric particle pollution. However, tailored methods for data preprocessing and characteristic and source analyses of particle number concentrations (PNC) are rare and interpreting the data is time-consuming and inefficient. In this method-oriented study, we develop and investigate some techniques via flexible conditi
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Objectives To review the scientific literature of studies on dental age estimation methods applied to Brazilian children. Methods A systematic literature review was designed according to thePRISMA guidelines and registered in PROSPERO (CRD42020136170).Six scientific databases were used as primary search sources(PubMed, Scopus, LILACS, SciELO, Embase and Web of Science) and two databases (Open Grey and Open Thesis) w
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Nano-realgar inhibits cell viability and induces glucose metabolism in LCSCs, and inhibits protein expression related to metabolic reprogramming in a time- and dose-dependent manner. Nano-realgar downregulated the expression of HIF-1α and PI3K/Akt/mTOR pathways in vitro and in vivo. Nano-realgar inhibits tumor growth and changes the histological structure of tumors through in vivo experiments and consequently inhibits the
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Objectives-This report presents national estimates of different types of health insurance coverage and lack of coverage (uninsured). Estimates are presented by selected sociodemographic characteristics, including age, sex, race and Hispanic origin, poverty status, education level, employment status, and marital status.Urgent care centers and healt
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This is the first time that a micro-CT method has been used to study G. pulex and shows that this method of moult staging is accurate and reliable.Diprotodontids are a diverse group of Australian metatherians, which occupy a range of ecological niches from nectar and pollen-feeders to grazers and folivores. The group encompasses small-brained nectar-feeding species (Tarsipes) and large-brained grazing and browsing
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Family based multi-locus tests integrate information from individual loci by weighted averaging of the marginal statistics, and have been proven to be more efficient and robust than the single-locus tests in genetic association studies. The power depends on how much information the weights can extract from data. The currently published weighted sum methods are only applicable to either common or rare variants and
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China has experienced severe hazes with high concentrations of particulate matter in recent years. The understanding of the size spectrum evolution of submicron particulate matter is critical to making efficient remediation policies to minimize the regional and global environmental impacts from hazes. During a time period of about one month, we monitored five severe haze episodes in Xi’an and four severe haze episodes
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Our results ascribe motor and sensory roles to ACC projections to the superior colliculus and the visual cortex and demonstrate for the first time a circuit motif for PFC function wherein anatomically non-overlapping output pathways coordinate complementary but distinct aspects of visual sensorimotor behavior.Accurate prediction of suicide risk among children and adolescents within an actionable time frame is an important bu
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OBJECTIVE To review pharmacologic and nonpharmacologic strategies for treating sleep disturbances in children and adolescents with autism spectrum disorder (ASD) and to develop recommendations for addressing sleep disturbance in this population. METHODS The guideline panel followed the American Academy of Neurology 2011 guideline development process, as amended. The systematic review included studies through December 2017.
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OBJECTIVES Depressive symptoms and cognitive impairment often concur in older persons. Differentiating the cause of cognitive impairment in older persons with Depressive Disorder (DD) from other diseases such as Alzheimer’s Disease (AD) is challenging. The goal of this study was to characterize cognitive impairment in older persons with DD. DESIGN Cross-sectional retrospective observati
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A submillisecond-response and light scattering-free polymer-network liquid crystal (PNLC) for infrared spatial light modulators is demonstrated. Our new liquid crystal host exhibits a higher birefringence, comparable dielectric anisotropy, and slightly lower visco-elastic constant than a commonly employed commercial material, HTG-135200. Moreover, the electro-optical performance of our PNLCs with different monomer con
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