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).
393,185 thoughts on “Impact of COVID on Racial & Ethnic Minorities”
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To improve the neural network detection accuracy of the electric power bushings in infrared images, a modified algorithm based on the You Only Look Once version 2 (YOLOv2) network is proposed to achieve better recognition results. Specifically, YOLOv2 corresponds to a convolutional neural network (CNN), although its rotation invariance is poor, and some bounding boxes (BBs) exhibit certain deviations. To solve this problem, the standa
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Representative isolates were screened in vitro for sensitivity to three fungicides mefenoxam, propamocarb, and oxathiapiprolin. All isolates were sensitive to mefenoxam and propamocarb, but these same isolates were insensitive to oxathiapiprolin, except those classified taxonomically in Pythium clade I.Background Non-face-to-face consultation, which ensures physical distance between patients and doctors, is
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50-5.31, p = 0.421); only increasing age (OR 1.10, 95% CI 1.00-1.21, p = 0.061) and a modified Rankin Scale >3 at discharge (OR 3.41, 95% CI 0.88-13.24, p = 0.077) showed a nonsignificant trend for the decision to omit anticoagulation. A total of 155 of 167 patients (92.8%) were still anticoagulated at follow-up. A total of 44 patients with chronic kidney disease completed follow-up, and of those, 37 were still antico
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The presence of vancomycin hydrochloride influenced not only the degree of polymerization and PMMA tacticity and crystallinity, but in turn also the wear behavior. Actually, Spacer K retrievals were found more affected by in vivo implantation than Vancogenx-space knee ones, revealing slight variations in polymer tacticity and crystallinity and relative radiopacifier content, besides release of MMA and additives of poly
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Atherosclerosis is characterized by the plaque formation that restricts intraarterial blood flow. The disturbed blood flow with the associated oscillatory stress (OS) at the arterial curvatures and branch points can trigger endothelial activation and is one of the risk factors of atherosclerosis. Many studies reported the mechanotransduction related to OS and atherogenesis; however, the transcriptional and posttranscriptional regulatory mec
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In the world of luxury timepieces, few brands exude the same enchantment as Rolex. Revered for their precision, craftsmanship, and timeless design, Rolex watches have become symbols of success and sophistication. However, for many, the hefty price tag associated with genuine Rolex timepieces can be a significant barrier.
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In recent years, ladies’s activewear has actually surged beyond health club doors and yoga floor coverings, ending up being a crucial part of everyday wardrobes. The change isn’t nearly following fads but shows a deeper development in how women approach physical fitness, convenience, and style. What makes this category of clothing so functional and why does it resonate so profoundly with contemporary way of livings? The solutions
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Linezolid and aerophages (5), however did not synergise in this setting (55% survival).
Aerosolized phage therapy showed potential for the treatment of MRSA pneumonia in an experimental animal model and warrant further investigation for application in humans.
Aerosolized phage therapy showed potential for the treatment of MRSA pneumonia in an experimental an
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Appropriate assistive technology has the potential to considerably enhance quality of life, access to health and education, and social and economic participation for people with disabilities. Most disabled people in the world live in low- and middle-income countries where access to assistive devices and other support is severely lacking. There is little evidence that describes contextually relevant approaches to meeting these
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Sex and gender matter in all aspects of life. Humans exhibit sexual dimorphism in anatomy, physiology, but also pathology. Many of the differences are due to sex chromosomes and, thus, genetics, other due to endocrine factors such as sex hormones, some are of social origin. Over the past decades, huge number of scientific studies have revealed striking sex differences of the human brain with remarkable beha
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Further work is warranted to analyze new reliable risk stratification schemes and optimally implement them into routine clinical life.
Further work is warranted to analyze new reliable risk stratification schemes and optimally implement them into routine clinical life.Diabetes mellitus (DM) is an established risk factor for atherosclerotic cardiovascular disease (CVD) and patients with DM are at a tw
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In today’s technologically-driven world, artificial intelligence has become a revolutionary force across industries. From automating tasks to enabling smarter decisions, AI is reshaping the manner we work. Whether you’re an enthusiast in the tech space or eager to learn, understanding the application of AI can open doors to
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For females, there clearly was a tendency towards smaller hyperfunctioning parathyroid glands (16.8 vs. 20.5 mm) with less weight (1.14 vs. 1.52 g) and multiglandular infection. Nephrolithiasis was a lot more frequent in men than in females (36.7 vs. 16.8%, respectively; p = 0.036), nevert
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Literature data regarding the phenomenon of obesity paradox in T2DM patients are controversial due to the several limitations of the studies; therefore in the management of patients with overweight/obesity and T2DM is recommended referring to the established guidelines, which indicate diet and physical activity as the cornerstone of the treatment.
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The aim of the study was to assess general characteristics of drug resistant tuberculosis and its association with treatment outcomes in Georgia. A retrospective cohort study was conducted among 1581 DR-TB adult (18+) patients, from 2015 – 2020 cohorts, whose anti-tuberculosis treatment outcomes was known. Adjusted analysis of the study participants data [1581 (100%)] shows significant association of a successful
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This journal is © The Royal Society of Chemistry 2020.Printable mesoscopic perovskite solar cells are usually fabricated by drop-casting perovskite precursor solution on a screen-printed mesoporous TiO2/ZrO2/carbon triple-layer followed by thermal annealing. They have attracted much attention due to their simple fabrication process and remarkable stability. However, challenges lie in how to achieve complete pore fil
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To minimize sample dilution effect on SARS-CoV-2 pool testing, we assessed analytical and diagnostic performance of a new methodology, namely swab pooling. In this method, swabs are pooled at the time of collection, as opposed to pooling of equal volumes from individually collected samples. Paired analysis of pooled and individual samples from 613 patients revealed 94 positive individuals. Having individual testing as re
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In addition, they underline the lack of correlation between resistance to the RNA viruses SPCSV and SPFMV and the DNA virus SPLCV.[Formula see text] Copyright © 2020 The Author(s). This is an open access article distributed under the CC BY 4.0 International license.In 1987, Louisiana became one of the first states to put laws in place to criminalize intentional HIV exposure. Unfortunately, the l
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Phosphatidylcholine-soybean protein isolate (PC-SPI) nanoemulsions were prepared by ultrasonication. The effects of preparation conditions (SPI and PC addition, ultrasonic power and time) on the structural properties of the nanoemulsions and their storage stability were investigated. The results showed that the most optimal adsorption capacity and adsorption tightness at the oil-water interface under optimal conditions
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Particularly during the coronavirus disease of 2019 pandemic, telemedicine can, and should, be used within ORL practice. This review can assist in guiding providers in implementing telemedicine that has been demonstrated to be successful, and direct future research. Laryngoscope, 2020.Virtual laboratory simulations can contribute to the educational objectives re
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Specifically, SDLE were primarily mediated (>80%) through melanopsin, of which half were then relayed through the SCN, revealing an ancillary purpose for this structure, independent of its clock function in organizing SWc. Based on these findings, we designed a model to estimate the effect of atypical light-dark cycles on SWc. This model predicted SWc amplitude in mice exposed to simulated transequatorial or
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Conclusion subjects with a stable weight and those who lost weight ≥ 5% from their maximum reported lifetime weight had significantly higher 25(OH)D concentrations than those who did not. Thus, maintaining a healthy weight over time may be an effective strategy to reach optimal serum 25(OH)D levels.
5 % from their maximum reported weight had significantly higher 25(OH)D levels than those who did not. Conclusio
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At the mean follow-up of 10.4 ± 2.4 months, LD at distal reference was significantly increased by 25% from baseline to follow-up in the overall population (1.88 ± 0.57 vs. 2.21 ± 0.41 mm, p less then 0.001), with a greater increase in patients with MB compared to those without (46 ± 31% vs. 17 ± 29%, p less then 0.001). Multivariable analysis indicated MB as an independent predictor of late lumen e
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Elongated hypocotyl5 (HY5) is a key transcription factor that promotes photomorphogenesis. Constitutive photomorphogenic1 (COP1)-Suppressor of phytochrome A-105 (SPA) E3 ubiquitin ligase complex promotes ubiquitination and degradation of HY5 to repress photomorphogenesis in darkness. HY5 is also regulated by phosphorylation at serine 36 residue. However, the kinase responsible for phosphorylation of HY5 remains unknown. H
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OBJECTIVE This study provides the outcomes of an updated clinical protocol for orbital blow-out cracks, with an unique focus on nonsurgical therapy and orthoptic assessment of useful improvement. METHODS A two-centre multidisciplinary prospective cohort study was built to monitor the results of a clinical protocol by evaluating ductions, diplopia, world place, a
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In this study, sarmentosamide (1) was isolated from marine-derived Streptomyces sp. APmarine042, after which it its capacity to reduce epidermis aging was examined in-vitro. Sarmentosamide (1) was discovered to considerably reduce UVB-induced matrix metalloproteinase-1 (MMP-1) phrase in normal human dermal fibroblasts (NHDFs) by suppressing the extracellular signal-regulat
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Affordable and effective antiviral therapies are needed worldwide, especially against agents such as dengue virus that are endemic in underserved regions. Many antiviral compounds have been studied in cultured cells but are unsuitable for clinical applications due to pharmacokinetic profiles, side effects, or inconsistent efficacy across dengue serotypes. Such tool compounds can, however, aid in identifying clin
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The coffee industry generates a wide variety of by-products derived from green coffee processing (pulp, mucilage, parchment, and husk) and roasting (silverskin and spent coffee grounds). All these fractions are simply discarded, despite their high potential value. Given their polysaccharide-rich composition, along with a significant number of other active biomolecules, coffee by-products are being considered for use in th
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Overall, results suggest that similar associations found regarding childhood ODD may be implicated when examining emerging adults, and gender moderates these associations.The Five Minute Speech Sample’s (FMSS) measure of parental expressed emotion (EE), defined as criticism (CRIT) and emotional overinvolvement (EOI), has been increasingly used to measure family emotional climate in relation to youth ps
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PURPOSE We expect physicians to be lifelong learners. Learning from clinical practice is an important potential source for that learning. To support physicians in this process, a better understanding of how they learn in clinical practice is necessary. This study investigates how physicians recognize and use informal feedback from interactions with patients in outpatient settings as learning cues to a
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Among both cohorts, as seriousness increased, there was clearly an elevated danger of postoperative complications. CONCLUSION Preoperative anaemia is a risk factor for problems after major arthroplasty. There was a significant commitment involving the extent of anaemia in addition to odds of postoperative complications. Patients that has modest to serious anaemia had b
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In the current technology-driven era, internet marketing has become a crucial aspect for entrepreneurs aspiring to scale their audience online. Whether you’re an experienced marketer or a newcomer, understanding the core concepts of digital marketing is crucial.
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Extended-spectrum beta-lactamase (ESBL) and AmpC-producing Enterobacterales are common causes of bloodstream infection. ESBL-producing bacteria are typically resistant to third-generation cephalosporins and result in a sizeable economic and public health burden. AmpC-producing Enterobacterales may develop third-generation cephalosporin resistance through enzyme hyper-expression. In no observational study has the out
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Functional deficits of the forehead and midface can pose significant problems for patients varying from mild asymmetry to various degrees of functional impairment including total paralysis. Our objectives were to analyse the use of bio-absorbable implants to reconstruct forehead and midface deficits, all of which were for functional (noncosmetic) reasons.
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While research addresses neighborhood disorder as leading to conduct problems, the role of individual-level differences in shaping adolescent perceptions of neighborhood has been overlooked. Data on youth, over-selected for childhood conduct problems (N = 744, 58% childhood conduct problems, 47% girls), were used to examine the link between conduct problems (time 1 Mean age = 12.23) and perceived neighborhood disorde
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In the numerical simulations, DCODT achieves a better trade-off between the resolution and accuracy than the counterparts for high b-values. In the comparisons based on the challenge data, the improvement of DCODT is significant in scoring. The results on the HCP datasets show that DCODT provides fewer spurious lobes in the glyphs, resulting in more coherent fiber orientations.
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Rolex watches have long been symbols of luxury and success, captivating watch enthusiasts and collectors alike. However, not everyone can afford the astronomical prices associated with genuine Rolex timepieces. This has given rise to a booming market for Rolex replica watches, which aim to deliver the allure of the iconic brand at a fract
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