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22-09-2023 | COVID-19 | Concise Research Report

Comparison of Racial and Ethnic Disparities in COVID-19 Mortality Between Veterans Health Administration and US Populations

Authors: Evan M. Shannon, MD, MPH, Taona P. Haderlein, PhD, W. Neil Steers, PhD, Michelle S. Wong, PhD, Donna L. Washington, MD, MPH

Published in: Journal of General Internal Medicine

Excerpt

In the USA, racial and ethnic disparities in COVID-19 outcomes for minoritized groups compared with non-Hispanic White (hereafter “White”) individuals have in part been attributed to structural racism and social determinants of health (SDOH) resulting in inadequate healthcare access ¹. There is evidence that minoritized versus White disparities in certain outcomes, including mortality, are attenuated in the Veterans Health Administration (VA) compared to the general US population ². This may reflect reduced access barriers and VA’s efforts to address SDOH ^{2, 3}. This study aimed to determine if the magnitude of racial and ethnic disparities in COVID-19 mortality differed between VA and general US populations. …

Feyman Y, Avila CJ, Auty S, et al. Racial and ethnic disparities in excess mortality among U.S. veterans during the COVID-19 pandemic. Health Serv Res. 2022. doi: https://doi.org/10.1111/1475-6773.14112

Wong MS, Hoggatt KJ, Steers WN, et al. Racial/Ethnic Disparities in Mortality Across the Veterans Health Administration. Health Equity. 2019;3(1):99-108. doi: https://doi.org/10.1089/heq.2018.0086 CrossRefPubMedPubMedCentral

Duan-Porter W, Martinson BC, Greer N, et al. Evidence Review-Social Determinants of Health for Veterans. J Gen Intern Med. 2018;33(10):1785-1795. doi: https://doi.org/10.1007/s11606-018-4566-8 CrossRefPubMedPubMedCentral

Levine CA, Jansson DR. Concepts and Terms for Addressing Disparities in Public Health Emergencies: Accounting for the COVID-19 Pandemic and the Social Determinants of Health in the United States. Disaster Med Public Health Prep. 2021:1–7. doi: https://doi.org/10.1017/dmp.2021.181

Rushovich T, Boulicault M, Chen JT, et al. Sex Disparities in COVID-19 Mortality Vary Across US Racial Groups. J Gen Intern Med. 2021;36(6):1696-1701. doi: https://doi.org/10.1007/s11606-021-06699-4 CrossRefPubMedPubMedCentral

Schumm LP, Giurcanu MC, Locey KJ, Ortega JC, Zhang Z, Grossman RL. Racial and ethnic disparities in the observed COVID-19 case fatality rate among the U.S. population. Ann Epidemiol. 2022;74:118-124. doi: https://doi.org/10.1016/j.annepidem.2022.07.010 CrossRefPubMedPubMedCentral

Title: Comparison of Racial and Ethnic Disparities in COVID-19 Mortality Between Veterans Health Administration and US Populations
Authors: Evan M. Shannon, MD, MPH
Taona P. Haderlein, PhD
W. Neil Steers, PhD
Michelle S. Wong, PhD
Donna L. Washington, MD, MPH
Publication date: 22-09-2023
Publisher: Springer International Publishing
Keyword: COVID-19
Published in: Journal of General Internal Medicine
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-023-08430-x

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