Background And Aims: This study examined disparities in hospitalization for COVID-19 within the U.S. by racial and ethnic groups, health insurance status, and social support structure.
Methods: Using publicly available ecological case and contextual data from July 2020 to April 2021, a longitudinal hierarchical model for the 51 U.S. states was constructed.
Results: Racial/ethnic disparities were observed, such as that hospitalization rates were higher in states with a higher percentage of Black ( = .002, = .009) and American Indian or Alaska Native persons ( = .003, = .03). Conversely, lack of health insurance was related to a lower hospitalization rate ( = -.005, = .002), and so was a stronger social support system ( = -.015, = .05).
Conclusion: These differences suggest disparities in COVID-19 incidence, symptom severity, and demand for hospital care. Understanding how they contribute to geographic differences in hospitalization can help guide public health decisions and resource allocation to address COVID-19-related health inequalities.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8738970 | PMC |
| http://dx.doi.org/10.1002/hsr2.441 | DOI Listing |
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