Structural Inequality and COVID-19 Mortality in Chicago: An Ecological Analysis.
Background: Prior studies establish that Black neighborhoods and older persons experience higher rates of COVID-19 death than white neighborhoods and younger persons. However, such works point to the effect of age on COVID-19 mortality and the racial and ethnic inequalities present in COVID-19 death...
| Publicado en: | Journal of Racial & Ethnic Health Disparities Vol. 10; no. 6; pp. 2620 - 2630 |
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| Autores principales: | , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173624084&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173624084 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21973792 GQHQ jtl: Journal of Racial & Ethnic Health Disparities issn: 21973792 maglogo: N pubinfo: dt: Dec2023 vid: 10 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 173624084 160093645 173624084 173624084 10.1007/s40615-022-01440-1 173624084 ppf: 2620 ppct: 10 formats: tig: atl: Structural Inequality and COVID-19 Mortality in Chicago: An Ecological Analysis. aug: au: Patterson, Evelyn J. Johnson, Lallen T. affil: https://ror.org/02vm5rt34 Department of Sociology, Vanderbilt University, Nashville, TN, USA sug: subj: COVID-19 Mortality Healthcare Disparities Racism Geographic Factors Age Factors African Americans Psychosocial Factors Human Illinois Data Analysis Software Descriptive Statistics Poisson Distribution ab: Background: Prior studies establish that Black neighborhoods and older persons experience higher rates of COVID-19 death than white neighborhoods and younger persons. However, such works point to the effect of age on COVID-19 mortality and the racial and ethnic inequalities present in COVID-19 deaths as independent vectors of inequality, neglecting to consider the multiplicative impact of structural conditions. Methods: Using weekly ZIP code counts of deaths from March 2020 through July 2021 from the Chicago Department of Public Health (n = 4168) and measures of structural characteristics derived from the 5-year estimates of the 2019 American Community Survey, the current study examined how place, racial composition, and the age structure of communities act in tandem to shape the number of deaths due to COVID-19. We used STATA to estimate negative binomial models predictive of COVID-19 mortality. Results: Findings from our statistical analysis revealed that in predominately Black neighborhoods, racial composition amplified the association of age structure (65 +) on COVID-19 mortality by 40%. Neighborhoods that were not predominately black did not show this multiplicative risk of death. Our findings underscore that the elevated risk of death in in older Black communities is attributed to historic and contemporary structural inequality. Conclusions: Although society typically frames pandemics as natural disasters, doing such undermines dimensions of marginalization that amplify vulnerability among select populations. To begin eliminating such inequalities, the USA must deal with the entrenched limitations of institutions that render unequal attention and care to sectors of its population. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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