Intersectional Disparities Among Hispanic Groups in COVID-19 Outcomes

J Immigr Minor Health. 2021 Feb;23(1):4-10. doi: 10.1007/s10903-020-01111-5. Epub 2020 Oct 22.

Abstract

Previous geographically limited studies have shown differential impact of COVID-19 on Hispanic individuals. Data were obtained from the Centers for Disease Control and Prevention. We performed multivariate Poisson regression assessing risk of hospitalization and death in Hispanic White (HW), Hispanic Black (HB), and Hispanic Multiracial/Other (HM) groups compared to non-Hispanic Whites (NHW). The relative risk of hospitalization was 1.35, 1.58, and 1.50 (p < 0.001) for HW, HB, and HM individuals respectively when compared to NHW. Relative risk of death was 1.36, 1.72, 1.68 (p < 0.001) times higher in HW, HB, and HM compared to NHW. HW, HB, and HM individuals also had significantly increased risk of requiring mechanical ventilation and ICU admission when compared to NHW. Hispanic individuals are more likely to be hospitalized and die from COVID-19 infection than White, which underscores the need for more precise data and policies aimed at unique Hispanic groups to decrease disparities.

Keywords: COVID-19; Disparities; Hispanic; Intersectionality.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19 / ethnology*
  • COVID-19 / mortality
  • COVID-19 / therapy
  • Child
  • Child, Preschool
  • Female
  • Healthcare Disparities / ethnology*
  • Healthcare Disparities / statistics & numerical data
  • Hispanic or Latino / statistics & numerical data*
  • Hospitalization / statistics & numerical data
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Poisson Distribution
  • Racial Groups / ethnology
  • Racial Groups / statistics & numerical data
  • Risk Factors
  • Treatment Outcome
  • United States
  • Young Adult