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COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota

INTRODUCTION: Recent research underscores the exceptionally young age distribution of COVID-19 deaths in the U.S. compared with that of international peers. This paper characterizes how high levels of COVID-19 mortality at midlife ages (45–64 years) are deeply intertwined with continuing racial ineq...

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Autores principales: Wrigley-Field, Elizabeth, Berry, Kaitlyn M., Stokes, Andrew C., Leider, Jonathon P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Journal of Preventive Medicine. Published by Elsevier Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622467/
https://www.ncbi.nlm.nih.gov/pubmed/36653101
http://dx.doi.org/10.1016/j.amepre.2022.08.005
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author Wrigley-Field, Elizabeth
Berry, Kaitlyn M.
Stokes, Andrew C.
Leider, Jonathon P.
author_facet Wrigley-Field, Elizabeth
Berry, Kaitlyn M.
Stokes, Andrew C.
Leider, Jonathon P.
author_sort Wrigley-Field, Elizabeth
collection PubMed
description INTRODUCTION: Recent research underscores the exceptionally young age distribution of COVID-19 deaths in the U.S. compared with that of international peers. This paper characterizes how high levels of COVID-19 mortality at midlife ages (45–64 years) are deeply intertwined with continuing racial inequity in COVID-19 mortality. METHODS: Mortality data from Minnesota in 2020–2022 were analyzed in June 2022. Death certificate data (COVID-19 deaths N=12,771) and published vaccination rates in Minnesota allow vaccination and mortality rates to be observed with greater age and temporal precision than national data. RESULTS: Black, Hispanic, and Asian adults aged <65 years were all more highly vaccinated than White populations of the same ages during most of Minnesota's substantial and sustained Delta surge and all the subsequent Omicron surges. However, White mortality rates were lower than those of all other groups. These disparities were extreme; at midlife ages (ages 45–64 years), during the Omicron period, more highly vaccinated populations had COVID-19 mortality that was 164% (Asian-American), 115% (Hispanic), or 208% (Black) of White COVID-19 mortality at these ages. In Black, Indigenous, and People of Color populations as a whole, COVID-19 mortality at ages 55–64 years was greater than White mortality at 10 years older. CONCLUSIONS: This discrepancy between vaccination and mortality patterning by race/ethnicity suggests that if the current period is a pandemic of the unvaccinated, it also remains a pandemic of the disadvantaged in ways that can decouple from vaccination rates. This result implies an urgent need to center health equity in the development of COVID-19 policy measures.
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spelling pubmed-96224672022-11-01 COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota Wrigley-Field, Elizabeth Berry, Kaitlyn M. Stokes, Andrew C. Leider, Jonathon P. Am J Prev Med Research BRIEF INTRODUCTION: Recent research underscores the exceptionally young age distribution of COVID-19 deaths in the U.S. compared with that of international peers. This paper characterizes how high levels of COVID-19 mortality at midlife ages (45–64 years) are deeply intertwined with continuing racial inequity in COVID-19 mortality. METHODS: Mortality data from Minnesota in 2020–2022 were analyzed in June 2022. Death certificate data (COVID-19 deaths N=12,771) and published vaccination rates in Minnesota allow vaccination and mortality rates to be observed with greater age and temporal precision than national data. RESULTS: Black, Hispanic, and Asian adults aged <65 years were all more highly vaccinated than White populations of the same ages during most of Minnesota's substantial and sustained Delta surge and all the subsequent Omicron surges. However, White mortality rates were lower than those of all other groups. These disparities were extreme; at midlife ages (ages 45–64 years), during the Omicron period, more highly vaccinated populations had COVID-19 mortality that was 164% (Asian-American), 115% (Hispanic), or 208% (Black) of White COVID-19 mortality at these ages. In Black, Indigenous, and People of Color populations as a whole, COVID-19 mortality at ages 55–64 years was greater than White mortality at 10 years older. CONCLUSIONS: This discrepancy between vaccination and mortality patterning by race/ethnicity suggests that if the current period is a pandemic of the unvaccinated, it also remains a pandemic of the disadvantaged in ways that can decouple from vaccination rates. This result implies an urgent need to center health equity in the development of COVID-19 policy measures. American Journal of Preventive Medicine. Published by Elsevier Inc. 2023-02 2022-11-01 /pmc/articles/PMC9622467/ /pubmed/36653101 http://dx.doi.org/10.1016/j.amepre.2022.08.005 Text en © 2022 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Research BRIEF
Wrigley-Field, Elizabeth
Berry, Kaitlyn M.
Stokes, Andrew C.
Leider, Jonathon P.
COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota
title COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota
title_full COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota
title_fullStr COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota
title_full_unstemmed COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota
title_short COVID-19 Vaccination and Racial/Ethnic Inequities in Mortality at Midlife in Minnesota
title_sort covid-19 vaccination and racial/ethnic inequities in mortality at midlife in minnesota
topic Research BRIEF
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622467/
https://www.ncbi.nlm.nih.gov/pubmed/36653101
http://dx.doi.org/10.1016/j.amepre.2022.08.005
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