scholarly journals Differential Effects of Race/Ethnicity and Social Vulnerability on COVID-19 Positivity, Hospitalization, and Death in the San Francisco Bay Area

Author(s):  
Wendy K. Tam Cho ◽  
David G. Hwang

BACKGROUND: Higher COVID-19 incidence and morbidity have been amply documented for US Black and Hispanic populations but not as clearly for other racial and ethnic groups. Efforts to elucidate the mechanisms underlying racial health disparities can be confounded by the relationship between race/ethnicity and socioeconomic status. OBJECTIVE: Examine race/ethnicity and social vulnerability effects on COVID-19 outcomes in the San Francisco Bay Area, an ethnically and socioeconomically diverse region. DESIGN: Retrospective cohort study. SETTING: Geocoded patient records from the University of California, San Francisco Health system between January 1, 2020 to December 31, 2020. PATIENTS: Patients who underwent polymerase chain reaction testing for COVID-19. EXPOSURES: Race/ethnicity and Social Vulnerability Index (SVI). MAIN MEASURES: COVID-19 test frequency, positivity, hospitalization rates, and mortality. KEY RESULTS: Higher social vulnerability, but not race/ethnicity, was associated with less frequent testing yet a higher likelihood of testing positive. Asian hospitalization rates (11.5\%) were double that of White patients (5.4\%) and exceeded the rates for Black (9.3\%) and Hispanic (6.9\%) groups. A modest relationship between higher hospitalization rates and increasing social vulnerability was evident only for White individuals. The Hispanic group had the lowest mean age at death and thus highest years of expected life lost due to COVID-19. CONCLUSIONS: COVID-19 outcomes were not consistently explained by greater socioeconomic vulnerability. Asian individuals showed disproportionately high rates of hospitalization regardless of socioeconomic status. Study of the San Francisco Bay Area population not only provides valuable insights into the differential contributions of race/ethnicity and social determinants of health to COVID-19 outcomes but also emphasizes that all racial groups have experienced the toll of the pandemic, albeit in different ways and to varying degrees.

PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0233904
Author(s):  
Phum Tachachartvanich ◽  
Sylvia S. Sanchez ◽  
Scarlett L. Gomez ◽  
Esther M. John ◽  
Martyn T. Smith ◽  
...  

2018 ◽  
Author(s):  
Rosemarie M. de la Rosa ◽  
Sylvia S. Sanchez ◽  
Phum Tachachartvanich ◽  
Heather Ruiz ◽  
Scarlett Lin Gomez ◽  
...  

2018 ◽  
Author(s):  
Sylvia S. Sanchez ◽  
Phum Tachachartvanich ◽  
Heather Ruiz ◽  
Frank Z. Stanczyk ◽  
Scarlett Lin Gomez ◽  
...  

1997 ◽  
Vol 1607 (1) ◽  
pp. 147-153 ◽  
Author(s):  
Michael Mauch ◽  
Brian D. Taylor

Detailed trip diary data from a 1990 survey of San Francisco Bay Area residents were used to examine the effects of race/ethnicity on the differences in commuting and household-serving travel among men and women. With respect to travel behavioral differences between men and women, the findings suggest that women do more child chauffeuring and make more household-serving trips than men. This analysis further reveals that these gender differences in commuting behavior extend to household-serving travel and can vary significantly by race/ethnicity in addition to income and household structure. It was found, for example, that commute time differences are highest among whites (4.5 min) and lowest among Hispanics (1.8 min), whereas observed gender differences in average travel time for all trips do not vary much by race or ethnicity. Furthermore, the gender variation in child-serving trips was lowest among Asians and Pacific Islanders (women are 60 percent more likely to make such trips) and highest among whites (women are 223 percent more likely to make such trips). Finally, and in contrast to child-serving travel, women make about 75 percent more grocery trips than men, regardless of race/ethnicity. The analysis suggests, however, that much, although not all, of the racial/ethnic variation in the travel behavior of men and women is probably explained by factors—such as income, employment status, metropolitan location, and automobile availability—that tend to vary systematically by race ethnicity. In general, it was found that gender is a far more robust predictor of child-serving and grocery shopping trips than either race or ethnicity.


PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0213809 ◽  
Author(s):  
Sylvia S. Sanchez ◽  
Phum Tachachartvanich ◽  
Frank Z. Stanczyk ◽  
Scarlett L. Gomez ◽  
Esther M. John ◽  
...  

Vaccines ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1406
Author(s):  
Yingjie Weng ◽  
Di Lu ◽  
Jenna Bollyky ◽  
Vivek Jain ◽  
Manisha Desai ◽  
...  

Objective: The study was designed to compare intentions to receive COVID-19 vaccination by race–ethnicity, to identify beliefs that may mediate the association between race–ethnicity and intention to receive the vaccine and to identify the demographic factors and beliefs most strongly predictive of intention to receive a vaccine. Design: Cross-sectional survey conducted from November 2020 to January 2021, nested within a longitudinal cohort study of the prevalence and incidence of SARS-CoV-2 among a general population-based sample of adults in six San Francisco Bay Area counties (called TrackCOVID). Study Cohort: In total, 3161 participants among the 3935 in the TrackCOVID parent cohort responded. Results: Rates of high vaccine willingness were significantly lower among Black (41%), Latinx (55%), Asian (58%), Multi-racial (59%), and Other race (58%) respondents than among White respondents (72%). Black, Latinx, and Asian respondents were significantly more likely than White respondents to endorse lack of trust of government and health agencies as a reason not to get vaccinated. Participants’ motivations and concerns about COVID-19 vaccination only partially explained racial–ethnic differences in vaccination willingness. Concerns about a rushed government vaccine approval process and potential bad reactions to the vaccine were the two most important factors predicting vaccination intention. Conclusions: Vaccine outreach campaigns must ensure that the disproportionate toll of COVID-19 on historically marginalized racial–ethnic communities is not compounded by inequities in vaccination. Efforts must emphasize messages that speak to the motivations and concerns of groups suffering most from health inequities to earn their trust to support informed decision making.


Author(s):  
Sheigla Murphy ◽  
Paloma Sales ◽  
Micheline Duterte ◽  
Camille Jacinto

2020 ◽  
Vol 14 (2) ◽  
pp. 44-66
Author(s):  
José Ramón Lizárraga ◽  
Arturo Cortez

Researchers and practitioners have much to learn from drag queens, specifically Latinx queens, as they leverage everyday queerness and brownness in ways that contribute to pedagogy locally and globally, individually and collectively. Drawing on previous work examining the digital queer gestures of drag queen educators (Lizárraga & Cortez, 2019), this essay explores how non-dominant people that exist and fluctuate in the in-between of boundaries of gender, race, sexuality, the physical, and the virtual provide pedagogical overtures for imagining and organizing for new possible futures that are equitable and just. Further animated by Donna Haraway’s (2006) influential feminist post-humanist work, we interrogate how Latinx drag queens as cyborgs use digital technologies to enhance their craft and engage in powerful pedagogical moves. This essay draws from robust analyses of the digital presence of and interviews with two Latinx drag queens in the San Francisco Bay Area, as well as the online presence of a Xicanx doggie drag queen named RuPawl. Our participants actively drew on their liminality to provoke and mobilize communities around socio-political issues. In this regard, we see them engaging in transformative public cyborg jotería pedagogies that are made visible and historicized in the digital and physical world.


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