文章基本信息

标题：Pre-existing conditions in Hispanics/Latinxs that are COVID-19 risk factors
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作者：Timothy S. Chang ; Yi Ding ; Malika K. Freund 等
期刊名称：iScience
印刷版ISSN：2589-0042
出版年度：2021
卷号：24
期号：3
页码：1-24
DOI：10.1016/j.isci.2021.102188
语种：English
出版社：Elsevier
摘要：SummaryCoronavirus disease 2019 (COVID-19) has exposed health care disparities in minority groups including Hispanics/Latinxs (HL). Studies of COVID-19 risk factors for HL have relied on county-level data. We investigated COVID-19 risk factors in HL using individual-level, electronic health records in a Los Angeles health system between March 9, 2020, and August 31, 2020. Of 9,287 HL tested for SARS-CoV-2, 562 were positive. HL constituted an increasing percentage of all COVID-19 positive individuals as disease severity escalated. Multiple risk factors identified in Non-Hispanic/Latinx whites (NHL-W), like renal disease, also conveyed risk in HL. Pre-existing nonrheumatic mitral valve disorder was a risk factor for HL hospitalization but not for NHL-W COVID-19 or HL influenza hospitalization, suggesting it may be a specific HL COVID-19 risk. Admission laboratory values also suggested that HL presented with a greater inflammatory response. COVID-19 risk factors for HL can help guide equitable government policies and identify at-risk populations.Graphical abstractDisplay OmittedHighlights•Hispanics/Latinxs (HL) had worse COVID-19 outcomes than Non-HL whites (NHL-W)•The worse HL outcomes remained after correcting for common comorbid risk factors•Most risk factors were shared, but mitral valve disorder was only a risk in HL•Hospitalized HL presented with a greater inflammatory responsePublic health; virology