Racial/ethnic minority and neighborhood disadvantage leads to disproportionate mortality burden and years of potential life lost due to COVID-19 in Chicago, Illinois.

Journal Article (Journal Article)

Epidemiological studies have highlighted the disparate impact of coronavirus disease 2019 (COVID-19) on racial and ethnic minority and socioeconomically disadvantaged populations, but data at the neighborhood-level is sparse. The objective of this study was to investigate the disparate impact of COVID-19 on disadvantaged neighborhoods and racial/ethnic minorities in Chicago, Illinois. Using data from the Cook County Medical Examiner, we conducted a neighborhood-level analysis of COVID-19 decedents in Chicago and quantified age-standardized years of potential life lost (YPLL) due to COVID-19 among demographic subgroups and neighborhoods with geospatial clustering of high and low rates of COVID-19 mortality. We show that age-standardized YPLL was markedly higher among the non-Hispanic (NH) Black (559 years per 100,000 population) and the Hispanic (811) compared with NH white decedents (312). We demonstrate that geomapping using residential address data at the individual-level identifies hot-spots of COVID-19 mortality in neighborhoods on the Northeast, West, and South areas of Chicago that reflect a legacy of residential segregation and persistence of inequality in education, income, and access to healthcare. Our results may contribute to ongoing public health and community-engaged efforts to prevent the spread of infection and mitigate the disproportionate loss of life among these communities due to COVID-19 as well as highlight the urgent need to broadly target neighborhood disadvantage as a cause of pervasive racial inequalities in life and health.

Full Text

Duke Authors

Cited Authors

  • Pierce, JB; Harrington, K; McCabe, ME; Petito, LC; Kershaw, KN; Pool, LR; Allen, NB; Khan, SS

Published Date

  • March 2021

Published In

Volume / Issue

  • 68 /

Start / End Page

  • 102540 -

PubMed ID

  • 33647635

Pubmed Central ID

  • PMC7894217

Electronic International Standard Serial Number (EISSN)

  • 1873-2054

International Standard Serial Number (ISSN)

  • 1353-8292

Digital Object Identifier (DOI)

  • 10.1016/j.healthplace.2021.102540

Language

  • eng