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

Publication ,  Journal Article
Pierce, JB; Harrington, K; McCabe, ME; Petito, LC; Kershaw, KN; Pool, LR; Allen, NB; Khan, SS
Published in: Health & place
March 2021

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.

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Published In

Health & place

DOI

EISSN

1873-2054

ISSN

1353-8292

Publication Date

March 2021

Volume

68

Start / End Page

102540

Related Subject Headings

  • Residence Characteristics
  • Racial Groups
  • Quality-Adjusted Life Years
  • Public Health
  • Minority Groups
  • Male
  • Humans
  • Female
  • Ethnicity
  • Chicago
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pierce, J. B., Harrington, K., McCabe, M. E., Petito, L. C., Kershaw, K. N., Pool, L. R., … Khan, S. S. (2021). Racial/ethnic minority and neighborhood disadvantage leads to disproportionate mortality burden and years of potential life lost due to COVID-19 in Chicago, Illinois. Health & Place, 68, 102540. https://doi.org/10.1016/j.healthplace.2021.102540
Pierce, Jacob B., Katharine Harrington, Megan E. McCabe, Lucia C. Petito, Kiarri N. Kershaw, Lindsay R. Pool, Norrina B. Allen, and Sadiya S. Khan. “Racial/ethnic minority and neighborhood disadvantage leads to disproportionate mortality burden and years of potential life lost due to COVID-19 in Chicago, Illinois.Health & Place 68 (March 2021): 102540. https://doi.org/10.1016/j.healthplace.2021.102540.
Pierce JB, Harrington K, McCabe ME, Petito LC, Kershaw KN, Pool LR, et al. Racial/ethnic minority and neighborhood disadvantage leads to disproportionate mortality burden and years of potential life lost due to COVID-19 in Chicago, Illinois. Health & place. 2021 Mar;68:102540.
Pierce, Jacob B., et al. “Racial/ethnic minority and neighborhood disadvantage leads to disproportionate mortality burden and years of potential life lost due to COVID-19 in Chicago, Illinois.Health & Place, vol. 68, Mar. 2021, p. 102540. Epmc, doi:10.1016/j.healthplace.2021.102540.
Pierce JB, Harrington K, McCabe ME, Petito LC, Kershaw KN, Pool LR, Allen NB, Khan SS. Racial/ethnic minority and neighborhood disadvantage leads to disproportionate mortality burden and years of potential life lost due to COVID-19 in Chicago, Illinois. Health & place. 2021 Mar;68:102540.
Journal cover image

Published In

Health & place

DOI

EISSN

1873-2054

ISSN

1353-8292

Publication Date

March 2021

Volume

68

Start / End Page

102540

Related Subject Headings

  • Residence Characteristics
  • Racial Groups
  • Quality-Adjusted Life Years
  • Public Health
  • Minority Groups
  • Male
  • Humans
  • Female
  • Ethnicity
  • Chicago