Improving Health Equity for Black Communities in the Face of Coronavirus Disease-2019
DOI:
https://doi.org/10.17140/PHOJ-5-146Keywords:
Health disparities; COVID-19; Minorities; Health equity; Black communities.Abstract
The impact of coronavirus disease-2019 (COVID-19) in the U.S. to date is staggering and Blacks across the country are being infected and dying at rates far in excess of Whites. Although health disparities have been part of America’s reality for decades, the pandemic has exposed the failure of the healthcare system to adequately serve minority patients. There are immediate solu-tions that can help to balance the inequity now and position us well for the future. Five suggested solutions are described which focus on greater inclusion of Blacks in activities such as clinical trials, encouraging community-based resources and providing comprehensive racial data on COVID-19 cases. We are not all in the fight against COVID-19 together. Solutions must be adopt-ed to help to address the current disparities now as well as beyond the immediate crisis.
References
Centers for Disease Control and Prevention (CDC). Web site. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-pre-cautions/racial-ethnic-minorities.html. Accessed June 1, 2020.
Centers for Disease Control and Prevention (CDC). Cases in the U.S. Web site. https://www.cdc.gov/coronavirus/2019-ncov/ cases-updates/cases-in-us.html. Accessed June 1, 2020.
Illinois Department of Public Health (IDPH). Coronavirus Disease 2019 (COVID-19), Statistics. Web site. https://www.dph. illinois.gov/covid19/covid19-statistics. Updated April 20, 2020. Accessed June 1, 2020.
Yancy CW. COVID-19 and African Americans. JAMA. 2020; 323(19): 1891-1892. doi: 10.1001/jama.2020.6548
Bowley, L. We’re not all in this together: On COVID-19, in-tersectionality,and structural inequality. Am J Public Health. 2020; 110(7): 917. doi: 10.2105/AJPH.2020.305766
Hooper MW, Nápoles AM, Pérez-Stable EJ. COVID-19 and ra-cial/ethnic disparities. JAMA. 2020. doi: 10.1001/jama.2020.8598
Stringhini S, Carmeli C, Jokela M, Avendaño M, Muennig P, Guida F, et al. Socioeconomic status and the 25×25 risk factors as determinants of premature mortality: A multicohort study and meta-analysis of 1• 7 million men and women. Lancet. 2017; 389(10075): 1229-1237. doi: 10.1016/S0140-6736(16)32380-7
Virani SS, Brautbar A, Davis BC, Nambi V, Hoogeveen RC, Sharrett AR, et al. Associations between lipoprotein (a) levels and cardiovascular outcomes in black and white subjects: The Ather-osclerosis Risk in Communities (ARIC) Study. Circulation. 2012; 125(2): 241-249. doi: 10.1161/CIRCULATIONAHA.111.045120
Richardson S, Hirsch JS, Narasimhan M, Crawford JM, Mcginn T, Davidson KW, et al. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York City area. JAMA. 2020; 323: 2052-2059. doi:
1001/jama.2020.6775 10. Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L, et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney Int. 2020; 97(5): 829-838. doi: 10.1016/j. kint.2020.03.005
Van Dorn A, Cooney RE, Sabin ML. COVID-19 exacerbating inequalities in the US. Lancet. 2020; 395(10232): 1243-1244. doi: 10.1016/S0140-6736(20)30893-X
Stepanikova I, Oates G. Perceived discrimination and privi-lege in health care: The role of socioeconomic status and race. Am J Prev Med. 2017; 52(1 Suppl 1): S86-S94. doi: 10.1016/j.ame-pre.2016.09.024
Schpero WL, Morden NE, Sequist TD, Rosenthal MB, Gottlieb DJ, Colla GH. For selected services, blacks and Hispanics more Submit your article to this journal | https://openventio.org/submit-manuscript/ Greener JR et al likely to receive low-value care than whites. Health Aff. 2017; 36(6): 1065-1069. doi: 10.1377/hlthaff.2016.1416
Laurencin CT, Murray M. An American crisis: the lack of black men in medicine. J Racial Ethn Health Disparities. 2017;4(3):317- 321. Ray R. Why are Blacks dying at higher rates from COVID-19? Brookings. April 9, 2020. Web site. https://www.brookings.edu/ blog/fixgov/2020/04/09/why-are-blacks-dying-at-higher-rates-from-covid-19/. Accessed June 1, 2020.
Hagiwara N, Dovidio JF, Eggly S, Penner LA. The effects of racial attitudes on affect and engagement in racially discord-ant medical interactions between non-Black physicians and Black patients. Group Process Intergroup Relat. 2016; 19(4): 509-527. doi: 10.1177/1368430216641306
Emanuel EJ, Persad G, Upshur R, Thome B, Parker M, Glick-man A, et al. Fair allocation of scarce medical resources in the time of Covid-19. N Engl J Med. 2020; 382: 2049-2055. doi: 10.1056/ NEJMsb2005114
PEW Research Center. Health concerns from COVID-19 much higher among Hispanics and blacks than whites. Web site. https:// www.people-press.org/2020/04/14/health-concerns-from-covid-19-much-higher-among-hispanics-and-blacks-than-whites/. Ac-cessed June 1, 2020.
Duma N, Aguilera JV, Paludo J, Haddox CL, Velez MG, Wang Y, et al. Representation of minorities and women in oncology clin-ical trials: Review of the past 14 years. J Oncol Pract. 2018: 14(1): e1-e10. doi: 10.1200/JOP.2017.025288
Surgo Foundation. The COVID-19 Community Vulnerability Index (CCVI). Web site.. https://precisionforcovid.org/ccvi. Ac-cessed June 1, 2020.
Cummings MJ, Baldwin MR, Abrams D, Jacobson SD, Meyer BJ, Balough EM, et al. Epidemiology, clinical course, and outcomes of critically ill adults with COVID-19 in New York City: A pro-spective cohort study. Lancet. 2020: 395(10239): 1763-1770. doi: 10.1016/S0140-6736(20)31189-2
Braithwaite R, Warren R. The African American petri dish. J Health Care Poor Underserved. 2020; 31(2): 491-502. doi: 10.1353/ hpu.0.0026 Mini Review | Volume 5 | Number 2 |
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