COVID-19-Specific Mortality among World Trade Center Health Registry Enrollees Who Resided in New York City.
Int J Environ Res Public Health
; 19(21)2022 Nov 02.
Статья
в английский
| MEDLINE | ID: covidwho-2099512
ABSTRACT
We examined the all-cause and COVID-19-specific mortality among World Trade Center Health Registry (WTCHR) enrollees. We also examined the socioeconomic factors associated with COVID-19-specific death. Mortality data from the NYC Bureau of Vital Statistics between 2015-2020 were linked to the WTCHR. COVID-19-specific death was defined as having positive COVID-19 tests that match to a death certificate or COVID-19 mentioned on the death certificate via text searching. We conducted step change and pulse regression to assess excess deaths. Limiting to those who died in 2019 (n = 210) and 2020 (n = 286), we examined factors associated with COVID-19-specific deaths using multinomial logistic regression. Death rate among WTCHR enrollees increased during the pandemic (RR 1.70, 95% CL 1.25-2.32), driven by the pulse in March-April 2020 (RR 3.38, 95% CL 2.62-4.30). No significantly increased death rate was observed during May-December 2020. Being non-Hispanic Black and having at least one co-morbidity had a higher likelihood of COVID-19-associated mortality than being non-Hispanic White and not having any co-morbidity (AOR 2.43, 95% CL 1.23-4.77; AOR 2.86, 95% CL 1.19-6.88, respectively). The racial disparity in COVID-19-specific deaths attenuated after including neighborhood proportion of essential workers in the model (AOR1.98, 95% CL 0.98-4.01). Racial disparities continue to impact mortality by differential occupational exposure and structural inequality in neighborhood representation. The WTC-exposed population are no exception. Continued efforts to reduce transmission risk in communities of color is crucial for addressing health inequities.
ключевые слова
Полный текст:
Имеется в наличии
Коллекция:
Международные базы данных
база данных:
MEDLINE
Основная тема:
September 11 Terrorist Attacks
/
COVID-19
Тип исследования:
Наблюдательное исследование
/
Прогностическое исследование
Пределы темы:
Люди
Страна как тема:
Северная Америка
Язык:
английский
Год:
2022
Тип:
Статья
Аффилированная страна:
Ijerph192114348
Документы, близкие по теме
MEDLINE
...
LILACS
LIS