Open AccessRacial Disparities in the Epidemiology of COVID-19 in Georgia: Trends Since State-Wide Reopening
Author(s) -
Grace F. Porter,
Koosh Desai,
Varghese George,
Steven S. Coughlin,
Justin Xavier Moore
Publication year - 2021
Publication title -
health equity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.826
H-Index - 9
ISSN - 2473-1242
DOI - 10.1089/heq.2020.0089
Subject(s) - interquartile range , demography , medicine , odds ratio , confidence interval , quartile , epidemiology , population , incidence (geometry) , odds , covid-19 , pandemic , logistic regression , geography , gerontology , environmental health , disease , infectious disease (medical specialty) , physics , sociology , optics
Objective: To examine county-level factors associated with coronavirus disease 2019 (COVID-19) incidence and mortality in Georgia, focusing on changes after relaxation of "shelter-in-place" orders on April 24, 2020. Methods: County-level data on confirmed COVID-19 cases and deaths were obtained from the Johns Hopkins 2019 Novel Coronavirus Data Repository and linked with county-level data from the 2020 County Health Rankings. We examined associations of county-level factors with mortality and incidence rates (quantiles) using a logistic regression model. This research was conducted in June-July 2020 in Augusta, GA. Results: Counties in the highest quartile for mortality had higher proportions of non-Hispanic (NH)-Black residents (median: 37.4%; interquartile range [IQR]: 29.5-45.0; p <0.01) and residents with incomes less than $20,000 (median: 32.9%; IQR: 26.6-35.0; p <0.01). Counties in the highest quartile for NH-Black residents (38.7-78.0% NH-Black population) showed a 13-fold increase in odds (odds ratio=13.15, 95% confidence interval=1.40-123.80, p =0.05) for increased COVID-19 mortality controlling for income. Conclusions: Although highlighted by the pandemic, racial disparities predated COVID-19, exposing the urgency for diversion of resources to address the systematic residential segregation, educational gaps, and poverty levels experienced disproportionately by Black communities.