Pacific Islanders in the Era of COVID-19: an Overlooked Community in Need

被引:12
作者
Cha, Leah [1 ]
Le, Thomas [2 ]
Ve'e, Taunuu [3 ]
Ah Soon, Natalie T. [4 ]
Tseng, Winston [5 ]
机构
[1] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA
[2] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[3] Reg Pacific Islander Taskforce, Hayward, CA USA
[4] RAMS Inc, San Francisco, CA USA
[5] Univ Calif Berkeley, Berkeley Publ Hlth, Berkeley Publ Hlth, 2199 Addison St Room 435, Berkeley, CA USA
关键词
COVID-19; Epidemics; Pacific Islander; Racial disparities; Health equity; ASIAN-AMERICANS; HEALTH-CARE; DISPARITIES;
D O I
10.1007/s40615-021-01075-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Pacific Islanders (PIs), an indigenous, diverse population in the USA, have endured generational burdens of Western colonization and institutional racism that placed this population at socioeconomic and health disadvantages, such as in poverty, chronic disease, and now COVID-19. However, little is known about the impact of COVID-19 on this historically disadvantaged population. This study assessed the extent US PIs have been adversely affected by COVID-19 across the 50 states. Methods Using state-level national data as of September 9th, 2020, we conducted a secondary-data analysis of COVID-19 cases and deaths in PIs relative to their population representation and other racial groups, case odds ratios, and age-adjusted standard mortality ratios. Key Results Only 46% of states reported PI cases and 36% of states reported PI deaths. Of 23 states with available data on PIs, PIs were overrepresented in COVID-19 cases and deaths relative to their population representation in 21 and 14 states, respectively. The proportion of COVID-19 cases and deaths to the PI population was highest among all racial groups in 15 and 9 states, respectively. PIs had higher odds of exposure to COVID-19 than Whites in 21 of 23 states, and higher number of observed deaths than expected in 6 of 7 states with available PI data. Conclusions Engaging PI community-based and faith-based organizations in medical and public health outreach efforts, health workforce employment and training programs, along with granular data collection and reporting, are vital to mitigate the disproportionate effects of COVID-19 on this population.
引用
收藏
页码:1347 / 1356
页数:10
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