Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020

Abstract Background The COVID-19 pandemic has further exposed inequities in our society, demonstrated by disproportionate COVID-19 infection rate and mortality in communities of color and low-income communities. One key area of inequity that has yet to be explored is disparities based on preferred l...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hannah Cohen-Cline, Hsin-Fang Li, Monique Gill, Fatima Rodriguez, Tina Hernandez-Boussard, Harry Wolberg, Jacob Lippa, Keri Vartanian
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	COVID-19 disparity Preferred language Race/ethnicity Social factors Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e472d09bfe254b35b841ffb3b4f5ce01
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e472d09bfe254b35b841ffb3b4f5ce01
record_format	dspace
spelling	oai:doaj.org-article:e472d09bfe254b35b841ffb3b4f5ce012021-11-21T12:11:13ZMajor disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 202010.1186/s12889-021-12171-z1471-2458https://doaj.org/article/e472d09bfe254b35b841ffb3b4f5ce012021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12171-zhttps://doaj.org/toc/1471-2458Abstract Background The COVID-19 pandemic has further exposed inequities in our society, demonstrated by disproportionate COVID-19 infection rate and mortality in communities of color and low-income communities. One key area of inequity that has yet to be explored is disparities based on preferred language. Methods We conducted a retrospective cohort study of 164,368 adults tested for COVID-19 in a large healthcare system across Washington, Oregon, and California from March – July 2020. Using electronic health records, we constructed multi-level models that estimated the odds of testing positive for COVID-19 by preferred language, adjusting for age, race/ethnicity, and social factors. We further investigated interaction between preferred language and both race/ethnicity and state. Analysis was performed from October–December 2020. Results Those whose preferred language was not English had higher odds of having a COVID-19 positive test (OR 3.07, p < 0.001); this association remained significant after adjusting for age, race/ethnicity, and social factors. We found significant interaction between language and race/ethnicity and language and state, but the odds of COVID-19 test positivity remained greater for those whose preferred language was not English compared to those whose preferred language was English within each race/ethnicity and state. Conclusions People whose preferred language is not English are at greater risk of testing positive for COVID-19 regardless of age, race/ethnicity, geography, or social factors – demonstrating a significant inequity. Research demonstrates that our public health and healthcare systems are centered on English speakers, creating structural and systemic barriers to health. Addressing these barriers are long overdue and urgent for COVID-19 prevention.Hannah Cohen-ClineHsin-Fang LiMonique GillFatima RodriguezTina Hernandez-BoussardHarry WolbergJacob LippaKeri VartanianBMCarticleCOVID-19 disparityPreferred languageRace/ethnicitySocial factorsPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 disparity Preferred language Race/ethnicity Social factors Public aspects of medicine RA1-1270
spellingShingle	COVID-19 disparity Preferred language Race/ethnicity Social factors Public aspects of medicine RA1-1270 Hannah Cohen-Cline Hsin-Fang Li Monique Gill Fatima Rodriguez Tina Hernandez-Boussard Harry Wolberg Jacob Lippa Keri Vartanian Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
description	Abstract Background The COVID-19 pandemic has further exposed inequities in our society, demonstrated by disproportionate COVID-19 infection rate and mortality in communities of color and low-income communities. One key area of inequity that has yet to be explored is disparities based on preferred language. Methods We conducted a retrospective cohort study of 164,368 adults tested for COVID-19 in a large healthcare system across Washington, Oregon, and California from March – July 2020. Using electronic health records, we constructed multi-level models that estimated the odds of testing positive for COVID-19 by preferred language, adjusting for age, race/ethnicity, and social factors. We further investigated interaction between preferred language and both race/ethnicity and state. Analysis was performed from October–December 2020. Results Those whose preferred language was not English had higher odds of having a COVID-19 positive test (OR 3.07, p < 0.001); this association remained significant after adjusting for age, race/ethnicity, and social factors. We found significant interaction between language and race/ethnicity and language and state, but the odds of COVID-19 test positivity remained greater for those whose preferred language was not English compared to those whose preferred language was English within each race/ethnicity and state. Conclusions People whose preferred language is not English are at greater risk of testing positive for COVID-19 regardless of age, race/ethnicity, geography, or social factors – demonstrating a significant inequity. Research demonstrates that our public health and healthcare systems are centered on English speakers, creating structural and systemic barriers to health. Addressing these barriers are long overdue and urgent for COVID-19 prevention.
format	article
author	Hannah Cohen-Cline Hsin-Fang Li Monique Gill Fatima Rodriguez Tina Hernandez-Boussard Harry Wolberg Jacob Lippa Keri Vartanian
author_facet	Hannah Cohen-Cline Hsin-Fang Li Monique Gill Fatima Rodriguez Tina Hernandez-Boussard Harry Wolberg Jacob Lippa Keri Vartanian
author_sort	Hannah Cohen-Cline
title	Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
title_short	Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
title_full	Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
title_fullStr	Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
title_full_unstemmed	Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020
title_sort	major disparities in covid-19 test positivity for patients with non-english preferred language even after accounting for race and social factors in the united states in 2020
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e472d09bfe254b35b841ffb3b4f5ce01
work_keys_str_mv	AT hannahcohencline majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020 AT hsinfangli majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020 AT moniquegill majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020 AT fatimarodriguez majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020 AT tinahernandezboussard majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020 AT harrywolberg majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020 AT jacoblippa majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020 AT kerivartanian majordisparitiesincovid19testpositivityforpatientswithnonenglishpreferredlanguageevenafteraccountingforraceandsocialfactorsintheunitedstatesin2020
_version_	1718419157535424512

Major disparities in COVID-19 test positivity for patients with non-English preferred language even after accounting for race and social factors in the United States in 2020

Ejemplares similares