Inequalities in COVID-19 rates in adults with kidney failure in New York City

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In an analysis of hemodialysis patients in New York City, there were significant racial / ethnic disparities in COVID-19 rates that were not explained by the social vulnerability of the neighborhood. The findings appear in an upcoming issue of JASN.

The COVID-19 pandemic has disproportionately affected socially disadvantaged groups, including black and Hispanic individuals, those with limited English proficiency, and people with low socioeconomic status. To examine possible racial / ethnic and socioeconomic disparities in COVID-19 in individuals with who are undergoing hemodialysis (which puts them at risk of acquiring COVID-19 because they travel several times a week for treatment in a congregated setting), Sri Lekha Tummalapalli, MD, MBA, MAS (Weill Cornell Medicine and The Rogosin Institute) and colleagues analyzed information on 1,378 patients receiving hemodialysis at the center in New York City between March 1, 2020 and August 3, 2020.

A total of 247 patients (17.9%) developed symptomatic COVID-19. Compared with non-Hispanic white patients, non-Hispanic black patients and Hispanic patients were 1.76 times and 2.66 times more likely to develop symptomatic COVID-19, respectively, after adjustments. “Racial / in the incidence of COVID-19 among patients on hemodialysis largely reflects community transmission patterns, and probably reflects the spread of the neighborhood to this vulnerable population, ”Dr. Tummalapali said.

The researchers found that social vulnerability factors in the neighborhood, such as income, level of education, languages ​​spoken, and housing overcrowding, are associated with the incidence of COVID-19 in non-Hispanic white patients. , but these factors do not explain racial / ethnic disparities. Black and Hispanic patients on hemodialysis had an excessive risk of acquiring COVID-19, regardless of the neighborhood in which they lived.

“These results suggest that other unmeasured family and community exposures contribute to racial / ethnic disparities in the acquisition of COVID-19,” Dr. Tummalapalli said. “Understanding the factors driving disparities could inform policies and interventions designed to mitigate disparities.”


Racial / ethnic disparities vary in hospitalization for COVID-19


More information:
Sri Lekha Tummalapalli et al, Racial and neighborhood disparities in the incidence of COVID-19 among hemodialysis patients in New York City, Journal of the American Society of Nephrology (2021). DOI: 10.1681 / ASN.2020111606

Citation: Inequalities in COVID-19 Rates Among Adults with Kidney Failure in New York City (2021, June 4) Retrieved June 5, 2021 at https://medicalxpress.com/news/2021-06-disparities -covid-adults-kidney-failure .html

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