HealthDay News — Racial differences in COVID-19 death rates are explained by adverse social determinants of health, including education and poverty, according to a study published Jan. 5 in the Journal of Racial and Ethnic Health Disparities.
Ankur K. Dalsania, from the Rutgers New Jersey Medical School in Newark, and colleagues used publicly available databases on COVID-19 death rates through Oct. 28, 2020, to determine the association between social determinants of health and COVID-19 mortality.
The researchers found that counties with higher death rates had a higher proportion of Black residents and greater levels of adverse social determinants of health. For each 1 percentage point increase in percent Black residents, percent uninsured adults, percent low birthweight, percent adults without high school diploma, incarceration rate, and percent households without internet in a county, there was an increase in the COVID-19 death rates of 0.9 to 7.6 percent. The COVID-19 death rates increased by 67.5 percent for counties in the lowest quintile of economic privilege.
“This study demonstrates that social determinants of health contribute to COVID-19 mortality for Black Americans at the county level, highlighting the need for public health policies that address racial disparities in health outcomes,” the authors write.