EXPLAINING COVID-19 RELATED MORTALITY DISPARITIES IN AMERICAN INDIANS AND ALASKA NATIVES

Explaining COVID-19 related mortality disparities in American Indians and Alaska Natives

Explaining COVID-19 related mortality disparities in American Indians and Alaska Natives

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Abstract American Indian and Alaska Native (AI/AN) individuals are more likely to die with COVID-19 than other groups, but there is limited empirical evidence Multi-Vitamins to explain the cause of this inequity.The objective of this study was to determine whether medical comorbidities, area socioeconomic deprivation, or access to treatment can explain the greater COVID-19 related mortality among AI/AN individuals.The design was a retrospective cohort study of harmonized electronic health record data of all inpatients with COVID-19 from 21 United States health systems from February 2020 through January 2022.The mortality of AI/AN inpatients was compared to all Non-Hispanic White (NHW) inpatients and to a matched subsample of NHW inpatients.

AI/AN inpatients were more likely to die during Cutters their hospitalization (13.2% versus 7.1%; odds ratio [OR] = 1.98, 95% confidence interval [CI] = 1.

48, 2.65) than their matched NHW counterparts.After adjusting for comorbidities, area social deprivation, and access to treatment, the association between ethnicity and mortality was substantially reduced (OR 1.59, 95% CI 1.

15, 2.22).The significant residual relation between AI/AN versus NHW status and mortality indicate that there are other important unmeasured factors that contribute to this inequity.This will be an important direction for future research.

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