@article {102, title = {Race, socioeconomic deprivation, and hospitalization for COVID-19 in English participants of a national biobank.}, journal = {Int J Equity Health}, volume = {19}, year = {2020}, month = {2020 07 06}, pages = {114}, abstract = {

Preliminary reports suggest that the Coronavirus Disease 2019 (COVID- 19) pandemic has led to disproportionate morbidity and mortality among historically disadvantaged populations. We investigate the racial and socioeconomic associations of COVID- 19 hospitalization among 418,794 participants of the UK Biobank, of whom 549 (0.13\%) had been hospitalized. Both Black participants (odds ratio 3.7; 95\%CI 2.5-5.3) and Asian participants (odds ratio 2.2; 95\%CI 1.5-3.2) were at substantially increased risk as compared to White participants. We further observed a striking gradient in COVID- 19 hospitalization rates according to the Townsend Deprivation Index - a composite measure of socioeconomic deprivation - and household income. Adjusting for socioeconomic factors and cardiorespiratory comorbidities led to only modest attenuation of the increased risk in Black participants, adjusted odds ratio 2.4 (95\%CI 1.5-3.7). These observations confirm and extend earlier preliminary and lay press reports of higher morbidity in non-White individuals in the context of a large population of participants in a national biobank. The extent to which this increased risk relates to variation in pre-existing comorbidities, differences in testing or hospitalization patterns, or additional disparities in social determinants of health warrants further study.

}, keywords = {Adult, Aged, Biological Specimen Banks, Continental Population Groups, Coronavirus Infections, COVID-19, Female, Health Status Disparities, Hospitalization, Humans, Male, Middle Aged, Pandemics, Pneumonia, Viral, Prospective Studies, Socioeconomic Factors, United Kingdom}, issn = {1475-9276}, doi = {10.1186/s12939-020-01227-y}, author = {Patel, Aniruddh P and Paranjpe, Manish D and Kathiresan, Nina P and Rivas, Manuel A and Khera, Amit V} }