Evidence map›Paper›PMID 36126098›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

Dynamics of racial disparities in all-cause mortality during the COVID-19 pandemic.

Hélène E Aschmann, Alicia R Riley, Ruijia Chen, Yea-Hung Chen, Kirsten Bibbins-Domingo, Andrew C Stokes, M Maria Glymour, Mathew V Kiang

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. A Systematic Review of Organizational Assessments Related to Racism and Equity.Journal of racial and ethnic health disparities · 2024
    Pooled it
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  9. Heterogeneity in Damages from A Pandemic.The review of economics and statistics · 2024
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  17. Ethnicity, Coronavirus Disease-Related Stress, and E-cigarette Use and Cigarette Smoking Among Young Adults: A Longitudinal Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Hélène E AschmannDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158.ORCID 0000-0003-1234-4321
Alicia R RileyDepartment of Sociology, University of California, Santa Cruz, Santa Cruz, CA 95064.
Ruijia ChenDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158.
Yea-Hung ChenDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158.ORCID 0000-0002-7949-0692
Kirsten Bibbins-DomingoDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158.ORCID 0000-0002-8962-0622
Andrew C StokesDepartment of Global Health, Boston University School of Public Health, Boston, MA 02118.ORCID 0000-0002-8502-3636
M Maria GlymourDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94158.
Mathew V KiangDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA 94304.ORCID 0000-0001-9198-150X
University of California, San Francisco · USBoston University · USStanford University · USUniversity of California, Santa Cruz · US

Funding

Causes of Geographic Divergence in American Mortality Between 1990 and 2015: Health Behaviors, Health Care Access and MigrationR01AG060115 · NIA · UNIVERSITY OF PENNSYLVANIA · PI ELO, IRMA T. · 2018 to 2022
$1.9M
Reducing racial disparities in the treatment of opioid use disorder using machine learning-based causal analysisR00DA051534 · NIDA · STANFORD UNIVERSITY · PI KIANG, MATHEW VINHHOA · 2022 to 2024
$747k
Lifecourse Stressors and Social Disparities in Cognitive Aging: The Roles of Social Networks and Sleep DisturbanceK00AG068431 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHEN, RUIJIA · 2021 to 2024
$330k
NIA NIH HHS K00 AG068431NIA NIH HHS R01 AG060115NIDA NIH HHS R00 DA051534
6 · The paper itself

Abstract

As research documenting disparate impacts of COVID-19 by race and ethnicity grows, little attention has been given to dynamics in mortality disparities during the pandemic and whether changes in disparities persist. We estimate age-standardized monthly all-cause mortality in the United States from January 2018 through February 2022 for seven racial/ethnic populations. Using joinpoint regression, we quantify trends in race-specific rate ratios relative to non-Hispanic White mortality to examine the magnitude of pandemic-related shifts in mortality disparities. Prepandemic disparities were stable from January 2018 through February 2020. With the start of the pandemic, relative mortality disadvantages increased for American Indian or Alaska Native (AIAN), Native Hawaiian or other Pacific Islander (NHOPI), and Black individuals, and relative mortality advantages decreased for Asian and Hispanic groups. Rate ratios generally increased during COVID-19 surges, with different patterns in the summer 2021 and winter 2021/2022 surges, when disparities approached prepandemic levels for Asian and Black individuals. However, two populations below age 65 fared worse than White individuals during these surges. For AIAN people, the observed rate ratio reached 2.25 (95% CI = 2.14, 2.37) in October 2021 vs. a prepandemic mean of 1.74 (95% CI = 1.62, 1.86), and for NHOPI people, the observed rate ratio reached 2.12 (95% CI = 1.92, 2.33) in August 2021 vs. a prepandemic mean of 1.31 (95% CI = 1.13, 1.49). Our results highlight the dynamic nature of racial/ethnic disparities in mortality and raise alarm about the exacerbation of mortality inequities for Indigenous groups due to the pandemic.

Indexed as

COVID-19Health Status DisparitiesMortalityAmerican Indian or Alaska NativeAsian PeopleBlack or African AmericanBlack PeopleEthnicityHispanic or LatinoHumansNative Hawaiian or Pacific IslanderPandemicsRacial GroupsUnited StatesWhite Peopleall-cause mortalityCOVID-19pandemicracial disparities

Identifiers

PMID36126098
PMCPMC9546535
OpenAlexW4296793770

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.