Mini Review
Volume 4 Issue 8 - 2020
Ethnic Disparities in COVID-19 in the USA: An Update
Nasser Mikhail1* and Soma Wali2
1Chief, Endocrinology Division, Department of Medicine, OliveView-UCLA Medical Center, Sylmar, CA, USA
2Chief, Department of Medicine, OliveView-UCLA Medical Center, Sylmar, CA, USA
*Corresponding Author: Nasser Mikhail, Chief, Endocrinology Division, Department of Medicine, OliveView-UCLA Medical Center, Sylmar, CA, USA.
Received: July 27, 2020 ; Published: July 31, 2020


Background: Available data suggest that minority groups are particularly impacted by coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Objective: To review the latest data that reflects the impact of COVID-19 in minority groups in the USA.

Methods: Review of English literature by search of electronic databases: Pub/MEDLINE until July 22, 2020. Search terms included COVID-19, testing, admission, mortality, ethnicity, African Americans, Hispanics, and Asians. Retrospective studies, pertinent reviews and consensus guidelines are reviewed. Pre-print, not yet peer-reviewed studies are also carefully included.

Results: African American patients and Hispanics are more likely than Whites to be tested for COVID-19, and to have positive results. African American patients get tested for COVID-19 more frequently in the emergency department or as inpatients rather than in the ambulatory setting. As of June 12, 2020, compared with Whites, hospitalization rates for COVID-19 among American Indians/Alaska Natives was 5.5 times higher, and among non-Hispanic Blacks and Hispanics was 4.0 to 4.4 times higher. As of July 21st, 2020, compared with White patients, age-adjusted mortality rates for Blacks was 3.7 times higher, for Indigenous people was 3.5 times higher, for Pacific Islanders was 2.8 times higher, for Latinos 2.5 times higher, and Asians 1.4 times higher. A national internet survey suggests that knowledge regarding COVID-19 may be insufficient among African Americans and Hispanics.

Conclusion: Covid-19 disproportionately affects minority groups, particularly African Americans, who had the highest mortality among all ethnic/racial groups.

Keywords: COVID-19; Testing; Admission; Mortality; Ethnicity; African Americans; Hispanics; Asians


  1. Serchen J., et al. “For the Health and Public Policy Committee of the American College of Physicians. Racism and health in the United States: A policy statement from the American College of Physicians”. Annals of Internal Medicine (2020).
  2. Garg S., et al. “Hospitalization rates and characteristics of patients hospitalized with laboratory-confirmed coronavirus disease 2019-COVID-NET, 14 states, March 1-30, 2020”. Morbidity and Mortality Weekly Report 69.15 (2020): 458-464. 
  3. Cyrus E., et al. “The impact of COVID-19 on African American communities in the United States. Preprint”. Med Rxiv (2020). 
  4. Rentsch CT., et al. “Covid-19 by race and ethnicity: a national cohort study of 6 million United States veterans”. Preprint (2020).
  5. Azar KMJ., et al. “Disparities in outcomes among COVID-19 patients in a large health care system in California”. Health Affairs 39.7 (2020): 1253-1262.
  6. Price-Haywood EG., et al. “Hospitalization and mortality among black patients and white patients with Covid-19”. The New England Journal of Medicine 382 (2020): 2534-2543.
  7. Mendy A., et al. “Factors associated with hospitalization and disease severity in a racially and ethnically diverse population of COVID-19 patients”. Preprint Med Rxiv (2020). 
  8. COVID-19 in racial and ethnic minority groups. CDC (2020). 
  9. COVID-19 deaths analyzed by race and ethnicity-APM Research Lab (2020).
  10. Gold JA., et al. “Characteristics and clinical outcomes of adult patients hospitalized with COVID-19-Georgia”. Morbidity and Mortality Weekly Report 69.18 (2020): 545-550.
  11. Alsan M., et al. “Disparities in coronavirus 2019 reported incidence, knowledge and behavior among US adults”. JAMA Network Open 3.6 (2020): e2012403.
  12. Wilder JM. “The disproportionate impact of COVID-19 on racial and ethnic minorities in the United States”. Clinical Infectious Diseases (2020). 
  13. Tai DBG., et al. “The disproportionate impact of COVID-19 on racial and ethnic minorities in the United States”. Clinical Infectious Diseases (2020).
  14. Bailey ZD., et al. “America: Equity and inequality in Health 3. Structural racism and health inequities in the USA: evidence and interventions”. Lancet 389 (2017): 1453-1463.
  15. Mack JW., et al. “Racial disparities in the outcomes of communication on medical care received neat death”. Archives of Internal Medicine 170.17 (2010): 1533-1540. 
  16. Milam AJ., et al. “Are clinicians contributing to excess African American COVID-19 deaths? Unbeknownst to them, they may be”. Health Equity 4.1 (2020): 139-141.  
  17. Mikhail N and Wali S. “Inequalities in diabetes in the USA”. Archives of Diabetes and Obesity 2.5 (2020): 235-240. 
  18. Brandt EB., et al. “Air pollution, racial disparities and COVID-19 mortality”. Journal of Allergy and Clinical Immunology 146.1 (2020): 61-63. 
  19. Tal Y., et al. “Racial disparity in covid-19 mortality rates-A possible explanation”. Letter Clinical Immunology 217 (2020): 108481.
  20. Hall W., et al. “Implicit/racial bias among health care professionals and its influence on health care outcomes: A systemic review”. American Journal of Public Health 105.12 (2015): e60-e76.
  21. Evans MK., et al. “Diagnosing and treating systemic racism”. The New England Journal of Medicine 383.3 (2020): 274-276.
Citation: Nasser Mikhail and Soma Wali. “Ethnic Disparities in COVID-19 in the USA: An Update". EC Diabetes and Metabolic Research 4.8 (2020): 15-20.

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