
BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)
Published: July 9, 2024
Abstract Background There is limited information on the extent and patterns of disparities in COVID-19 mortality throughout pandemic. We aimed to examine trends by demographics over variants pre- post-vaccine availability period among Californian workers using a social determinants health lens. Methods Using death certificates, we identified all deaths that occurred between January 2020 May 2022 aged 18–64 years California (CA). derived estimates for at-risk worker populations Current Population Survey. The waves pre-vaccine were March 2020-June (wave 1), July 2020-November 2), period: December 2020-May 2021 3), June 2021-January 4), February 2022-May 5). Poisson regression models with robust standard errors used determine wave-specific rate ratios (MRRs). examined change MRR across including an interaction term each demographic characteristic wave different models. role potential misclassification Race/ethnicity certificates was probabilistic quantitative bias analysis as sensitivity analysis. Results Among 24.1 million working age CA population included study, there 26,068 2022. Compared their respective reference groups, who 50–64 old, male, Native Hawaiian, Latino, or African American, foreign-born; individuals had lower education; unmarried disproportionately affected mortality. While sex, race/ethnicity foreign-born status narrowed later (post-vaccine availability), age, education level marital did not substantially waves. Conclusion Demographic However, existence pandemic, even era widespread vaccine coverage, could indicate remaining gaps prevention differential vulnerability. Addressing underlying social, structural, occupational factors contribute these critical achieving equity.
Language: Английский