
Photo by Maryland GovPics via Flickr
Health inequalities have long been a concern in medicine. A robust evidence base has been growing for decades regarding social determinants — such as poverty, neighborhood proximity to pollution, and education access — that contribute to higher risk of disease and poor health outcomes. However, it wasn’t until the COVID-19 pandemic that these issues took center stage in the public eye.
A JAMA January 2021 article revealed that the hospitalization rate for Black patients with COVID-19 was more than triple that of white people, and Hispanic patients were hospitalized more than four times more often than white patients. Asian patients with COVID-19 had double the hospitalization risk of white patients. Similarly, Black and Hispanic people with COVID-19 were more than twice as likely to die from the disease than white people, and Asian patients were almost twice as likely to die than white patients.