Racial and Ethnic Disparities in Covid-19 Infection and Hospitalization in the Active Component US Military

Bibliographic Data

ID11018281
AuthorsJohn M Young (John M. Young and James D. Mancuso are with the Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD. Shauna L. Stahlman, Shawn S. Clausen, and Mark L. Bova are with the Epidemiology and Analysis Section of the Armed Forces Health Surveillance Division at the Defense Health Agency, Silver Spring, MD. Note. The opinions and assertions expressed herein are those of the authors and do not necessarily reflect the official policy or position...), M A Pritchard (0000-0002-1058-9117), Shauna L Stahlman (John M. Young and James D. Mancuso are with the Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD. Shauna L. Stahlman, Shawn S. Clausen, and Mark L. Bova are with the Epidemiology and Analysis Section of the Armed Forces Health Surveillance Division at the Defense Health Agency, Silver Spring, MD. Note. The opinions and assertions expressed herein are those of the authors and do not necessarily reflect the official policy or position...), Jann Foster (0000-0002-6957-768X), Shawn S Clausen (John M. Young and James D. Mancuso are with the Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD. Shauna L. Stahlman, Shawn S. Clausen, and Mark L. Bova are with the Epidemiology and Analysis Section of the Armed Forces Health Surveillance Division at the Defense Health Agency, Silver Spring, MD. Note. The opinions and assertions expressed herein are those of the authors and do not necessarily reflect the official policy or position...), Mary Chiarella (0000-0002-2574-7894), Mark L Bova (John M. Young and James D. Mancuso are with the Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD. Shauna L. Stahlman, Shawn S. Clausen, and Mark L. Bova are with the Epidemiology and Analysis Section of the Armed Forces Health Surveillance Division at the Defense Health Agency, Silver Spring, MD. Note. The opinions and assertions expressed herein are those of the authors and do not necessarily reflect the official policy or position...), James D Mancuso (0000-0002-0717-8202, John M. Young and James D. Mancuso are with the Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD. Shauna L. Stahlman, Shawn S. Clausen, and Mark L. Bova are with the Epidemiology and Analysis Section of the Armed Forces Health Surveillance Division at the Defense Health Agency, Silver Spring, MD. Note. The opinions and assertions expressed herein are those of the authors and do not necessarily reflect the official policy or position...)
Year2021
Volume111
Issue12
Pages2194-2201
Publication date2021-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2021.306527
OpenAlexW34878873
LanguageEN
Citations received2
References cited23

Objectives. To assess COVID-19 disparities in the active component US military with an emphasis on race and ethnicity. Methods. In this retrospective cohort study, we calculated the incidence of COVID-19 testing, infection, and hospitalization in the active component US military in calendar year 2020. Results. Overall, 61.3 per 100 population per year were tested for COVID-19, 10.4% of tests were positive, and 1.1% of infected individuals were hospitalized. Non-Hispanic Blacks and Hispanics had a rate of testing for COVID-19 similar to that of Whites but had a higher risk of infection (adjusted risk ratio [ARR] = 1.25 and 1.26, respectively) and hospitalization (ARR = 1.28 and 1.21, respectively). Conclusions. Although of lower magnitude than seen in civilian populations, racial and ethnic disparities in COVID-19 infection and hospitalizations exist in the US military despite universal eligibility for health care, similar rate of testing, and adjustment for comorbidities and other factors. Simply making health care coverage available may be insufficient to ensure health equity. Interventions to mitigate disparities in the US military should target the patient, provider, health care system, and society at large. (Am J Public Health. 2021;111(12):2194–2201. https://doi.org/10.2105/AJPH.2021.306527 )

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