Covid-19 Among Non-Hispanic American Indian and Alaska Native People Residing in Urban Areas Before and After Vaccine Rollout—Selected States and Counties, United States, January 2020–October 2021

Bibliographic Data

ID11019751
AuthorsDornell Pete (Dornell Pete, Scott L. Erickson, Abigail Echo-Hawk, and Adrian E. Dominguez are with the Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA. Melissa A. Jim is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Sarah M. Hatcher is with the Research Triangle Institute International, Durham, NC.), Scott L Erickson (0000-0002-7694-6287, Dornell Pete, Scott L. Erickson, Abigail Echo-Hawk, and Adrian E. Dominguez are with the Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA. Melissa A. Jim is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Sarah M. Hatcher is with the Research Triangle Institute International, Durham, NC.), Melissa A Jim (0000-0002-1862-0959, Dornell Pete, Scott L. Erickson, Abigail Echo-Hawk, and Adrian E. Dominguez are with the Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA. Melissa A. Jim is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Sarah M. Hatcher is with the Research Triangle Institute International, Durham, NC.), Sarah M Hatcher (0000-0002-4967-3463, Dornell Pete, Scott L. Erickson, Abigail Echo-Hawk, and Adrian E. Dominguez are with the Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA. Melissa A. Jim is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Sarah M. Hatcher is with the Research Triangle Institute International, Durham, NC.), Abigail Echo-Hawk (Dornell Pete, Scott L. Erickson, Abigail Echo-Hawk, and Adrian E. Dominguez are with the Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA. Melissa A. Jim is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Sarah M. Hatcher is with the Research Triangle Institute International, Durham, NC.), Abigail Echo‐Hawk (Seattle Indian Health Board), Adrian Dominguez (Seattle Indian Health Board), Adrian E Dominguez (Dornell Pete, Scott L. Erickson, Abigail Echo-Hawk, and Adrian E. Dominguez are with the Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA. Melissa A. Jim is with the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Albuquerque, NM. Sarah M. Hatcher is with the Research Triangle Institute International, Durham, NC.)
Year2022
Volume112
Issue10
Pages1489-1497
Publication date2022-10-01
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.2022.306966
PMID36103693
OpenAlexW4295791438
LanguageEN
Citations received1
References cited15

Objectives. To evaluate COVID-19 disparities among non-Hispanic American Indian/Alaska Native (AI/AN) and non-Hispanic White persons in urban areas. Methods. Using COVID-19 case surveillance data, we calculated cumulative incidence rates and risk ratios (RRs) among non-Hispanic AI/AN and non-Hispanic White persons living in select urban counties in the United States by age and sex during January 22, 2020, to October 19, 2021. We separated cases into prevaccine (January 22, 2020–April 4, 2021) and postvaccine (April 5, 2021–October 19, 2021) periods. Results. Overall in urban areas, the COVID-19 age-adjusted rate among non-Hispanic AI/AN persons (n = 47 431) was 1.66 (95% confidence interval [CI] = 1.36, 2.01) times that of non-Hispanic White persons (n = 2 301 911). The COVID-19 prevaccine age-adjusted rate was higher (8227 per 100 000; 95% CI = 6283, 10 770) than was the postvaccine rate (3703 per 100 000; 95% CI = 3235, 4240) among non-Hispanic AI/AN compared with among non-Hispanic White persons (2819 per 100 000; 95% CI = 2527, 3144; RR = 1.31; 95% CI = 1.17, 1.48). Conclusions. This study highlights disparities in COVID-19 between non-Hispanic AI/AN and non-Hispanic White persons in urban areas. These findings suggest that COVID-19 vaccination and other public health efforts among urban AI/AN communities can reduce COVID-19 disparities in urban AI/AN populations. (Am J Public Health. 2022;112(10):1489–1497. https://doi.org/10.2105/AJPH.2022.306966 )

Confidence interval · Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · Incidence (geometry) · Public health · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) · White (mutation) · Demography · Influenza Virus Research Studies · Medicine · Respiratory viral infections research · Vaccine Coverage and Hesitancy · Gerontology

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