{"doi":"10.1093/cid/ciad266","title":"Vaccination Status and Trends in Adult Coronavirus Disease 2019–Associated Hospitalizations by Race and Ethnicity: March 2020–August 2022","abstract":"BACKGROUND: We sought to determine whether race/ethnicity disparities in severe coronavirus disease 2019 (COVID-19) outcomes persist in the era of vaccination. METHODS: Population-based age-adjusted monthly rate ratios (RRs) of laboratory-confirmed COVID-19-associated hospitalizations were calculated among adult patients from the COVID-19-Associated Hospitalization Surveillance Network, March 2020 - August 2022 by race/ethnicity. Among randomly sampled patients July 2021 - August 2022, RRs for hospitalization, intensive care unit (ICU) admission, and in-hospital mortality were calculated for Hispanic, Black, American Indian/Alaskan Native (AI/AN), and Asian/Pacific Islander (API) persons vs White persons. RESULTS: Based on data from 353 807 patients, hospitalization rates were higher among Hispanic, Black, and AI/AN vs White persons March 2020 - August 2022, yet the magnitude declined over time (for Hispanic persons, RR = 6.7; 95% confidence interval [CI], 6.5-7.1 in June 2020 vs RR < 2.0 after July 2021; for AI/AN persons, RR = 8.4; 95% CI, 8.2-8.7 in May 2020 vs RR < 2.0 after March 2022; and for Black persons RR = 5.3; 95% CI, 4.6-4.9 in July 2020 vs RR < 2.0 after February 2022; all P ≤ .001). Among 8706 sampled patients July 2021 - August 2022, hospitalization and ICU admission RRs were higher for Hispanic, Black, and AI/AN patients (range for both, 1.4-2.4) and lower for API (range for both, 0.6-0.9) vs White patients. All other race and ethnicity groups had higher in-hospital mortality rates vs White persons (RR range, 1.4-2.9). CONCLUSIONS: Race/ethnicity disparities in COVID-19-associated hospitalizations declined but persist in the era of vaccination. Developing strategies to ensure equitable access to vaccination and treatment remains important.","journal":"Clinical Infectious Diseases","year":2023,"id":359329,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":10,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.823,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":619227,"name":"Huong Pham","orcid":"0000-0001-9540-2712","position":1,"is_corresponding":false},{"id":619987,"name":"Onika Anglin","orcid":null,"position":2,"is_corresponding":false},{"id":234937,"name":"Shua J. Chai","orcid":"0000-0003-2048-2871","position":3,"is_corresponding":false},{"id":281656,"name":"Nisha B. Alden","orcid":"0000-0002-8128-7714","position":4,"is_corresponding":false},{"id":271488,"name":"James Meek","orcid":"0000-0001-5553-1675","position":5,"is_corresponding":false},{"id":94484,"name":"Evan J. Anderson","orcid":"0000-0002-1576-4420","position":6,"is_corresponding":false},{"id":619990,"name":"Andy Weigel","orcid":null,"position":7,"is_corresponding":false},{"id":845032,"name":"Alexander Kohrman","orcid":null,"position":8,"is_corresponding":false},{"id":91701,"name":"Ruth Lynfield","orcid":"0000-0002-7741-1284","position":9,"is_corresponding":false},{"id":619992,"name":"Dominic Rudin","orcid":null,"position":10,"is_corresponding":false},{"id":528147,"name":"Grant Barney","orcid":null,"position":11,"is_corresponding":false},{"id":254223,"name":"Nancy M. Bennett","orcid":"0000-0001-8331-888X","position":12,"is_corresponding":false},{"id":256861,"name":"Laurie M. Billing","orcid":null,"position":13,"is_corresponding":false},{"id":619230,"name":"Melissa Sutton","orcid":"0000-0001-8817-8724","position":14,"is_corresponding":false},{"id":105916,"name":"H. Keipp Talbot","orcid":"0000-0003-0141-1760","position":15,"is_corresponding":false},{"id":1110306,"name":"Ashley Swain","orcid":null,"position":16,"is_corresponding":false},{"id":619232,"name":"Fiona P. Havers","orcid":"0000-0001-9873-6195","position":17,"is_corresponding":false},{"id":331373,"name":"Christopher A. 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Openo","orcid":null,"position":23,"is_corresponding":false},{"id":252659,"name":"Justin Henderson","orcid":null,"position":24,"is_corresponding":false},{"id":396671,"name":"Erica Bye","orcid":null,"position":25,"is_corresponding":false},{"id":51128,"name":"Florent Nkouaga","orcid":"0009-0004-9200-9471","position":26,"is_corresponding":false},{"id":269635,"name":"Nancy Spina","orcid":null,"position":27,"is_corresponding":false},{"id":620006,"name":"Sophrena Bushey","orcid":null,"position":28,"is_corresponding":false},{"id":619994,"name":"Eli Shiltz","orcid":null,"position":29,"is_corresponding":false},{"id":620007,"name":"Nasreen Abdullah","orcid":null,"position":30,"is_corresponding":false},{"id":254225,"name":"William Schaffner","orcid":"0000-0002-1375-8078","position":31,"is_corresponding":false},{"id":842506,"name":"Andrea Price","orcid":"0000-0002-5359-053X","position":32,"is_corresponding":false},{"id":422564,"name":"Jean Y. 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