COVID-19 infection in ethnic minorities: a systematic review of age and gender distribution

Thompson, Beth and Memon, Anjum (2021) COVID-19 infection in ethnic minorities: a systematic review of age and gender distribution. 14th European Public Health Conference Public health futures in a changing world, Online, 10th-12th November 2021. Published in: European Journal of Public Health. 31 (IsSup3) iii181-iii181. Oxford University Press ISSN 1101-1262

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Abstract

Background
Currently, there have been 135,646,617 cases of COVID-19 infection and 2,930,732 deaths in the world. Compared with the White populations, members of the ethnic minorities living in Europe and North America are disproportionately diagnosed, hospitalized and dying from COVID-19. The reasons for this relatively increased risk of infection and adverse outcome are poorly understood. The aim of this review is to summarise current epidemiological evidence on age and gender distribution in ethnic minority patients hospitalized with COVID-19 infection.

Methods
Multiple electronic databases were searched. Data from studies, published in any language, reporting the risk factors, incidence and outcomes of COVID-19 infection in hospitalized White and ethnic minorities patients were extracted, reviewed and compiled.

Results
36 studies reporting data on age and 26 on gender were included in the review. Ethnic minority patients hospitalized with COVID-19 were relatively younger than White patients. Within the different minority groups, a greater proportion of Black patients were female, whereas a greater proportion of Asian patients were male.

Conclusions
This review confirms findings from individual studies that with regard to age, the ethnic minority patients hospitalized with COVID-19 infection are relatively younger than the White patients. There is also a disparity with regard to gender within the different minority groups.

Key messages
There is a disparity with regard to age and gender between the different ethnic groups affected with COVID-19 infection in Europe and North America.

Potential factors for disparities are genetics, vitamin D deficiency, BCG vaccine, comorbidities, occupation, social gradient, housing, PPE access and understanding/compliance to protection measures.

Item Type: Conference Proceedings
Keywords: COVID-19, Ethnic minorities, Epidemiology
Schools and Departments: Brighton and Sussex Medical School > Primary Care and Public Health
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 26 Apr 2022 10:18
Last Modified: 26 Apr 2022 10:18
URI: http://sro.sussex.ac.uk/id/eprint/102639

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