Objective: To examine county-level factors associated with coronavirus disease 2019 (COVID-19) incidence and mortality in Georgia, focusing on changes after relaxation of “shelter-in-place” orders on April 24, 2020. Methods: County-level data on confirmed COVID-19 cases and deaths were obtained from the Johns Hopkins 2019 Novel Coronavirus Data Repository and linked with county-level data from the 2020 County Health Rankings. We examined associations of county-level factors with mortality and incidence rates (quantiles) using a logistic regression model. This research was conducted in June–July 2020 in Augusta, GA. Results: Counties in the highest quartile for mortality had higher proportions of non-Hispanic (NH)-Black residents (median: 37.4%; interquartile range [IQR]: 29.5–45.0; p <0.01) and residents with incomes less than $20,000 (median: 32.9%; IQR: 26.6–35.0; p <0.01). Counties in the highest quartile for NH-Black residents (38.7–78.0% NH-Black population) showed a 13-fold increase in odds (odds ratio=13.15, 95% confidence interval=1.40–123.80, p =0.05) for increased COVID-19 mortality controlling for income. Conclusions: Although highlighted by the pandemic, racial disparities predated COVID-19, exposing the urgency for diversion of resources to address the systematic residential segregation, educational gaps, and poverty levels experienced disproportionately by Black communities.
【저자키워드】 COVID-19, SARS-CoV-2, Georgia, Novel coronavirus, social determinants, Geographic distribution, 【초록키워드】 coronavirus disease, pandemic, Mortality, Research, death, incidence rate, incidence, novel, resource, change, association, COVID-19 mortality, black, interquartile range, Racial, Factor, logistic regression model, urgency, confirmed COVID-19 case, quartile, highest, examined, proportion, conducted, less, increase in, Johns Hopkin, 【제목키워드】 trend, disparity, reopening,