iScience (Mar 2021)

Pre-existing conditions in Hispanics/Latinxs that are COVID-19 risk factors

  • Timothy S. Chang,
  • Yi Ding,
  • Malika K. Freund,
  • Ruth Johnson,
  • Tommer Schwarz,
  • Julie M. Yabu,
  • Chad Hazlett,
  • Jeffrey N. Chiang,
  • David A. Wulf,
  • Daniel H. Geschwind,
  • Manish J. Butte,
  • Bogdan Pasaniuc,
  • Anna L. Antonio,
  • Maryam Ariannejad,
  • Angela M. Badillo,
  • Brunilda Balliu,
  • Yael Berkovich,
  • Michael Broudy,
  • Tony Dang,
  • Chris Denny,
  • Eleazar Eskin,
  • Eran Halperin,
  • Brian L. Hill,
  • Ankur Jain,
  • Vivek Katakwar,
  • Clara Lajonchere,
  • Clara Magyar,
  • Sheila Minton,
  • Ghouse Mohammed,
  • Ariff Muhamed,
  • Pabba Pavan,
  • Michael A. Pfeffer,
  • Nadav Rakocz,
  • Akos Rudas,
  • Rey Salonga,
  • Timothy J. Sanders,
  • Paul Tung,
  • Vu Vu,
  • Ailsa Zheng

Journal volume & issue
Vol. 24, no. 3
p. 102188

Abstract

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Summary: Coronavirus disease 2019 (COVID-19) has exposed health care disparities in minority groups including Hispanics/Latinxs (HL). Studies of COVID-19 risk factors for HL have relied on county-level data. We investigated COVID-19 risk factors in HL using individual-level, electronic health records in a Los Angeles health system between March 9, 2020, and August 31, 2020. Of 9,287 HL tested for SARS-CoV-2, 562 were positive. HL constituted an increasing percentage of all COVID-19 positive individuals as disease severity escalated. Multiple risk factors identified in Non-Hispanic/Latinx whites (NHL-W), like renal disease, also conveyed risk in HL. Pre-existing nonrheumatic mitral valve disorder was a risk factor for HL hospitalization but not for NHL-W COVID-19 or HL influenza hospitalization, suggesting it may be a specific HL COVID-19 risk. Admission laboratory values also suggested that HL presented with a greater inflammatory response. COVID-19 risk factors for HL can help guide equitable government policies and identify at-risk populations.

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