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Epidemiology of the cancer community, structural racism, and COVID-19 disparity

Epidemiology of the cancer community, structural racism, and COVID-19 disparity

 


This article was originally published Here

Proc Natl Acad Sci US A. 202 May 25; 118 (21): e2026577118. Doi: 10.1073 /pnas.2026577118.

Overview

The black and Hispanic communities are unbalanced by both imprisonment and COVID-19. However, little has been investigated about the epidemiological relationship between cancer facilities and community health during the COVID-19 pandemic. Use Cook County Prison data to examine temporal patterns of relationships between prison cycling (ie, personal arrest and processing in pre-release prisons) and the COVID-19 community case in Chicago zip code. I will. It uses multivariate regression analysis and elastic regression, a machine learning tool, and uses 1,706 demographic control variables. For each individual arrested who patrolled Cook County Prison in March 2020, it was found that five additional cases of COVID-19 in the zip code were independently attributed to the prison as of August. It was. A total of 86% of this additional disease burden is borne by the majority of black and / or Hispanic ZIPs, 17% of these ZIP cumulative COVID-19 cases, 6% of the majority white ZIP, and all ZIPs. It accounts for 13%. .. Prison cycling in March alone could account for 21% of Chicago’s racial COVID-19 disparity as of August 2020. Compared to all demographic variables in the analysis, prison cycling is the strongest predictor of COVID-19 rates, well above poverty and race. , And population density etc. Arrest and imprisonment policies appear to increase the incidence of COVID-19 in the community. Our data suggest that prisons act as infectious disease multipliers and epidemiological pumps, especially affecting marginalized communities. Given the imbalanced crackdown and imprisonment of nationally racialized residents, the criminal punishment system may explain most of the racial COVID-19 disparities pointed out across the United States. Hmm.

PMID:33972409 | DOI:10.1073 / pnas.2026577118

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