International journal of environmental research and public health · 2026
Utilizing the All of Us Dataset to Assess the Socioeconomic and Health Impacts of COVID-19 on Hispanics in the United States.
СтатьяНазвание и аннотация: Перевод в очереди
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Agyapong William O, Wagler Amy, Castro Bryan J, Melin Kyle
Аннотация
BACKGROUND: Hispanic populations in the United States experienced disproportionate health and economic impacts during the COVID-19 pandemic. This study assessed relationships between social determinants of health (SDOH) and COVID-19-related health and economic outcomes among Hispanic and non-Hispanic participants in the All of Us Research Program.
METHODS: Descriptive analyses and logistic regression models explored associations between all variables. Iterative proportional fitting (raking) was used to align survey samples with known population margins.
RESULTS: Hispanics reported worse outcomes across all COVID-19-related variables: lower vaccination rates and higher rates of COVID-19 symptoms and experiencing hardships due to COVID-19. Final post-raking models found Hispanics had greater odds of experiencing hardships (OR = 1.81, 95% CI = 1.55, 2.11) especially among those reporting COVID-19 symptoms (OR = 2.45, 95% CI = 1.51, 3.97). The final model identified increased rates of COVID-19 vaccination among Hispanics when controlling for gender, age, and SDOH (OR = 1.22, CI = 1.09, 1.37) than have been reported nationally during the examined time period for Hispanics.
CONCLUSIONS: Uptake of COVID-19 vaccination and disproportionate negative health, economic, and social impacts of COVID-19 experienced by Hispanic communities were driven by SDOH. Findings underscore the need for targeted efforts to address SDOH to achieve the best health outcomes for all.
METHODS: Descriptive analyses and logistic regression models explored associations between all variables. Iterative proportional fitting (raking) was used to align survey samples with known population margins.
RESULTS: Hispanics reported worse outcomes across all COVID-19-related variables: lower vaccination rates and higher rates of COVID-19 symptoms and experiencing hardships due to COVID-19. Final post-raking models found Hispanics had greater odds of experiencing hardships (OR = 1.81, 95% CI = 1.55, 2.11) especially among those reporting COVID-19 symptoms (OR = 2.45, 95% CI = 1.51, 3.97). The final model identified increased rates of COVID-19 vaccination among Hispanics when controlling for gender, age, and SDOH (OR = 1.22, CI = 1.09, 1.37) than have been reported nationally during the examined time period for Hispanics.
CONCLUSIONS: Uptake of COVID-19 vaccination and disproportionate negative health, economic, and social impacts of COVID-19 experienced by Hispanic communities were driven by SDOH. Findings underscore the need for targeted efforts to address SDOH to achieve the best health outcomes for all.