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. 2021 Jun 3:18:E55.
doi: 10.5888/pcd18.210084.

Addressing Racial and Ethnic Disparities in COVID-19 Among School-Aged Children: Are We Doing Enough?

Arica White  1   2 , Leandris C Liburd  3 , Fátima Coronado  4
Affiliations

Addressing Racial and Ethnic Disparities in COVID-19 Among School-Aged Children: Are We Doing Enough?

Arica White et al. Prev Chronic Dis. .

Abstract

The disproportionate impact of COVID-19 and associated disparities among Hispanic, non-Hispanic Black, and non-Hispanic American Indian/Alaska Native children and teenagers has been documented. Reducing these disparities along with overcoming unintended negative consequences of the pandemic, such as the disruption of in-person schooling, calls for broad community-based collaborations and nuanced approaches. Based on national survey data, children from some racial and ethnic minority groups have a higher prevalence of obesity, asthma, type 2 diabetes, and hypertension; were diagnosed more frequently with COVID-19; and had more severe outcomes compared with their non-Hispanic White (NHW) counterparts. Furthermore, a higher proportion of children from some racial and ethnic minority groups lived in families with incomes less than 200% of the federal poverty level or in households lacking secure employment compared with NHW children. Children from some racial and ethnic minority groups were also more likely to attend school via online learning compared with NHW counterparts. Because the root causes of these disparities are complex and multifactorial, an organized community-based approach is needed to achieve greater proactive and sustained collaborations between local health departments, local school systems, and other public and private organizations to pursue health equity. This article provides a summary of potential community-based health promotion strategies to address racial and ethnic disparities in COVID-19 outcomes and educational inequities among children and teens, specifically in the implementation of strategic partnerships, including initial collective work, outcomes-based activities, and communication. These collaborations can facilitate policy, systems, and environmental changes in school systems that support emergency preparedness, recovery, and resilience when faced with public health crises.

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References

    1. Moore JT, Ricaldi JN, Rose CE, Fuld J, Parise M, Kang GJ, et al.; COVID-19 State, Tribal, Local, and Territorial Response Team. Disparities in incidence of COVID-19 among underrepresented racial/ethnic groups in counties identified as hotspots during June 5–18, 2020, 22 States, February–June 2020. MMWR Morb Mortal Wkly Rep 2020;69(33):1122–6. 10.15585/mmwr.mm6933e1 - DOI - PMC - PubMed
    1. Centers for Disease Control and Prevention. Health equity considerations and racial and ethnic minority groups. Atlanta (GA): US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/coronavirus/2019-ncov/community/health-equity/race-e.... Accessed December 1, 2020.
    1. Gold JAW, Rossen LM, Ahmad FB, Sutton P, Li Z, Salvatore PP, et al. Race, ethnicity, and age trends in persons who died from COVID-19 — United States, May–August 2020. MMWR Morb Mortal Wkly Rep 2020;69(42):1517–21. 10.15585/mmwr.mm6942e1 - DOI - PMC - PubMed
    1. Kim L, Whitaker M, O’Halloran A, Kambhampati A, Chai SJ, Reingold A, et al.; COVID-NET Surveillance Team. Hospitalization rates and characteristics of children aged <18 years hospitalized with laboratory-confirmed COVID-19 — COVID-NET, 14 states, March 1–July 25, 2020. MMWR Morb Mortal Wkly Rep 2020;69(32):1081–8. 10.15585/mmwr.mm6932e3 - DOI - PMC - PubMed
    1. Bassett MT, Chen JT, Krieger N. The unequal toll of COVID-19 mortality by age in the United States: quantifying racial/ethnic disparities. Working paper. Cambridge (MA): Harvard Center for Population and Development Studies; 2020.