Details
To determine the association between race, a proxy for social determinants of health, and COVID-19 outcomes adjusted for demographic, clinical, and socioeconomic differences.
We conducted a retrospective cohort study using administrative claims data in the Sentinel Distributed Database. We identified 841,628 individuals diagnosed with COVID-19; and separately, 133,773 individuals hospitalized with COVID-19 between April 1, 2020, and March 31, 2021, in the US. Eligible individuals required at least 6 months of enrollment in a health plan prior to cohort entry. Crude and adjusted associations between self-reported race (Asian, Black or African American, American Indian or Alaska Native [AIAN], Native Hawaiian or Other Pacific Islander [NHOPI], White, or Unknown) and COVID-19 outcomes (hospitalization with COVID-19; critical COVID; 30-day all-cause inpatient mortality) were determined using multivariable logistic regression.