Emily E. Wiemers, Scott Abrahams, Marwa AlFakhri, V. Joseph Hotz, Robert F. Schoeni, Judith A. Seltzer

Bibliographic Information

NBER Working Paper No. 27294
Issued in June 2020
NBER Program(s):CH, ED, LE

Available Formats


This paper provides the first nationally representative estimates of vulnerability to severe com-plications from COVID-19 overall and across race-ethnicity and socioeconomic status. We use the Panel Study of Income Dynamics (PSID) to examine the prevalence of specific health condi-tions associated with complications from COVID-19 and to calculate, for each individual, an index of the risk of severe complications from respiratory infections developed by DeCaprio et al. (2020). We show large disparities across race-ethnicity and socioeconomic status in the prev-alence of conditions which are associated with the risk of severe complications from COVID-19. Moreover, we show that these disparities emerge early in life, prior to age 65, leading to higher vulnerability to such complications. While vulnerability is highest among older adults regardless of their race-ethnicity or socioeconomic status, our results suggest particular attention should also be given to the risk of adverse outcomes in midlife for non-Hispanic Blacks, adults with a high school degree or less, and low-income Americans.

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