A First Look: Disparities in COVID-19 Mortality Among US-Born and Foreign-Born Minnesota Residents

Kimberly M. Horner, Elizabeth Wrigley-Field, JP Leider

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


This research brief provides one of the first examinations of the impact of COVID-19 mortality on immigrant communities in the United States. In the absence of national data, we examine COVID-19 deaths in Minnesota, historically one of the major U.S. refugee destinations, using individual-level death certificates obtained from the Minnesota Department of Health Office of Vital Records. Minnesota's foreign-born crude COVID-19 death rates were similar to rates for the US-born, but COVID-19 death rates adjusted for age and gender were twice as high among the foreign-born. Among foreign-born Latinos, in particular, COVID-19 mortality was concentrated in relatively younger, prime working age men. Moreover, the place-based and temporal patterns of COVID-19 mortality were quite distinct, with the majority of US-born mortality concentrated in long-term care facilities and late in 2020, and foreign-born mortality occurring outside of residential institutions and earlier in the pandemic. The disparate impacts of COVID-19 for foreign-born Minnesotans demonstrate the need for targeted public health planning and intervention in immigrant communities.

Supplementary Information: The online version contains supplementary material available at 10.1007/s11113-021-09668-1.

Original languageEnglish (US)
Pages (from-to)465-478
Number of pages14
JournalPopulation Research and Policy Review
Issue number2
Early online dateAug 2 2021
StatePublished - Apr 2022

Bibliographical note

Funding Information:
This project was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development via the Minnesota Population Center (P2CHD041023) and a Sustainable Development Goals Rapid Response Grant, a College of Liberal Arts Seed Grant, and during initial data processing stages the Fesler-Lampert Chair of Aging Studies, all at the University of Minnesota. None of the sponsors had any role in study design; collection, analysis, and interpretation of data; writing the report; and the decision to submit the report for publication.

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature B.V.


  • COVID-19
  • Health disparities
  • Immigration

PubMed: MeSH publication types

  • Journal Article


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