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. 2021 Mar 19;70(11):382–388. doi: 10.15585/mmwr.mm7011e1

TABLE 1. COVID–19 incidence* and rate ratios, by race/ethnicity, sex, and age group among persons aged <25 years across three periods — 16 U.S. jurisdictions, January 1–December 31, 2020.

Date/Characteristic No. of cases Cases per 100,000 population (95% CI) RR (95% CI)
January 1–April 30, 2020
All
15,068
63 (62–64)

Sex
Male
6,884
57 (55–58)
0.80 (0.78–0.83)
Female
8,184
70 (69–72)
Ref
Race/Ethnicity
AI/AN, non-Hispanic
536
163 (150–177)
4.62 (4.22–5.05)
Asian, non-Hispanic
498
54 (49–59)
1.53 (1.39–1.67)
Black, non-Hispanic
2,461
87 (83–90)
2.46 (2.34–2.58)
NH/PI, non-Hispanic
73
88 (70–111)
2.49 (1.98–3.14)
White, non-Hispanic
4,947
35 (34–36)
Ref
Hispanic/Latino
6,129
137 (133–140)
3.87 (3.73–4.02)
Multiple, non-Hispanic
424
38 (35–42)
1.09 (0.98–1.20)
Age group (yrs)
0–4
956
21 (20–23)
1.28 (1.17–1.41)
5–9
772
17 (16–18)
Ref
10–14
1,184
25 (23–26)
1.49 (1.36–1.63)
15–19
3,267
67 (65–70)
4.03 (3.72–4.36)
20–24
8,889
175 (171–178)
10.47 (9.72–11.26)
May 1–August 31, 2020
All
177,778
747 (744–751)

Sex
Male
84,270
693 (688–698)
0.86 (0.85–0.87)
Female
93,508
804 (799–809)
Ref
Race/Ethnicity
AI/AN, non-Hispanic
3,245
986 (952–1,020)
1.86 (1.80–1.93)
Asian, non-Hispanic
3,781
409 (396–422)
0.77 (0.75–0.80)
Black, non-Hispanic
24,501
862 (852–873)
1.63 (1.61–1.65)
NH/PI, non-Hispanic
2,007
2,418 (2,314–2,526)
4.57 (4.37–4.77)
White, non-Hispanic
74,259
530 (526–533)
Ref
Hispanic/Latino
66,938
1,493 (1,481–1,504)
2.82 (2.79–2.85)
Multiple, non-Hispanic
3,047
275 (266–285)
0.52 (0.50–0.54)
Age group (yrs)
0–4
14,017
314 (309–319)
1.01 (0.98–1.03)
5–9
14,406
312 (307–317)
Ref
10–14
20,490
430 (424–436)
1.38 (1.35–1.41)
15–19
50,210
1,034 (1,025–1,043)
3.32 (3.26–3.38)
20–24
78,655
1,547 (1,536–1,557)
4.96 (4.88–5.05)
September 1–December 31, 2020
All
496,826
2,088 (2,082–2,094)

Sex
Male
236,237
1,943 (1,935–1,951)
0.87 (0.86–0.87)
Female
260,589
2,240 (2,231–2,248)
Ref
Race/Ethnicity
AI/AN, non-Hispanic
11,870
3,605 (3,541–3,671)
1.62 (1.59–1.65)
Asian, non-Hispanic
11,680
1,263 (1,240–1,286)
0.57 (0.56–0.58)
Black, non-Hispanic
32,200
1,133 (1,121–1,146)
0.51 (0.50–0.52)
NH/PI, non-Hispanic
3,119
3,757 (3,628–3,891)
1.69 (1.63–1.75)
White, non-Hispanic
311,591
2,222 (2,214–2,230)
Ref
Hispanic/Latino
117,305
2,616 (2,601–2,631)
1.18 (1.17–1.19)
Multiple, non-Hispanic
9,061
819 (803–836)
0.37 (0.36–0.38)
Age group (yrs)
0–4
33,595
752 (744–760)
0.71 (0.70–0.72)
5–9
48,824
1,056 (1,047–1,066)
Ref
10–14
76,922
1,615 (1,604–1,627)
1.53 (1.51–1.55)
15–19
149,660
3,083 (3,067–3,098)
2.92 (2.89–2.95)
20–24
187,825
3,693 (3,677–3,710)
3.50 (3.46–3.53)
January 1–December 31, 2020
All
689,672
2,899 (2,892–2,906)

Sex
Male
327,391
2,693 (2,684–2,702)
0.86 (0.86–0.87)
Female
362,281
3,114 (3,104–3,124)
Ref
Race/Ethnicity
AI/AN, non-Hispanic
15,651
4,754 (4,680–4,829)
1.71 (1.68–1.73)
Asian, non-Hispanic
15,959
1,725 (1,699–1,752)
0.62 (0.61–0.63)
Black, non-Hispanic
59,162
2,083 (2,066–2,099)
0.75 (0.74–0.75)
NH/PI, non-Hispanic
5,199
6,263 (6,095–6,436)
2.25 (2.19–2.31)
White, non-Hispanic
390,797
2,787 (2,778–2,795)
Ref
Hispanic/Latino
190,372
4,245 (4,226–4,264)
1.52 (1.52–1.53)
Multiple, non-Hispanic
12,532
1,133 (1,113–1,153)
0.41 (0.40–0.41)
Age group (yrs)
0–4
48,568
1,087 (1,078–1,097)
0.79 (0.78–0.79)
5–9
64,002
1,385 (1,374–1,395)
Ref
10–14
98,596
2,070 (2,057–2,083)
1.50 (1.48–1.51)
15–19
203,137
4,184 (4,166–4,202)
3.02 (2.99–3.05)
20–24 275,369 5,415 (5,394–5,435) 3.91 (3.88–3.94)

Abbreviations: AI/AN = American Indian or Alaska Native; CI = confidence interval; NH/PI = Native Hawaiian and Pacific Islander; Ref = referent group; RR = rate ratio.

* Rates for each period and for the full period were calculated using the following equation: (cases/population) x 100,000 persons. COVID–19 cases were identified using CDC’s Data Collation and Integration for Public Health Event Response system (https://data.cdc.gov/browse?tags=covid-19 [accessed January 27, 2021]). Case surveillance data were received directly from two jurisdictional health departments (Hawaii State Department of Health and New Mexico Department of Health) for all racial/ethnic groups to allow for separate reporting of NH/PI persons. Population estimates were provided by the 2019 U.S. Census Bureau’s Annual County Resident Population Estimates by Age, Sex, Race, and Hispanic Origin (https://www.census.gov/programs-surveys/popest/technical-documentation/file-layouts.html [accessed August 20, 2020]). 2019 population estimates in the 16 selected jurisdictions were as follows: persons aged <25 years: all (23,792,864), males (12,157,933), females (11,634,931), non-Hispanic AI/AN (329,235), non-Hispanic Asian (925,072), non-Hispanic Black or African-American (2,840,777), non-Hispanic NH/PI (83,012), non-Hispanic White (14,024,304), Hispanic or Latino (4,484,434), and non-Hispanic persons of multiple races (1,106,030); and persons aged 0–4 years (4,467,369), 5–9 years (4,622,261), 10–14 years (4,762,433), 15–19 years (4,855,127), and 20–24 years (5,085,674). No measures were calculated for non-Hispanic persons of other races with COVID-19 (n = 19,627) because of lack of population denominator information from U.S. Census Bureau.

Arkansas, District of Columbia, Florida, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Michigan, Minnesota, New Mexico, Oklahoma, Oregon, Utah, Vermont, and Wisconsin.