Table 1.

Changes in Age-Standardized Covid-19 Death Rates by Race/Ethnicity across Metro-Nonmetro Categories and Census Regions, March 2020-February 2021 to March 2021-February 2022

Metro-Nonmetro Category or Region	Race/Ethnicity	Age-Standardized Death Rates		Percent Change in Death Rates, Year 1 to Year 2	Rate Ratios		Percent Change in Rate Ratios, Year 1 to Year 2
		Year 1	Year 2		Year 1	Year 2
Large Metro	Hispanic	286	136	−52%	2.19	1.32	−40%
	NH AIAN	177	153	−14%	1.36	1.48	9%
	NH Asian	138	56	−59%	1.06	0.55	−48%
	NH Black	239	160	−33%	1.83	1.55	−15%
	NH NHOPI	266	261	−2%	2.03	2.53	25%
	NH White	131	103	−21%	Ref	Ref	Ref
Medium/Small Metro	Hispanic	276	166	−40%	2.20	1.26	−43%
	NH AIAN	271	204	−25%	2.16	1.54	−29%
	NH Asian	96	70	−27%	0.77	0.53	−31%
	NH Black	237	186	−22%	1.89	1.41	−25%
	NH NHOPI	175	192	9%	1.40	1.45	4%
	NH White	126	132	5%	Ref	Ref	Ref
Nonmetro	Hispanic	284	204	−28%	1.90	1.16	−39%
	NH AIAN	425	251	−41%	2.84	1.44	−49%
	NH Asian	87	74	−14%	0.58	0.43	−26%
	NH Black	312	208	−33%	2.09	1.19	−43%
	NH NHOPI	105	158	51%	0.70	0.90	29%
	NH White	150	175	17%	Ref	Ref	Ref
Midwest	Hispanic	243	135	−44%	1.69	1.02	−39%
	NH AIAN	258	204	−21%	1.79	1.54	−14%
	NH Asian	130	70	−46%	0.90	0.53	−42%
	NH Black	245	189	−23%	1.70	1.43	−16%
	NH NHOPI	246	280	14%	1.71	2.11	23%
	NH White	144	133	−8%	Ref	Ref	Ref
Northeast	Hispanic	334	109	−67%	2.09	1.11	−47%
	NH AIAN	83	91	10%	0.52	0.92	79%
	NH Asian	191	67	−65%	1.20	0.68	−43%
	NH Black	332	142	−57%	2.08	1.44	−31%
	NH NHOPI	83	59	−29%	0.52	0.60	15%
	NH White	160	99	−38%	Ref	Ref	Ref
South	Hispanic	255	171	−33%	1.93	1.13	−41%
	NH AIAN	192	176	−8%	1.45	1.16	−20%
	NH Asian	97	64	−34%	0.74	0.42	−42%
	NH Black	229	179	−22%	1.73	1.18	−32%
	NH NHOPI	217	210	−3%	1.64	1.39	−15%
	NH White	132	151	14%	Ref	Ref	Ref
West	Hispanic	299	142	−52%	3.23	1.43	−56%
	NH AIAN	462	257	−44%	4.99	2.58	−48%
	NH Asian	118	52	−56%	1.27	0.53	−59%
	NH Black	187	138	−26%	2.01	1.39	−31%
	NH NHOPI	208	227	9%	2.24	2.28	2%
	NH White	93	100	7%	Ref	Ref	Ref

NH = Non-Hispanic ∣ AIAN = American Indian or Alaska Native ∣ NHOPI = Native Hawaiian or Other Pacific Islander

Notes: Death rates were age-standardized using 3 age groups (0-54, 55-74 and 75+) and the overall U.S. 2020 population as the standard population. Year 1 refers to March 2020 to February 2021, and year 2 refers to March 2021 to February 2022. Data was imputed for one or more age categories for NH NHOPI in year 1 and year 2 in the Northeast because death counts were between 1 and 9 for one or more age categories and were thus suppressed by CDC WONDER.