パンデミック前と期間におけるイタリア人人口との比較で,移民における糖尿病関連死亡率
Ugo Fedeli1, Enrico Grande2, Francesco Grippo2
1Epidemiological Department, Azienda Zero, Veneto Region, Padova, Italy.
Journal of endocrinological investigation
|August 26, 2025
まとめ
糖尿病に関連する死亡者は,大流行期間中に急増し,移民グループに不釣り合いな影響を及ぼしました. この研究は,イタリアの移民の死亡率の格差が広がっていることを強調し,ターゲット化された公衆衛生監視の必要性を強調しています.
科学分野:
- 公衆衛生
- 流行病学
- ゲロントロジー
背景:
- 移民は先住民より 糖尿病の罹患率が高くなります
- COVID-19 パンデミック中の移民の糖尿病関連死亡率は少ない.
- パンデミック時代には,糖尿病による死亡率が著しく増加しました.
研究 の 目的:
- COVID-19 パンデミックの間,イタリアの移民の糖尿病関連死亡率を調査する.
- 移民集団とイタリア本土の人々の死亡傾向を比較する.
- 2019-2021年の糖尿病関連死亡率の格差を特定する.
主な方法:
- 糖尿病 (複数の死因-MCOD) を言及した死亡について,イタリアの国家死因登録 (2019-2021) を利用した.
- 2013年のヨーロッパ標準人口を用いて年齢標準化された死亡率を直接計算した.
- イタリア国民に対する移民集団の推定標準死亡率 (SMR)
主要な成果:
- 糖尿病に関連する全死亡率は2020年に2019年と比較して30%増加し,2021年には依然として上昇しています.
- パンデミック前における死亡率の格差は パンデミック中に拡大した.
- 2021年には,北アフリカ人 (1.9),サハラ以南のアフリカ人 (4.4),南アジア人 (2.8) の女性移民のSMRが著しく高かった.
結論:
- 多重死因 (MCOD) 監視は,糖尿病の死亡率の格差を監視するために不可欠です.
- イタリアの人口の間で観察された死亡率の差が減少するかどうかを判断するには,緊急の評価が必要である.
- 移民の脆弱なグループにおける糖尿病による死亡リスクの増大に対処するために,標的を絞った介入が必要になる可能性があります.
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