智利圣地亚哥的社会经济状况决定了COVID-19发病率和相关死亡率
Gonzalo E Mena1, Pamela P Martinez2,3,4,5, Ayesha S Mahmud6,7
1Department of Statistics, University of Oxford, Oxford, UK. gonzalo.mena@stats.ox.ac.uk pamelapm@illinois.edu.
概括
智利圣地亚哥的低收入地区受到COVID-19的不成比例影响. 社会经济地位强烈影响了疾病的结果,锁定期间的流动性,检测准入和死亡率,特别是在年轻人群中.
科学领域:
- 公共卫生
- 流行病学
- 城市研究
背景情况:
- COVID-19 疫情对全球城市人口产生了深远的影响.
- 城市,尤其是高度隔离的城市,在管理公共卫生危机方面面临着独特的挑战.
- 了解社会经济因素和健康结果之间的相互作用对于有效的疫情应对至关重要.
研究的目的:
- 描述智利圣地亚哥的COVID-19发病率和死亡率.
- 调查社会经济地位与COVID-19结果之间的关联.
- 分析疫情期间社会经济因素与公共卫生能力之间的关系.
主要方法:
- 根据人口和社会经济因素分层分析疾病发病率和死亡率数据.
- 检查不同社会经济阶层在封锁期间的流动模式.
- 与社会经济地位相关的测试量,阳性率和测试延迟的评估.
- 在各市区的COVID-19死亡和过度死亡的比较.
主要成果:
- 在社会经济地位和COVID-19结果和公共卫生能力之间发现了强烈的联系.
- 在社会经济地位较低的市政区的个人在封锁期间表现出减少的流动性.
- 低收入地区的测试可能不足,阳性率和延迟更高.
- 社会经济状况与死亡率有显著的相关性,包括COVID-19导致的过度死亡.
- 年轻人感染死亡率在低收入城市较高.
结论:
- 在疫情期间,社会经济不平等极大地影响了健康状况.
- 城市隔离加剧了健康差异,需要有针对性的公共卫生干预措施.
- 解决健康的社会经济决定因素对于建设有弹性的城市和改善疫情准备是必不可少的.
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