在美国一个大城市中,COVID-19的不成比例影响
Spencer J Fox1,2,3, Emily Javan4, Remy Pasco5
1Department of Epidemiology & Biostatistics, University of Georgia, Athens, Georgia, United States of America.
PLoS computational biology
|June 1, 2023
概括
德克萨斯州奥斯的COVID-19差异显示,脆弱社区的感染率更高. 需要采取公共卫生措施来解决这些本地COVID-19不平等问题.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
背景情况:
- 根据地理位置,种族,种族和社会经济地位,COVID-19不成比例地影响了各种人群.
- 之前的研究记录了差异,但缺乏随着时间的推移对其严重性的系统追踪.
研究的目的:
- 根据德克萨斯州奥斯的年龄组和邮政编码估计COVID-19的时间变化负担.
- 根据社会脆弱性分析感染和报告率的差异.
主要方法:
- 利用了2020年3月11日至2021年6月1日的匿名住院数据.
- 估计的感染率和住院率以及病例报告率.
- 采用混合效应的Poisson回归模型来评估社会脆弱性对感染率和报告率的影响.
主要成果:
- 估计奥斯的整体COVID-19感染率为23.7%,病例报告率为29.4%.
- 与年轻人群相比,65岁以上的个人感染率较低,但住院和报告率较高.
- 较弱势社区的感染率高2.5倍,报告率比较弱势社区低30%.
结论:
- 显著的COVID-19差异持续存在,但在15个月的研究期间下降.
- 公共卫生干预是必要的,以减轻当地COVID-19的不平等.
- 疾病预防控制中心的社会脆弱性指数可以预测当监测数据有限时的本地风险.
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