COVID-19的社会驱动因素 孕妇患者的疾病严重性 孕妇患者的疾病严重性
Jennifer Mckinney1,2, Bahram Salmanian1, Rebecca Grace3
1Division of Maternal Fetal Medicine, Baylor College of Medicine, Houston, Texas.
American journal of perinatology
|June 13, 2023
概括
COVID-19不成比例地影响孕妇患者. 这项研究发现,严重的COVID-19在孕妇中与更高的社会脆弱性有关,特别是在住房和交通方面,突出了针对性干预的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
背景情况:
- 新型冠状病毒疾病2019 (COVID-19) 在全球产生了重大影响.
- 包括孕妇在内的某些患者群体经历了不成比例的高发病率和死亡率.
- 了解健康的社会决定因素在怀孕人口中COVID-19结果中的作用至关重要.
研究的目的:
- 调查COVID-19疾病严重程度和孕妇健康的社会决定因素之间的关系.
- 为了评估人口变量,种族,种族和社会脆弱性在一个多样化的城市怀孕人口与COVID-19.
- 为了确定导致COVID-19怀孕差异的因素.
主要方法:
- 在两个城市三级保健中心诊断出COVID-19的孕妇患者的回顾性分析 (2020年3月至8月).
- 收集母亲人口统计,COVID-19疾病和分娩特征.
- 利用基于患者住所的社会脆弱性指数 (SVI) 和COVID-19社区脆弱性指数 (CCVI) 来评估健康的社会决定因素.
主要成果:
- 共有317名孕妇患者检测出COVID-19阳性.
- 无症状和症状组之间没有观察到基线母亲特征的显著差异,除了无症状病例诊断时的晚期妊娠年龄外.
- 与轻度疾病患者相比,患有严重COVID-19的孕妇在住房和交通方面表现出更大的社会脆弱性 (平均SVI:0.72对0.58,p=0.03).
结论:
- 在COVID-19疾病严重程度和孕妇在住房和交通方面的社会脆弱性增加之间存在关联.
- COVID-19的结果是复杂的和多因素的,受到健康的社会决定因素的影响.
- 识别和测量健康的社会决定因素可以帮助确定风险人群和地理区域,以便在流行病期间采取有针对性的预防措施.
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