德国COVID-19大流行期间酒精特异性疾病负担的变化:中断时间序列分析
Jakob Manthey1,2, Carolin Kilian3, Ingo Schäfer1
1Centre for Interdisciplinary Addiction Research (ZIS), Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
European journal of public health
|June 27, 2023
概括
随着COVID-19大流行,德国女性酒精特定死亡人数增加了10.8%. 与酒精相关的急性和慢性疾病住院的病例也减少,这突显了对医疗保健准入的潜在影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 与酒精有关的危害与酒精有关的危害
背景情况:
- 随着COVID-19的流行,人们改变了饮酒习惯和获得医疗保健的机会.
- 这些变化可能有助于增加可归因于酒精的危害.
研究的目的:
- 在COVID-19大流行开始时,量化德国酒精特定死亡率和住院病例的变化.
- 为了分析45-74岁的个体的性别分层数据.
主要方法:
- 使用了2013年1月至2020年12月的每月死亡和医院出院数据.
- 进行了性别分层的中断时间序列分析,使用了通用添加混合模型.
- 将酒精特异性诊断分为急性和慢性疾病.
主要成果:
- 在女性中观察到酒精特异性死亡率的立即增加 (2019年至2020年为10.8%),但男性没有.
- 由于急性酒精特异性疾病而出院的人数下降了21.4% (女性) 和25.1% (男性).
- 患有慢性酒精特异性疾病的出院人数下降了7.4% (女性) 和8.1% (男性).
结论:
- 增加的酒精消费和减少对成服务的访问可能解释了大流行期间的过度死亡率.
- 在公共卫生危机期间,确保获得专门的成服务至关重要.
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