在19个欧洲国家,COVID-19相关的青少年死亡率和发病率
Jesus Cortés1, Pedro Manuel Vargues Aguiar2, Paulo Ferrinho3
1NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, 1600-560, Lisbon, Portugal. jdc.gil@ensp.unl.pt.
European journal of pediatrics
|June 29, 2023
概括
青少年COVID-19死亡风险通过全面接种疫苗和获得优质医疗保健来降低. 然而,污染增加增加了这个年龄组的死亡风险. 公共和私营部门的协调对于危机管理至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 在COVID-19之前,青少年面临着已经存在的健康和社会问题的综合症.
- 疫情加剧了青少年现有的负担,需要更新分析.
- 流行病期间青少年的健康状况仍未得到充分研究,特别是在死亡率和发病率因素方面.
研究的目的:
- 评估欧洲青少年COVID-19相关死亡率和发病率的风险和保护因素.
- 分析社会人口,环境,卫生系统和控制措施对青少年COVID-19结果的相互作用.
- 提供一篇关于大流行期间青少年健康负担的最新反思.
主要方法:
- 利用多个波桑回归模型来分析19个欧洲国家的确诊病例和死亡.
- 采用逆向选择和逆向渐进多变量回归来进行模型优化.
- 包括风险人口 (15-19岁或总人口) 作为回归共变量 (补偿).
- 纳入"完全接种疫苗"状态作为最终模型中的关键变量.
主要成果:
- 获得优质医疗保健的机会是显著的保护因素 (IRR为0.68).
- 私营部门的参与和较低的吉尼系数也显示出保护作用 (IRR分别为0.86和0.93).
- 完全接种疫苗的状态是预防COVID-19死亡率的保护因素 (IRR为0.94).
- 较高的污染水平与增加的COVID-19死亡风险有关.
结论:
- 全面接种疫苗和获得高质量的医疗保健是青少年对COVID-19死亡率的关键保护因素.
- 在这个人口群体中,环境污染是COVID-19死亡率的重要风险因素.
- 有效的危机管理需要公共部门和私营部门之间强有力的协调,以减轻青少年健康风险.
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