在COVID-19住院队伍中重新审视种族差异:对碰撞器偏差的纠正
Annastazia E Learoyd1, Jennifer Nicholas2, Nicholas Hart3
1School of Life Course and Population Sciences, King College London, London, UK.
Journal of clinical epidemiology
|June 29, 2023
概括
少数民族,特别是亚洲人,面临更高的COVID-19死亡风险. 对住院偏差的纠正揭示了2019年冠状病毒疾病结果中细微的,波特异性的种族差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 2019年新冠肺炎早期疾病 (COVID-19) 流行病研究表明,少数民族的风险更高.
- 人们担心只对住院的分析可能会带来偏见,可能会高估或低估种族差异.
研究的目的:
- 调查种族和COVID-19结果之间的关系.
- 通过仅分析住院患者来评估和纠正潜在的偏见.
主要方法:
- 回归模型分析了伦敦南部两次COVID-19波 (2020年2月 - 2021年5月) 3,133名患者的数据.
- 分析包括未调整的模型,根据共变量 (病史,贫困) 调整的模型,以及根据住院偏差调整的模型.
主要成果:
- 亚洲患者在两个波中都表现出持续增加两倍的住院死亡风险,不受住院偏差校正的影响.
- 波特异性分析显示了显著的种族差异,只有在纠正住院偏差后,这些差异才变得明显.
结论:
- 纠正住院偏差至关重要,因为它可以最大限度地减少少数民族中COVID-19结果恶化的明显严重性.
- 调查健康差异的研究设计应该包括方法来解决使用住院队列的偏见.
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