在COVID-19大流行期间,虚拟学习和青年发病的2型糖尿病
Jody B Grundman1, Stephanie T Chung2, Elizabeth Estrada1,3
1Division of Endocrinology, Children's National Hospital, Washington, District of Columbia, USA.
Hormone research in paediatrics
|July 2, 2023
概括
在COVID-19大流行期间,虚拟学习显著增加了青年发病的2型糖尿病 (Y-T2D) 病例. 这种增长不成比例地影响了少数民族青年,突出了医疗保健的差异.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在COVID-19大流行期间,青少年发病的2型糖尿病 (Y-T2D) 病例和严重程度增加.
- 公共卫生任务导致了生活方式的改变,包括暂停了面对面的教育和有限的社会互动.
- 在大流行期间Y-T2D病例增加的驱动因素以前是未知的.
研究的目的:
- 为了调查Y-T2D发病率和严重程度在COVID-19大流行期间在虚拟学习期间增加的假设.
- 在疫情期间,分析Y-T2D在不同学习模式 (面对面或虚拟) 的发病率.
- 检查大流行对Y-T2D的影响,特别是在服务不足的社区.
主要方法:
- 进行了单个中心的回顾性图表审查.
- 新诊断的Y-T2D病例 (n=387) 在儿科三级护理中心确诊.
- 数据是在三个时期收集的:流行前的亲自学习,流行时的虚拟学习和流行时的亲自学习.
主要成果:
- Y-T2D发病率在虚拟学习期间达到峰值 (18.7例/月),明显高于疫情前 (3.9例/月) 和回归面对面学习 (4.3例/月) 期间.
- 在整个研究中,在非西班牙裔黑人和拉丁裔年轻人中,Y-T2D发病率分别高出16.9倍和5.1倍.
- 诊断时的低COVID-19感染率 (2.5%) 与糖尿病发病率无关.
结论:
- 疫情期间的虚拟学习与Y-T2D发病率显著增加有关.
- 该研究强调了Y-T2D对服务不足的少数民族年轻人的不成比例影响.
- 调查结果强调需要考虑公共政策对健康结果和医疗保健不平等的影响.
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