了解COVID-19健康差异与出生国家和语言数据
M Kumi Smith1, Kirsten R Ehresmann2, Gregory S Knowlton2
1Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, Minnesota.
American journal of preventive medicine
|July 5, 2023
概括
美国的COVID-19差异是复杂的. 出生的国家和喜欢的语言揭示了种族/种族掩盖的健康风险,突出了针对性干预的需求.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差距 研究 研究 研究 研究
背景情况:
- 传统的种族/种族类别不足以捕捉美国的COVID-19差异.
- 细微的理解需要细粒度的数据超越广泛的社会分类.
研究的目的:
- 用出生国家和首选语言分析COVID-19差异.
- 为了确定特定的社会群体具有高的COVID-19风险.
主要方法:
- 分析了来自中西部卫生系统的1,114,895名患者 (2019-2021) 的数据.
- 使用年龄调整的通用线性模型来估计风险比率 (RR).
- 按种族/种族,出生国和首选语言进行分层分析.
主要成果:
- 来自拉丁美洲/加勒比地区的西班牙裔/拉丁裔患者喜欢西班牙语,感染/住院RRs最高.
- 来自撒哈拉以南非洲的黑人患者比西方同行感染风险更高.
- 在特定的欧洲,中亚,东南亚和太平洋岛屿群体中观察到较高的住院/死亡风险;非英语说话者面临更高的风险.
结论:
- 出生的国家和喜欢的语言确定了传统标签遗漏的弱势群体.
- 定期收集这些数据对于有针对性,文化相关的干预至关重要.
- 调查结果强调需要文化和语言定制的公共卫生战略.
相关概念视频
Bias in Epidemiological Studies
369
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
369
Statistical Methods for Analyzing Epidemiological Data
425
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
425
Pareto Chart
6.8K
A Pareto chart is a bar graph or a combination of both line and bar graphs. The bar lengths represent the individual values or the frequency, while the lines represent the cumulative total values. In this chart, the longest bars are arranged on the left and the shortest bars on the right, which makes it easier to read and interpret the data. It can also be called a Pareto diagram or Pareto analysis.
The Pareto chart is named after the Italian economist Vilfredo Pareto, who described the Pareto...
The Pareto chart is named after the Italian economist Vilfredo Pareto, who described the Pareto...
6.8K
Health Literacy
4.1K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
4.1K
Confounding in Epidemiological Studies
191
Confounding in statistical epidemiology represents a pivotal challenge, referring to the distortion in the perceived relationship between an exposure and an outcome due to the presence of a third variable, known as a confounder. This variable is associated with both the exposure and the outcome but is not a direct link in their causal chain. Its presence can lead to erroneous interpretations of the exposure's effect, either exaggerating or underestimating the true association. This...
191
Single Nucleotide Polymorphisms-SNPs
15.3K
A single nucleotide polymorphism or SNP is a single nucleotide variation at a specific genomic position in a large population. It is the most prevalent type of sequence variation found in the human genome. Point mutations that occur in more than 1% of the population qualify as SNPs. These are present once every 1000 nucleotides on an average in the human genome. Replacement of a purine with another purine (A/G) or a pyrimidine with another pyrimidine (C/T) is known as a transition. In contrast,...
15.3K


