在阿姆斯特丹,荷兰,在疫苗接种前的时代,COVID-19负担因城市区和种族而异
Yara Bachour1, Elke Wynberg1, Liza Coyer1,2
1Department of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, Netherlands.
Frontiers in public health
|July 10, 2023
概括
在阿姆斯特丹,COVID-19的差异仍然存在.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会医学科学 社会医学科学
背景情况:
- 在阿姆斯特丹的第一波疫情期间,COVID-19不成比例地影响了少数民族和低社会经济地位 (SES) 的人口.
- 这项研究调查了这些差异是否在第二波期间继续存在,在疫苗可用之前.
研究的目的:
- 评估第二波期间阿姆斯特丹基于移民背景和社会经济地位 (SES) 的COVID-19差异的持续性.
- 为了确定与COVID-19住院率相关的因素.
主要方法:
- 在阿姆斯特丹利用了SARS-CoV-2病例 (2020年6月至2021年1月) 的监测数据.
- 将案例数据与市政登记的移民背景和社会经济地位 (SES) 相匹配.
- 直接计算年龄和性别标准化率 (DSR) 并使用多变量波桑回归.
主要成果:
- 与中部地区相比,较低的SES外围地区观察到较高的COVID-19负担 (感染,住院,死亡).
- 非欧洲移民背景的个人比荷兰人住院率 (4.5倍) 高得多.
- 城市地区,移民背景,男性性别和年龄较大独立地与更高的住院率有关.
结论:
- 阿姆斯特丹的少数民族和较低社会经济地位 (SES) 的人口在第二波期间继续面临最高的COVID-19负担.
- 这些发现凸显了针对性公共卫生干预措施的持续需求,以解决卫生不平等问题.
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