在爱尔兰的三次大流行浪潮中,COVID-19的发病率和富裕/贫困的结果:一项回顾性队列研究,使用例行收集的数据
Declan McKeown1, Angela McCourt1, Louise Hendrick1
1National Health Intelligence Unit, Health Service Executive, Dublin, Ireland.
PloS one
|July 21, 2023
概括
在爱尔兰,物质剥夺增加了COVID-19的风险和住院的可能性. 然而,缺乏并不能预测重症监护室的入院或死亡. 需要进一步的研究来了解这些差异.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 物质剥夺是影响COVID-19发病率和死亡率的重要因素.
- 这项研究调查了物质剥夺对爱尔兰COVID-19结果的影响,涉及三次大流行浪潮.
研究的目的:
- 分析物质剥夺与COVID-19结果之间的关系,包括住院,重症监护室 (ICU) 住院和死亡.
- 检查这种关系在爱尔兰的不同流行病浪潮和人口群体中是如何变化的.
主要方法:
- 利用了来自爱尔兰252,637例PCR确诊的COVID-19病例 (2020年3月 - 2021年5月) 的数据.
- 案件经过地理参考,并使用哈斯-普拉茨克 (HP) 贫困指数进行分类.
- 用回归建模来评估结果:入院,ICU入院和死亡.
主要成果:
- 贫困与大多数年龄组和流行病浪潮中感染COVID-19的可能性增加有关.
- 贫困,年龄较大,并发症和男性性别增加了入院的风险.
- 贫困不是ICU入院或死亡率的重要预测因素;第2波诊断显示所有结果的风险最低.
结论:
- COVID-19的传播发生在所有社会层面,贫困人口的发病率更高,尽管这一发现并不普遍一致.
- 爱尔兰的种族同质性可能意味着除了贫困之外的结构因素,如其他社会中的种族差异,在COVID-19结果中起着更大的作用.
- 需要进一步调查,以充分理解社会经济因素和COVID-19在不同人群中的复杂相互作用.
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