加拿大COVID-19测试和阳性状况的社会经济决定因素的比较:多省份分析
Lilia Antonova1,2, Chandy Somayaji3, Jillian Cameron3
1Department of Otolaryngology-Head and Neck Surgery, University of Ottawa, Ottawa, ON, Canada.
PloS one
|August 23, 2023
概括
社会弱势群体面临着更大的COVID-19测试差异. 收入,种族和脆弱性等因素影响了加拿大对SARS-CoV-2的测试访问和积极结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- COVID-19大流行不成比例地影响了社会弱势群体.
- 了解SARS-CoV-2测试和阳性差异对于公共卫生至关重要.
- 社会经济地位 (SES) 和健康的社会决定因素 (SDH) 是需要调查的关键因素.
研究的目的:
- 检查人口因素,SES和SDH与SARS-CoV-2测试访问之间的关联.
- 确定这些因素与测试COVID-19阳性结果的可能性之间的关系.
- 确定与加拿大风险群体的COVID-19测试相关的医疗保健准入障碍.
主要方法:
- 使用省级卫生行政数据 (2020年3月至2021年4月) 进行的观察性,基于人口的,跨部门研究.
- 包括安大略省,马尼托巴省和新不伦瑞克省的16900661名医疗保健用户.
- 利用单变量和多变量回归模型来分析测试和测试阳性的决定因素.
主要成果:
- 女性性别和城市居住与更高的测试率有关,但阳性程度较低.
- 新不伦瑞克和安大略省的高收入地区显示测试增加,而曼尼托巴则出现较高收入的测试和阳性率下降.
- 较高的民族文化组成与较低的测试率相关,较高的民族文化组成和情境脆弱性增加了SARS-CoV-2阳性几率.
结论:
- 人口,收入和SDH因素显著影响SARS-CoV-2测试和阳性.
- 对COVID-19检测的医疗保健准入障碍可能反映了更广泛的系统不平等.
- 研究结果强调需要有针对性的干预措施来解决弱势群体的健康差异.
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