种族住宅隔离与COVID-19死亡率之间的关联
Suresh Nath Neupane1, Erin Ruel2
1Urban Studies Institute, Andrew Young School of Policy Studies, Georgia State University, Atlanta, GA, USA. sneupane2@gsu.edu.
Journal of urban health : bulletin of the New York Academy of Medicine
|September 15, 2023
概括
种族隔离在住宅中显著增加了美国的COVID-19死亡率. 这种关联在所有种族群体中都存在,突出了种族隔离.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 种族隔离是美国社会的一个持久的特征.
- 了解其对健康差异的影响至关重要.
- 随着COVID-19的流行,现有的健康不平等加剧了.
研究的目的:
- 调查美国早期流行病中种族隔离和COVID-19死亡率之间的关系.
- 分析隔离如何影响不同种族群体的死亡风险.
主要方法:
- 利用CDC和县级健康排名项目的数据,对美国1488个县的8,670,781名个人进行了分析.
- 采用层次逻辑回归模型来评估COVID-19死亡.
- 在分析中包括个人和县级预测因素.
主要成果:
- 增加的种族隔离与更高的COVID-19死亡率有关.
- 与白人相比,黑人和亚洲人面临更高的死亡风险,即使控制了种族隔离.
- 西班牙裔和其他种族群体的死亡风险低于白人,控制种族隔离.
- 隔离对COVID-19死亡率的影响在所有种族群体中是一致的.
结论:
- 种族隔离是COVID-19死亡率的一个重要决定因素.
- 分离有助于在COVID-19结果中的种族差异.
- 公共卫生干预措施应解决住宅隔离问题,以减轻健康不平等.
相关概念视频
Bias in Epidemiological Studies
343
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:
343
Residuals and Least-Squares Property
7.4K
The vertical distance between the actual value of y and the estimated value of y. In other words, it measures the vertical distance between the actual data point and the predicted point on the line
If the observed data point lies above the line, the residual is positive, and the line underestimates the actual data value for y. If the observed data point lies below the line, the residual is negative, and the line overestimates the actual data value for y.
The process of fitting the best-fit...
If the observed data point lies above the line, the residual is positive, and the line underestimates the actual data value for y. If the observed data point lies below the line, the residual is negative, and the line overestimates the actual data value for y.
The process of fitting the best-fit...
7.4K
Causality in Epidemiology
463
Causality or causation is a fundamental concept in epidemiology, vital for understanding the relationships between various factors and health outcomes. Despite its importance, there's no single, universally accepted definition of causality within the discipline. Drawing from a systematic review, causality in epidemiology encompasses several definitions, including production, necessary and sufficient, sufficient-component, counterfactual, and probabilistic models. Each has its strengths and...
463
Confounding in Epidemiological Studies
188
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...
188
Relative Risk
208
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
208
Stereotypes, Prejudice, and Discrimination
90.2K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.2K


