COVID-19对肯尼亚沿海地区死亡率的影响:一个纵向的开放队列研究
M Otiende1, A Nyaguara2, C Bottomley3
1KEMRI-Wellcome Research Trust Programme, PO Box 230, Kilifi, 80108, Kenya. motiende@kemri-wellcome.org.
Nature communications
|October 29, 2023
概括
肯尼亚的COVID-19过度死亡率总体较低,但对老年人产生了重大影响. 这凸显了高疫苗覆盖率在这个弱势群体中的重要性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 由于有限的生命登记系统,COVID-19在非洲的死亡影响受到争论.
- 准确的死亡率数据对于了解各种环境中的流行病影响至关重要.
研究的目的:
- 在COVID-19大流行期间分析肯尼亚沿海地区的过度死亡率.
- 评估COVID-19对该地区不同年龄组的影响.
主要方法:
- 利用了来自基利菲健康和人口监测系统的9年的基线数据.
- 在五次COVID-19浪潮 (2020年4月至2022年5月) 中分析了过度死亡率.
- 肯尼亚人口的年龄标准化过度死亡率.
主要成果:
- 总体过度死亡率为4.8%,但在65岁及以上的成年人中明显高 (11.6%).
- 在1至14岁的儿童中观察到死亡率赤字 (-7.7%).
- 年龄标准化过度死亡率为每10万人/年27.4 (2020年1月至2021年12月).
结论:
- 肯尼亚沿海地区的过度死亡率低于高收入国家.
- 老年人 (≥65岁) 经历了大量的过度死亡率,强调了针对性干预的必要性.
- 在老年人中,高疫苗覆盖率对于减轻COVID-19的影响至关重要.
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