社会人口特征和COVID-19测试率:时空模式和瑞典测试可访问性的影响
Beatrice Kennedy1, Georgios Varotsis1, Ulf Hammar1
1Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
European journal of public health
|November 27, 2023
概括
社会人口因素和测试可访问性影响COVID-19测试率. 改善对检测的准入可以减少健康不平等.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 诊断测试对于疾病监测和控制工作至关重要.
- 住宅区的社会人口统计特征和测试可访问性可能会影响2019年新冠肺炎 (COVID-19) 测试率.
研究的目的:
- 调查住宅区社会人口因素与COVID-19测试率之间的关联.
- 评估测试可访问性的影响,包括测试站的距离,对COVID-19测试的普及.
主要方法:
- 分析了瑞典乌普萨拉县 (2020年6月 - 2022年2月) 426,224名患者发起的COVID-19 PCR测试.
- 普森回归用于检查护理需求指数 (CNI) 与每日检测率之间的关联,调整为社区传播.
- 差异差异分析评估了一个处于劣势地区的新测试站的影响.
主要成果:
- 护理需求指数 (CNI) 显示,在5-69岁的人群中,特别是年轻人群中,与COVID-19测试率的负相关性.
- 测试站距离的增加与较低的测试率相关,每10公里与15-29岁人群测试减少10-18%有关.
- 一个处于劣势地区的新开设的检测站导致了检测率的增加,特别是老年人 (70-105岁) 的检测率翻了一番.
结论:
- 住宅区社会人口统计因素与COVID-19测试率的差异有关.
- 测试可访问性,包括接近测试设施,显著影响了测试的普及.
- 有针对性的干预措施,例如在服务不足的地区建立可访问的测试站,可以有效地减少测试不平等.
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