COVID-19大流行病与儿科创伤人口中的结构不平等之间的关系
Christina Georgeades1,2, Amelia T Collings3, Manzur Farazi4,5
1Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA. cgeorgeades@mcw.edu.
Injury epidemiology
|November 29, 2023
概括
有色人种儿童和脆弱社区的儿童在COVID-19留在家中的命令期间面临着越来越多的故意和枪支伤害. 白人儿童和弱势地区的儿童没有经历这些变化.
科学领域:
- 儿科创伤 儿童创伤
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19大流行严重影响了全球的社会,政治和经济结构.
- 它强调了全球社区中现有的脆弱性.
- 评估大流行对儿童伤害模式的影响差异至关重要.
研究的目的:
- 评估儿童在停留在家命令 (SHO) 之前和之后受伤模式的变化.
- 为了比较白人儿童和有色人种儿童之间的受伤趋势.
- 分析不同级别的社区社会经济脆弱性的伤害变化.
主要方法:
- 一项多机构的回顾性研究分析了18岁以下患者的创伤损伤.
- 对照队列 (2016-2019) 与COVID-19队列 (后SHO实施) 相比较.
- 统计分析检查了种族/种族,社会脆弱性指数 (SVI) 和大流行时间框架之间的伤害结果之间的相互作用.
主要成果:
- 在种族/种族和大流行期间之间,在伤害意图和机制方面发现了显著的相互作用.
- 在SHO实施后,有色人种儿童的故意伤害和枪支伤害增加.
- 在高SVI地区的儿童遭遇枪支伤害的增加,与低SVI地区的儿童不同.
结论:
- 有色人种儿童和高脆弱性社区的儿童在疫情期间遭受故意和枪支伤害的不成比例增加.
- 这些发现强调了公共卫生危机期间创伤负担的严重不平等.
- 需要有针对性的干预措施来解决这些差异,并有效地指导资源.
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