加利福尼亚州COVID-19住院患者死亡率的种族差异
Muni Rubens1,2, Venkataraghavan Ramamoorthy3, Anshul Saxena3
1Miami Cancer Institute, Baptist Health South Florida, Miami, FL, USA.
Scientific reports
|December 4, 2023
概括
加利福尼亚州的西班牙裔COVID-19患者与白人患者相比,在医院的死亡率和重症监护室 (ICU) 的入院率显著更高. 这些发现突显了COVID-19结果中的关键种族差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 美国医院治疗结果中的种族差异得到了充分证实.
- COVID-19已经不成比例地影响了少数群体.
研究的目的:
- 调查加利福尼亚州COVID-19患者的种族和住院死亡率之间的关联.
- 为了检查COVID-19患者的种族和重症监护室 (ICU) 入院之间的关联.
主要方法:
- 2020年加利福尼亚州住院患者数据库的回顾性分析.
- 包括18岁及以上患者的COVID-19住院情况.
- 利用考克斯的比例危险和后勤回归模型来评估种族和结果之间的关联.
主要成果:
- 分析包括87,934例COVID-19住院病例:西班牙裔 (56.5%),白人 (27.3%),亚洲/太平洋岛民/美洲原住民 (9.9%),黑人 (6.3%).
- 与白人,黑人和亚洲/太平洋岛民/美洲原住民相比,西班牙裔患者的死亡风险更高.
- 与白人患者相比,西班牙裔,黑人和亚洲/太平洋岛民/美洲原住民患者的ICU入院几率明显更高.
结论:
- 在加利福尼亚州,在COVID-19死亡率和ICU入院方面观察到显著的种族差异.
- 西班牙裔个人面临最严重的结果,死亡率和ICU入院率最高.
- 调查结果强调需要有针对性的干预措施来解决医疗保健中的种族不平等问题.
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