深南地区的住宅隔离和县级COVID-19增强覆盖:监测报告和生态研究
Chengbo Zeng1,2,3, Jiajia Zhang2,3,4, Zhenlong Li2,3,5
1Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
JMIR public health and surveillance
|December 5, 2023
概括
深南地区的COVID-19推进覆盖率缓慢且不均,特别是在年轻人和成年人中. 县区的较高住宅隔离与所有年龄组的增强剂吸收率较低有关.
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:
- COVID-19不成比例地影响了美国深南地区.
- 在县级,按年龄分类的COVID-19助推器覆盖率的数据很少,并且与深南地区的住宅隔离相关的数据很少.
- 了解人口层面的差异对于有针对性的卫生政策和资源分配至关重要.
研究的目的:
- 评估深南地区的各个年龄组的县级COVID-19助推器覆盖率.
- 探索住宅隔离与COVID-19增强覆盖之间的关联.
主要方法:
- 一项生态研究分析了5个深南州418个县的COVID-19疫苗监测数据和住宅隔离指数 (2021年12月-2022年10月).
- 根据年龄组 (1217, 1864, ≥65岁) 分析了累积增强剂吸收百分比.
- 波森模型检查了住宅隔离和增强覆盖之间的纵向关系.
主要成果:
- 平均增强剂摄入量为40%,年龄有显著差异:年轻人 (12-17岁) 的14.1%,成年人 (18-64岁) 的33.4%,老年人 (≥65岁) 的63.1%.
- 观察到助推覆盖的地理空间异质性.
- 较高的住宅隔离与所有年龄组的增强器覆盖率较低有关,尽管随着时间的推移,这种关联减弱了.
结论:
- 深南地区的县级COVID-19助推器覆盖率显示进展缓慢,与年龄相关的差异很大.
- 住宅隔离是所有年龄组促进吸收的重要障碍.
- 未来的疫苗接种战略应优先考虑青年和成年人,医疗保健资源必须面向服务不足的种族和少数民族社区.
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