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从基于社区的综合征监测中评估学校关闭在COVID-19相关综合征中的有效性:纵向观察性研究

Ping-Chen Chung¹, Kevin J Chen², Hui-Mei Chang²

¹Department of Dentistry, Puzi Hospital, Ministry of Health and Welfare, Chiayi County, Taiwan.

Interactive journal of medical research

|December 15, 2023

概括

学校关闭有效减少了学生的COVID-19综合征,并对老年人产生了积极的溢出效应. 然而,影响因年龄组和医疗机构而异,移动性变化影响了2022年的发病率.

科学领域:

公共卫生公共卫生
流行病学流行病学
传染病控制和控制传染病

背景情况:

在COVID-19大流行期间,全球范围内实施了学校关闭,以制传播.
学校关闭政策的有效性在不同的国际研究中显示出差异.

研究的目的:

调查学校关闭与COVID-19相关综合征的每日标准化发病率之间的关联.
在台湾台北市的门诊综合征监测系统中使用.

主要方法:

使用分布式滞后模型进行中断时间序列分析.
从2021年1月到2021年和2022年学校关闭后的几周,评估了COVID-19相关综合征的发生率.
整合了人类流动性数据 (谷歌COVID-19社区流动性报告) 并分析了跨年龄组和医疗机构类型 (诊所,社区医院) 的影响.

主要成果:

学校关闭在2021年与整个COVID-19综合征有显著的负面关联,干预后两周.
2021年,在13-18岁和≥65岁的临床患者中观察到负面关联,而在社区医院的19-24岁患者中观察到积极关联.
在2022年,学校关闭对社区医院的年轻年龄组 (0-24岁) 和诊所的老年人 (>45岁) 的发病率产生了负面影响;向商业区域和住宅的流动性增加与发病率产生了正相关.

结论:

学校关闭通过减少身体接触,在学生中抑制COVID-19相关综合征方面表现出有效性.
在老年人群中观察到学校关闭的显著溢出效应,可能是由于社会互动减少.
该研究强调了学校关闭的细微影响,受年龄人口统计学,医疗保健环境和人口流动模式的影响.

关键词:

在 COVID-19 疫情中,移动性是一种流动性.门诊患者的治疗方式学校关闭学校关闭综合征监测综合征监测综合征监测

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