在COVID-19后的长期健康影响中的社会不平等-一项范围审查
Nina Lammers1, Florian Beese1, Jens Hoebel1
1Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.
International journal of public health
|February 22, 2024
概括
在COVID-19 (LTHE) 后的长期健康影响中,关于社会不平等的证据很弱. 虽然一些研究表明,贫困地区的LTHE患病率更高,但需要更多的样本大小的研究来证实这些发现.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 在COVID-19 (LTHE) 之后的长期健康影响,也被称为长期COVID,代表了重大的公共卫生挑战.
- 了解与LTHE相关的社会不平等对于公平的医疗保健规划至关重要.
研究的目的:
- 绘制和综合现有关于LTHE社会不平等的证据.
- 确定研究中关于长期COVID-19结果差异的差距.
主要方法:
- 对同行评审文章进行了全面的范围审查.
- 在Embase和Scopus数据库中进行搜索,遵循PRISMA指南.
- 包括的研究被选为资格,参考列表被手动搜索.
主要成果:
- 包括19篇文章,分析LTHE跨越种族,教育,收入,就业和贫困.
- 大多数分析 (82) 没有显示社会因素与LTHE之间的统计学意义上的关联.
- 在贫困地区,LTHE的患病率更高被暂时建议,尽管证据通常是弱的和不确定的.
结论:
- 目前关于LTHE社会不平等的证据在很大程度上是弱的和不确定的.
- 在审查的研究中,LTHE定义的显著差异和II型错误的高风险被注意到.
- 以更大的样本规模进行进一步的强有力的研究对于为公共卫生政策和医疗保健规划提供信息至关重要.
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