COVID-19,家庭传播的社会决定因素. 一个基于人口的研究
Jesús Soriano López1,2, Jesús Humberto Gómez Gómez1,3,4,5, Monica Ballesta-Ruiz1,3,5,6
1Murcia Region Health Department, Murcia, Spain.
European journal of public health
|February 23, 2024
概括
COVID-19的家庭传播率很高,特别是在移民人口和妇女中. 了解起源和性别等社会决定因素对于控制家庭内的传染病传播至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病传播 传染病传播
背景情况:
- 家庭内传播是了解传染病动态的关键.
- 家庭暴露是冠状病毒疾病-2019 (COVID-19) 传播的主要背景.
- 家庭二次攻击率 (SAR) 量化了感染风险,但社会决定因素尚未得到充分研究.
研究的目的:
- 为了调查COVID-19的家庭传播.
- 分析职业社会阶级,原籍国和性别对家庭内SAR的影响.
- 为了确定家庭内COVID-19传播的风险因素.
主要方法:
- 对COVID-19病例的同居接触者的回顾性队列研究 (2020年6月至12月,墨西亚地区).
- 使用多层二进制物流回归模型对家庭SAR的分析.
- 包括主要病例特征 (性别,年龄,症状,社会阶级,起源,家庭规模) 和接触特征 (年龄,性别).
主要成果:
- 在37727个接触者中,家庭内SAR总值为39.1%.
- 移民人口 (非洲,拉丁美洲) 显示出更高的攻击率,即使在调整后.
- 高龄和女性性别是家庭内SARS-CoV-2感染的独立风险因素.
结论:
- 在移民中,家庭内传播率更高,这与家庭条件和社会脆弱性有关.
- 妇女面临着更大的感染感染者共同生活的感染的可能性.
- 这些发现强调了在传染病控制战略中需要解决社会决定因素的必要性.
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