在COVID-19期间青年性传播感染的地理空间差异
Jungwon Min1, Stephen Bonett2, Vicky Tam1
1Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
American journal of preventive medicine
|February 28, 2024
概括
在COVID-19期间,青少年性传播感染 (STI) 查下降,黑人青少年的病率没有恢复,特别是在弱势地区. 需要采取干预措施,以改善这一群体的性传播感染查和预防性护理.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 青少年健康 青少年健康
背景情况:
- 随着COVID-19大流行,日常医疗服务中断,包括青少年的性传播感染 (STI) 查.
- 有限的查,供应短缺和社交距离影响了STI测试率和阳性.
- 目前尚不清楚青少年的性传播疾病查是否恢复到大流行前的水平,以及差异是否扩大.
研究的目的:
- 在COVID-19大流行期间,评估无症状性性传播疾病查率的变化和青少年的测试阳性.
- 调查是否在STI查中恶化了先前存在的种族,种族和社会经济差异.
- 检查邻居处于不利地位对青少年性传播疾病查中流行病相关变化的影响.
主要方法:
- 一项横截面研究分析了22974次初级保健诊所对13-19岁 (2018-2022) 的人进行淋病和克拉米迪亚查.
- 间断时间序列分析和后勤回归跟踪了人口统计学范围内的查率和阳性.
- 邻居级儿童机会指数被用来评估社会经济和教育上的劣势.
主要成果:
- 无症状的STI查率在流行病和国家供应短缺期间显著下降,但在2021年初恢复.
- 非西班牙裔黑人青少年的查率大幅下降,并没有恢复到大流行前的水平.
- 在社会经济和教育上处于劣势的社区,差异加剧,特别是非西班牙裔黑人青少年.
结论:
- 在大流行期间,邻里处于不利地位加剧了青少年性传播疾病查中的种族种族差异.
- 干预措施对于改善非西班牙裔黑人青少年的初级保健利用率和常规性感染性疾病查至关重要.
- 解决社会经济和教育因素是减少预防护理差异的关键.
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