多种西班牙裔/拉丁裔成年人所有原因累积死亡率:一个前性的多中心队列研究
Jianwen Cai1, Amber Pirzada2, Pedro L Baldoni3
1Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (J.C., M.E.Y.).
Annals of internal medicine
|March 4, 2024
概括
在COVID-19大流行之前,不同的西班牙裔/拉丁裔群体的死亡风险各不相同,主要是由于生活方式和临床因素. 在大流行期间,死亡率模式发生了变化,中美洲和墨西哥人口的风险增加.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 美国不同西班牙裔/拉丁裔群体之间的全因死亡率差异缺乏前性检查.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 以西班牙裔/拉丁裔背景来描述所有原因累积的死亡风险.
- 确定在COVID-19大流行之前和期间死亡率差异背后的因素.
主要方法:
- 对15568名成年人进行的前性多中心队列研究 (西班牙裔社区健康研究/拉丁裔研究).
- 在基线评估社会人口统计学,文化融合,生活方式和临床因素.
- 通过2021年12月确定生命状况,使用Cox回归分析死亡风险.
主要成果:
- 疫情前:波多黎各和古巴人群的死亡风险较高,南美人群的死亡风险最低;随着生活方式/临床因素的调整,差异减弱.
- 在大流行期间:最初跨组重叠的2年死亡风险.
- 后调整:中美洲和墨西哥群体的风险较高,波多黎各和古巴群体的风险最低.
结论:
- 疫情前的死亡率差异主要是由生活方式和临床因素解释的.
- 流行病改变了死亡率模式,与波多黎各和古巴人相比,中美洲和墨西哥人的风险增加了.
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