巴西成年人长期COVID的风险和保护因素 (CUME研究)
Júlio Eduvirgem1, Josefina Bressan2, Helen Hermana Miranda Hermsdorff2
1Posgraduate Program in Nursing, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Frontiers in medicine
|March 8, 2024
概括
长期COVID影响了近一半的参与者,女性,高血压患者和经历多次急性COVID-19症状的个人风险更高. 高级教育似乎可以防止长期COVID的发展.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 长期COVID是一种后感染综合征,影响5-20%的个人,病因因素不明.
- CUME研究调查了巴西成年人长期COVID的风险和保护因素.
研究的目的:
- 确定与巴西成年人队伍中长期COVID发展相关的风险和保护因素.
主要方法:
- 一项前性队列研究,涉及来自巴西米纳斯吉拉斯州的390名大学毕业生.
- 2016年和2022年通过问卷收集的数据,包括COVID-19和长期COVID状态.
- 用于确定风险和保护因素的等级多变量波桑回归分析.
主要成果:
- 在参与者中,长期COVID流行率为48.9%.
- 风险因素包括女性性别 (RR=1.56),先前的高血压 (RR=1.46),在第一波 (RR=1.38) 或第二波 (RR=1.33) 中感染COVID-19以及经历≥3次急性症状 (RR=2.99).
- 博士/博士后教育水平是一个保护因素 (RR=0.69).
结论:
- 女性性别,高血压和多种急性COVID-19症状是长期COVID的重要危险因素.
- 高等教育 (博士/博士后) 可能会提供对长期COVID发展的保护.
- 医疗保健提供者应考虑患者的人口统计和病史,以确定患长期COVID的风险较高的人.
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