耶路撒冷的COVID-19经验 - - 种族对疾病患病率的影响以及对检测的坚持
Michael Sorotzky1, Allon Raphael2, Adin Breuer2
1Department of Pediatrics, Shaare Zedek Medical Center, 12 Shmuel Bait St, PO Box 3235, 9103102, Jerusalem, Israel. sormiki@gmail.com.
Journal of racial and ethnic health disparities
|March 8, 2024
概括
这项研究发现,穆斯林阿拉伯人和极端正统犹太人的SARS-CoV-2感染率更高,包括未检测到的病例. 这些发现突显了疾病负担的种族差异,并为有针对性的公共卫生干预提供了信息.
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:
- SARS-CoV-2 流行病管理依赖于准确的疾病流行数据.
- 存在真实和检测到的感染率之间的差异,特别是在人口子组之间.
- 识别高未检测感染率的子群体对于公平的资源分配至关重要.
研究的目的:
- 调查耶路撒冷不同种族和宗教亚群体内的SARS-CoV-2感染率和模式.
- 确定特定群体的确诊和未确诊疾病负担较高.
- 为弱势群体制定有针对性的公共卫生战略提供信息.
主要方法:
- 从2021年4月到7月进行了一项横截面的流行病学调查.
- 根据PCR和血清学结果,参与者被分为未确认的疾病 (UD),确认的疾病 (CD) 和没有疾病 (ND).
- 分析对超正统犹太人 (UO),民族宗教犹太人 (NRJ),世俗犹太人 (SJ) 和穆斯林阿拉伯人 (MA) 的感染率进行了比较.
主要成果:
- 穆斯林阿拉伯人 (MA) 和极端正统犹太人 (UO) 的确诊或未确诊的SARS-CoV-2疾病的总体发病率最高.
- 亚马尼亚州的未确认疾病 (UD) 率最高,而UO的确诊疾病 (CD) 率最高.
- UD与种族有显著的相关性,在NRJ和SJ不太普遍,并且与更大的家庭规模和住房密度相关.
结论:
- 种族显著影响SARS-CoV-2的疾病负担.
- 研究结果强调需要提高对弱势群体疾病负担的认识.
- 针对每个子群体推量身定制的预防计划,以潜在降低发病率和死亡率.
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