检查因COVID-19流行病而导致的过度死亡率
Nick Graetz1, Peter Hepburn2, Carl Gershenson1
1Princeton University, Princeton, New Jersey.
JAMA
|March 18, 2024
概括
在COVID-19大流行期间,面临驱逐申请的租户的死亡率增加了106%. 这突显了住房不稳定与公共卫生之间的关键联系, 尤其是在卫生危机期间.
科学领域:
- 公共卫生
- 流行病学
- 社会学
背景情况:
- COVID-19 疫情加剧了现有的健康差异,不成比例地影响了弱势群体.
- 住房流离失所是住房不稳定的标志,可能导致疫情期间死亡率增加.
研究的目的:
- 估计在收到驱逐文件的租户 (受威胁的租户) 中与COVID-19大流行相关的过度死亡率.
- 将受威胁的租户的过度死亡率与普通人口和高贫困地区居民的死亡率进行比较.
主要方法:
- 一个使用过度死亡率框架的回顾性队列研究.
- 2020-2021年相关的驱逐和死亡记录与2010-2016年数据的预期死亡率进行了比较.
- 建立了两个比较组:一般人口和高贫困地区的个人.
主要成果:
- 在20个月的研究期间,与预期水平相比,受威胁的租户的死亡率高出106%.
- 在受威胁的租户 (106%的增长) 中,死亡率明显高于同类社区 (25%的增长) 和普通人口 (9%的增长).
- 在受威胁的租户中,在所有年龄组中观察到积极的过度死亡率.
结论:
- 在COVID-19大流行期间,面临驱逐申请的租户的死亡率大幅增加.
- 住房的不稳定性是公共卫生危机期间造成不良健康后果和死亡的一个重要因素.
- 解决住房安全问题的政策对于缓解健康差距和提高人口健康恢复能力至关重要.
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