赞比亚COVID-19对疟疾病例的影响:混合效应多层次分析
Mutale Sampa1,2, Ronald Fisa3, Chilombo Mukuma3
1School of Public Health, Department of Epidemiology and Biostatistics, The University of Zambia, University of Zambia, Lusaka, Zambia. mutalesampa65@gmail.com.
Malaria journal
|March 23, 2024
概括
赞比亚的疟疾病例在COVID-19大流行期间显著增加. 年龄和省份等因素与更高的疟疾发病率有关,影响了控制工作.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 全球卫生安全 全球卫生安全
背景情况:
- 疟疾仍然是赞比亚的一个重大公共卫生挑战,影响了整个人口.
- 由于COVID-19大流行,控制工作受到阻碍,对医疗保健系统造成了双重负担.
研究的目的:
- 评估COVID-19大流行对赞比亚疟疾病例发生率的影响.
- 与大流行前的时代相比,在大流行期间确定与疟疾病例相关的因素.
主要方法:
- 一个跨部门小组研究,利用从2018年1月到2022年1月定期收集的健康管理信息系统 (HMIS) 数据.
- 描述性统计数据和混合效应多层模型 (Poisson) 用于分析疟疾病例,按年龄,省份和COVID-19时代分层.
主要成果:
- 总共分析了18,216例疟疾病例;9,364例发生在COVID-19时代,而非COVID-19时期的8,852例.
- 在COVID-19期间观察到疟疾发病率显著增加 (相对发病率比=1.32,95%CI [1.18,1.48]).
- 年龄和省份与疟疾病例有显著关联.
结论:
- 在赞比亚的COVID-19大流行期间,确诊的疟疾病例增加.
- COVID-19大流行,年龄和省份是与疟疾病例数量相关的重要因素.
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