美国卫生保健工作者中种族,种族和延迟COVID-19测试的时间
DaMarcus E Baymon1, J Priyanka Vakkalanka2,3, Anusha Krishnadasan4
1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
JAMA network open
|April 10, 2024
概括
延迟COVID-19测试在非西班牙裔黑人和其他种族/少数民族医疗保健人员 (HCP) 以及具有较低教育背景的人群中更为常见. 这些差异凸显出需要公平的测试准入来改善疫情应对.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 及时的COVID-19测试对于减少传播和告知治疗决策至关重要.
- 虽然COVID-19结果差异已被记录,但人口群体测试的及时性仍然不清楚.
研究的目的:
- 调查与医疗保健人员 (HCP) 延迟COVID-19测试相关的人口因素.
- 在COVID-19大流行期间识别测试及时性的潜在差异.
主要方法:
- 采用多中心,试验阴性,病例控制疫苗有效性研究的数据进行横截面研究.
- 包括2020年12月至2022年4月期间出现COVID-19症状和测试的HP.
- 从症状发作到测试的分析时间 (早期≤2天;延迟≥3天),使用多变量建模对共变量进行调整.
主要成果:
- 总体而言,5551名医疗保健工作者中有37.1%的患者经历了延迟测试.
- 与非西班牙裔白人医疗人员相比,非西班牙裔黑人医疗人员和其他种族的非西班牙裔医疗人员的延迟测试明显高.
- 来自其他所有专业和教育群体的医疗保健工作者,除了拥有研究生学位的医疗保健工作者,显示测试显著延迟.
结论:
- 非西班牙裔黑人医疗保健工作者,其他种族/少数民族医疗保健工作者,以及那些教育背景较低的人更有可能经历延迟的COVID-19测试.
- 测试及时性可以作为评估公共卫生响应中的社会人口统计差异的关键指标.
- 调查结果强调,需要解决有效的未来健康缓解策略的测试准入方面的差异.
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