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美国因种族和种族而异的百日咳发病率差异,2010-2017年
Jaymin C Patel1, Matthew Cole1, Amy B Rubis1
1Meningitis and Vaccine Preventable Diseases Branch, Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
百日咳的发病率因种族和种族而异,黑人或非裔美国人和西班牙裔或拉丁裔婴儿的严重病例较高. 需要进一步调查,以了解 pertussis (百日咳) 负担中的这些差异.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 百日咳 (百日咳) 不成比例地影响西班牙裔或拉丁裔和美国印第安人或阿拉斯加土著 (AI/AN) 婴儿.
- 关于其他年龄和种族群体的百日咳差异存在有限的数据.
研究的目的:
- 分析不同种族,种族和年龄组的百日咳发病率和严重程度.
- 为了确定美国咳负担的潜在差异.
主要方法:
- 利用了来自增强性百日咳监测 (2010-2017) 的数据.
- 根据种族,种族和年龄分层计算的百日咳和严重百日咳发病率.
- 包括白人,黑人或非裔美国人,AI/AN,亚洲或太平洋岛民,西班牙裔或拉丁裔以及非西班牙裔或非拉丁裔个人在内的不同人口群体之间的比较发病率.
主要成果:
- 与白人相比,黑人或非裔美国人,AI/AN,亚洲或太平洋岛民的整体百咳发病率较低.
- 与非西班牙裔或非拉丁裔成年人相比,西班牙裔或拉丁裔成年人的整体 pertussis 发病率高1.5 倍.
- 黑人或非裔美国人和AI / AN人与白人相比,严重的百日咳发病率相似,但与白人相比,黑人或非裔美国人 (1.4倍) 和西班牙裔或拉丁裔 (2.1倍) 婴儿的发病率要高得多.
结论:
- 在黑人或非裔美国人和AI/AN人群中报告的咳发病率较低,可能掩盖了更高的严重疾病发病率.
- 婴儿严重咳的差异表明,在某些种族和民族群体中,可能存在低诊断或低报告较轻的病例.
- 进一步的研究对于解决导致这些观察到的百日咳差异的潜在因素至关重要.
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