缓解COVID-19在无家可归者中影响的影响的干预措施:伊利诺伊州芝加哥,2020年3月1日-2023年5月11日
Lauren Tietje1, Isaac Ghinai1, Antea Cooper1
1Lauren Tietje, Michelle Funk, Divya Ramachandran, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, and Mary Kate Schroeter are with the Chicago Department of Public Health (CDPH), Chicago, IL. Isaac Ghinai, Antea Cooper, Lindsay Barranco, and Karrie-Ann Toews are with the Centers for Disease Control and Prevention, Atlanta, GA. Elizabeth L. Tung is with the Section of General Internal Medicine, University of Chicago, Chicago. Brian Borah, Ben Gerber, Bernice Man, Rebecca Singer, Stockton Mayer, and Suzanne Falck are with University of Illinois at Chicago. Elizabeth Bell, Angela Moss, and Elizabeth Davis are with Rush University Medical Center, Chicago. Thomas D. Huggett, Caroline Cool, and Wayne M. Detmer are with Lawndale Christian Health Center, Chicago. Mary Tornabene is with Heartland Alliance Health, Chicago. Josh Boegner, Erik Elias Glenn, and Gregory Phillips II are with the Department of Medical Social Sciences, Northwestern University, Evanston, IL.
整个社区的方法显著减少了COVID-19对无家可归者 (PESH) 的人的差异. 虽然最初的发病率很高,但综合策略有助于随着时间的推移将传播差异降到最低,证明了公共卫生协作努力的价值.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 遇到无家可归的无家可归者 (PESH) 是一个易受感染传染病的脆弱人群.
- 了解COVID-19 (冠状病毒疾病2019) 在这个群体中的差异对于有效的公共卫生干预至关重要.
- 以前关于芝加哥PESH中COVID-19发病率和住院的数据是有限的.
研究的目的:
- 为了比较COVID-19发病率,住院率和PESH与芝加哥社区之间的疫苗接种率.
- 评估整个社区缓解方法在流行病期间对 PESH 中疾病传播的影响.
- 分析不同波段的COVID-19传播趋势.
主要方法:
- 利用了2020年3月1日至2023年5月11日芝加哥的基于案例的监视数据.
- 在PESH和更广泛的社区之间,每10万人口的COVID-19发病率和住院率的比较.
- 在六个不同的COVID-19传播波中评估了7天的流动发病率.
主要成果:
- 超过774,000个COVID-19病例被记录;2579人是PESH.
- 在第一波中,PESH的发病率和住院率是社区的5倍以上.
- 在整个研究中,PESH的发病率是2.88倍,住院病例是4.56倍,但在后一波研究中,差异减少了.
结论:
- 整个社区的战略可以有效地缓解严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 传播差异在脆弱人群中.
- 合作,多伙伴的方法是有利的,以应对特殊人群的公共卫生紧急情况.
- 该研究强调了综合公共卫生努力在减少COVID-19大流行期间健康不平等的成功.
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