长期COVID的多层次决定因素和远程医疗干预的潜力
Molly Jacobs1, Charles Ellis2, Irene Estores3
1Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL.
Ethnicity & disease
|August 30, 2024
概括
长期COVID不成比例地影响黑人个人和低收入家庭. 互联网接入是远程医疗的关键,这些群体之间没有显著的差异,这表明远程医疗是一种潜在的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 后冠状病毒疾病2019 (COVID-19) 综合征,或长期COVID,呈现出各种症状,理解有限.
- 调查个人因素和健康的社会决定因素对于了解长期COVID至关重要.
- 互联网接入,作为远程医疗可行性的代理,与长期COVID有关的情况进行了检查.
研究的目的:
- 评估个人因素,健康的社会决定因素和长期COVID可能性之间的关联.
- 评估互联网使用情况,作为长期COVID患者远程医疗接入的指标.
- 为了确定长期COVID流行率和相关因素的差异.
主要方法:
- 利用了2022年国家健康访谈调查的数据.
- 采用2个阶段的选择模型来预测COVID-19感染和随后的长期COVID.
- 应用二进制依赖变量回归来分析长期COVID受访者互联网使用情况.
主要成果:
- 老年人感染COVID-19的可能性较低,但患长期COVID的可能性更高.
- 与白人和高收入群体相比,黑人和低收入群体的长期COVID患病几率更高.
- 在种族,地理或收入群体之间没有观察到互联网访问的显著差异.
结论:
- 长期COVID的患病率在黑人个人和低收入家庭中显著更高.
- 由于跨人口群体的互联网接入一致,远程医疗服务提供成为可行的干预策略.
- 解决健康的社会决定因素对于缓解长期的COVID差异至关重要.
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