评估教育差异在西班牙的COVID-19相关的过度死亡率:一个人口登记册相关的死亡率研究研究
José Pulido1,2, Marta Donat2, Almudena Moreno3
1Department of Public Health and Maternal and Child Health, Faculty of Medicine, Universidad Complutense de Madrid, Madrid, Spain.
Frontiers in public health
|September 11, 2024
概括
在西班牙,COVID-19死亡率因教育水平和年龄而异. 高受教育的人有时面临更高的COVID-19死亡率,而低受教育群体的整体死亡率增加更高.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 关于COVID-19对社会经济地位的死亡率的影响的数据有限.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 检查在西班牙的COVID-19流行病浪潮期间 (2020-2021) 根据教育水平增加的死亡率.
- 分析不同年龄组和不同教育层次的特定原因和整体死亡率.
主要方法:
- 疫情前 (2017-2019年) 和疫情期间 (2020-2021年浪潮) 的计算死亡率.
- 分析了根据教育程度 (低,中,高) 和年龄组 (25-64,65-74,75+) 的数据.
- 使用波桑回归来估计死亡率比率 (MRR),将流行病与大流行前的时期比较.
主要成果:
- 观察到整体死亡率的逆教育梯度,但对于COVID-19特定死亡率的不一致模式.
- 75岁以上的受过高等教育的人在第一波期间的COVID-19死亡率更高.
- 受教育程度较低的个人 (25-64岁) 经历了最高的整体死亡率上升,而受教育程度较高的人患病率最低.
结论:
- 在COVID-19死亡率中的教育模式因年龄组而异.
- 这些特定于年龄的变化解释了大流行期间教育水平的整体死亡率增加的差异.
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