紧急财政支持计划对测试需求,SARS-CoV-2流行率和巴西COVID-19爆发期间社会隔离的影响:一项准实验性研究
Gabriel Alves de Sampaio Morais1,2, Laio Magno3,4, Joilson Nascimento Paim3,5
1Collective Health Institute, Federal University of Bahia, Salvador, Brazil. gabriel.morais@ufba.br.
BMC public health
|December 18, 2024
概括
巴西紧急援助 (EA) 计划增加了COVID-19测试需求和温和的社会隔离遵守. 然而,它并没有显著降低SARS-CoV-2的患病率或改善对中度或严格隔离措施的遵守.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 建立了财政援助计划,以减轻COVID-19的经济影响,并促进社会隔离.
- 很少有低收入和中等收入国家实施了对COVID-19社会经济影响的财政援助.
- 巴西紧急援助 (EA) 计划旨在在疫情期间提供财政支持.
研究的目的:
- 估计巴西紧急援助 (EA) 计划与SARS-CoV-2测试需求之间的联系.
- 评估EA对SARS-CoV-2患病率的影响.
- 评估EA对社会隔离水平的影响.
主要方法:
- 准实验性研究使用来自COVID-19国家家庭样本调查 (COVID-19 NHSS) 的微数据.
- 倾向性得分匹配,平衡和逆概率治疗权重被用于匹配受益人和非受益人.
- 使用后勤回归来计算EA收益对结果的月平均影响.
主要成果:
- 接受EA的患者显示测试需求增加 (OR=1.014).
- 经济经济学受益者更好地坚持轻微的社会隔离 (OR=1.017在9月),但这种影响后来减少了.
- 在EA受益者中,没有观察到中度或严格社会隔离的显著改善.
结论:
- 该EA计划与增加的COVID-19测试需求有关.
- 经济经济学受益者表现出更好地遵守温和的社会隔离措施.
- 该计划没有显著降低SARS-CoV-2的流行率,也没有改善对更严格的隔离措施的遵守.
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