流行病时期的健康症状和相关因素:基于人口的研究
J Gerbecks1,2, C Plevier3, C J Yzermans4
1Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands. j.gerbecks@nivel.nl.
Archives of public health = Archives belges de sante publique
|January 12, 2025
概括
感知到COVID-19流行病的影响显著影响了健康症状,包括其流行率,持续时间和严重程度. 了解这些症状模式和风险因素对于改善流行病期间和之后的护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病体医学是一种精神病体医学.
背景情况:
- 像头痛和睡眠问题这样的非特异性健康症状在灾难后很常见,并且可能变得慢性.
- 关于这些症状的研究有限,特别是在流行病背景下.
- 随着COVID-19的爆发,全球出现了一场独特的全球健康危机,并带来了潜在的心理影响.
研究的目的:
- 调查COVID-19流行病感知影响与健康症状的流行率,持续时间和严重程度之间的联系.
- 确定影响症状报告和经验的与流行病相关的因素.
- 为疫情应对提供医疗保健和政策策略的信息.
主要方法:
- 在荷兰乌特勒支市对近4.6万名成年人进行了一项横截面调查,该调查是在首次COVID-19浪潮 (2020) 之后进行的.
- 经过验证的问卷评估了健康症状和感知到的流行病影响.
- 使用负双项回归分析,调整人口统计,健康状况,生活方式和社会经济因素.
主要成果:
- 感知到大流行对压力,孤独,焦虑和抑郁的影响与症状报告,持续时间和严重程度有很强的相关性 (IRR 1.17-1.29).
- 在大流行期间延迟医疗保健与症状严重程度的增加有关 (IRR 1.63).
- 怀疑或确诊COVID-19感染的个体在症状报告,持续时间和严重程度方面存在更高风险 (IRR 1.20-1.28).
结论:
- 流行病的感知影响,就像其他灾害一样,无论健康或人口因素如何,都会影响健康症状.
- 识别症状模式和风险人群对于有针对性的干预至关重要.
- 研究结果可以指导医疗保健专业人员和政策制定者在流行病期间和之后改善护理.
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