2020-2022年土耳其的过度死亡率:区域和时间分析
1Balıkesir Karesi Provincial Directorate of Health, Balıkesir, Türkiye.
Balkan medical journal
|March 4, 2025
概括
在2020年至2022年期间,土耳其因COVID-19而经历了超过2.47万例过度死亡. 较低的疫苗接种率和较不发达的地区面临更高的死亡率,突出了改善医疗保健准入的必要性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 人口统计学 人口统计学
背景情况:
- 虽然COVID-19大流行导致了全球显著的死亡率,但土耳其在研究中代表性不足.
- 延迟的数据和缺乏全国范围的分析阻碍了以前关于土耳其死亡率的研究.
研究的目的:
- 量化土耳其在2020年至2022年期间的过度死亡率.
- 分析时间趋势,区域差异和与过度死亡相关的因素.
- 评估社会经济地位和获得医疗保健对死亡率的影响.
主要方法:
- 对所有死因数据 (2015-2022) 的横截面生态分析.
- 准森回归模型用于预测死亡率和计算过度死亡率.
- 分析包括疫苗接种覆盖率,老年人口比例,ICU床位和家庭医生可用性.
主要成果:
- 土耳其记录了247,640个过度死亡 (2020-2022年),在2021年达到顶峰 (121,426人死亡).
- 较低的疫苗接种覆盖率和较高的家庭医生人口与增加的过度死亡率相关.
- 在社会经济上处于不利地位的地区,相对死亡率上升率较高.
结论:
- 在土耳其发生了大量的过度死亡率,特别是在2021年,受区域社会经济因素和医疗保健准入的影响.
- 调查结果强调需要解决社会人口学差异,并加强初级医疗保健,以应对流行病的准备.
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