通过社会人口统计学特征探索长期COVID流行和患者不确定性,使用GP患者调查数据
Mirembe Woodrow1,2, Nida Ziauddeen1, Dianna Smith3
1School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
概括
长期Covid (LC) 不成比例地影响了英格兰的弱势群体,对诊断的不确定性很大. 对于患有这种慢性疾病的弱势群体来说,提高意识和支持至关重要.
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:
- 长期Covid (LC) 呈现出相当大的全球健康负担,具有广泛的社会经济影响.
- 了解LC在不同的人口和健康资料中的分布对于有针对性的干预措施至关重要.
研究的目的:
- 调查患者特征与长期Covid (LC) 患病率之间的关联.
- 探索与在一般实践调查受访者中关于长期Covid的不确定性相关的因素.
主要方法:
- 对2023年英格兰GP患者调查的分析,包括759,149名16岁以上的个人.
- 利用多变量逻辑回归来比较患有LC,没有LC和不确定LC状态的患者特征.
主要成果:
- 4.8%的受访者报告患有腰痛,而9.1%的人不确定.
- 较高的LC风险与年龄 (35-54岁),女性性别,白人吉普赛人/爱尔兰旅行者和混合种族,同性恋/女同性恋/双性恋倾向,贫困,照顾者角色和先前存在的长期疾病有关.
- 关于LC的不确定性在年轻人 (≤25岁),男性,非二进制,异性恋人,没有照顾者的角色或长期条件的人以及各种少数民族群体中更为普遍.
结论:
- 长期Covid的流行在英格兰分布不均,不成比例地影响少数群体和弱势群体.
- 很大一部分人对自己的LC状态不确定,这凸显了改善诊断清晰度的需要.
- 提高公众和医疗保健专业人员的意识至关重要,以识别和支持受长期Covid影响的弱势个人.
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