香港COVID-19的流行后过度死亡率:一项回顾性研究
Kehang Li1, Yuchen Wei1, Chi Tim Hung1
1School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region of China.
The Lancet regional health. Western Pacific
|May 8, 2025
概括
香港的流行病后过度死亡率仍然很高,特别是在老年人中,这凸显了针对性干预的必要性. 这项研究揭示了COVID-19对弱势群体的持久影响,强调了公共卫生战略的数据驱动洞察力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- COVID-19大流行对死亡率的长期影响需要数据驱动的洞察力,特别是在香港的正常化后.
- 这项研究调查了香港在流行病后期间过度死亡率的模式.
研究的目的:
- 检查香港流行后过度死亡率的模式和特征.
- 识别遭受持续死亡影响的弱势群体.
- 为有针对性的公共卫生干预提供信息.
主要方法:
- 公共医院每周住院患者死亡数据的分析 (2013年1月1日-2024年6月1日).
- 利用混合效应模型与过分散的波桑回归来估计过度死亡率.
- 在Omicron前,Omicron后和大流行后期间进行了年龄分层分析.
主要成果:
- 流行后的过度死亡率虽然下降了,但比Omicron前的水平高出六倍,在年龄调整后仍然显著.
- 老年人群 (65-79岁和80岁以上) 显示持续的过度死亡率,主要与呼吸道疾病有关.
- 年轻人群的整体过度死亡率接近零,但患心脏病,脑血管疾病和受伤的死亡率增加.
结论:
- 疫情继续对弱势群体,特别是老年人造成持久的死亡影响.
- 后COVID条件和持续的SARS-CoV-2循环可能会导致持续的过度死亡率.
- 有针对性的干预措施对于减轻风险人群的长期健康后果至关重要.
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