芬兰语言少数群体的COVID-19疾病严重程度:基于人口的观察性注册研究
Juulia Pynnönen1, Heli Salmi2, Mitja Lääperi1
1Department of Infectious Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
BMC public health
|May 29, 2025
概括
COVID-19不成比例地影响了移民. 然而,与国内第一语言患者相比,在芬兰住院的外国第一语言患者在疾病严重程度或重症监护室 (ICU) 入院方面没有显著差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 在COVID-19大流行期间,移民和少数民族人口面临着不成比例的负担.
- 在芬兰,外国第一语言经常被用作外国种族的代理.
- 这项研究根据住院患者的母语调查了COVID-19的严重程度.
研究的目的:
- 为了确定是否有外语第一语言的住院COVID-19患者存在更严重的疾病.
- 为了比较外国和国内第一语言患者之间的COVID-19在医院的病程.
- 为了确定可靠的COVID-19严重程度和重症监护室 (ICU) 入院指标.
主要方法:
- 芬兰以人口为基础的回顾性观察性登记册研究 (2020年2月至8月).
- 包括所有确诊COVID-19感染的住院患者.
- 分析了包括C反应蛋白 (CRP) 和白细胞计数在内的实验室参数,比较了外国和国内的第一语言群体.
主要成果:
- 具有外国第一语言的患者年轻,但经过年龄和性别调整后,实验室检测结果没有显著差异.
- 外国第一语言没有影响ICU入院的风险.
- 峰值白细胞计数,白细胞计数的变化和CRP变量是ICU入院的重要指标,在不同语言组中表现相似.
结论:
- 反应蛋白 (CRP) 和白细胞计数是COVID-19严重程度和ICU入院的可靠指标.
- 尽管住院人数过多,但外语第一语言的住院COVID-19患者与普通人群相比,并没有表现出不同的疾病严重程度.
- 第一语言不是预测住院患者中COVID-19疾病严重程度的重要因素.
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