在21个国家中,COVID-19后所有原因的持续过度死亡率:生态调查
Chryso Th Pallari1, Souzana Achilleos1, Annalisa Quattrocchi1
1Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus.
International journal of epidemiology
|June 10, 2025
概括
在2022年,21个国家的过度死亡率持续存在,非COVID-19原因占主导地位. 政府的控制和接种疫苗的努力显示了与减少过度死亡率的关联,突出了对适应性公共卫生战略的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 尽管进行了广泛的COVID-19疫苗接种活动,但许多国家在流行后经历了显著的过度死亡率.
- 2022年持续的过度死亡率需要进一步调查其驱动因素和促成因素.
研究的目的:
- 估计2022年21个国家/地区的过度死亡率.
- 分析政府控制措施,疫苗接种率和2021-2022年过度死亡率之间的生态关联.
主要方法:
- 利用了21个C-MOR联盟国家的2020年1月至2022年12月的每周死亡率数据.
- 通过将观察到的年龄标准化率与2015-19年基线进行比较,计算出过度死亡率.
- 采用多层模型来评估控制措施,疫苗接种和过度死亡率之间的关联.
主要成果:
- 所有21个国家都报告了2022年的过度死亡率,死亡率差异很大 (每10万人口8.6-116.2).
- 许多国家在2022年观察到比前几年更高的过度死亡率;毛里求斯首次报告了显著的过度死亡率.
- 2021年的政府控制措施和2022年的疫苗接种率与过度死亡率的降低相关.
结论:
- 在整个2022年,过度死亡率仍然很高,主要是由非COVID-19原因驱动的,可能与流离失所死亡率或流行病应对影响有关.
- 政府政策和疫苗接种计划表明,与减少过度死亡率有联系.
- 调查结果强调了持续监测和灵活的公共卫生战略对于管理与流行病相关的死亡率的重要性.
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