贫困生活与青少年在服务不足的人群中进行COVID-19测试之间的关系
Emily M D'Agostino1, Derek D Cyr2, Lisa Wruck2
1Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA; Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Annals of epidemiology
|June 16, 2025
概括
低收入家庭的儿童接受COVID-19检测的几率明显较低. 这凸显了与流行病相关的脆弱年轻人群的健康差异.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 流行病学 流行病学
背景情况:
- 贫困儿童在流行病期间面临更高的不良健康结果的风险.
- 基于地点的因素可能会影响低收入儿童的流行病相关的健康不平等.
- 了解COVID-19测试差异对于解决年轻人的健康不平等至关重要.
研究的目的:
- 调查低家庭收入与儿童COVID-19测试率之间的关联.
- 确定美国各地经济处于不利地位的年轻人对大流行病反应的潜在差异.
主要方法:
- 采用三项快速加速诊断-服务不足人口项目 (2021-2023) 的数据进行的横截面研究.
- 对人口统计因素和家庭失业情况进行调整后的物流回归分析.
- 包括2934名参与者,平均年龄为12岁.
主要成果:
- 总体而言,83.5%的参与者之前已经进行了COVID-19测试.
- 来自低收入家庭的年轻人 (18%的样本) 显示,之前的COVID-19测试的调整几率降低了39%.
- 发现了一个统计学上显著的关联 (OR 0.61;95% CI,0.42-0.88).
结论:
- 居住在低收入家庭的儿童接受COVID-19测试的可能性降低.
- 调查结果强调了疫情测试对弱势年轻人群的重要健康不平等.
- 需要进一步的研究和有针对性的干预措施来解决这些差异.
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