移民与意大利人口的糖尿病相关死亡率,疫情前和疫情期间
Ugo Fedeli1, Enrico Grande2, Francesco Grippo2
1Epidemiological Department, Azienda Zero, Veneto Region, Padova, Italy.
Journal of endocrinological investigation
|August 26, 2025
概括
在疫情期间,与糖尿病相关的死亡人数激增,不成比例地影响了移民群体. 这项研究强调意大利移民死亡率差距越来越大,强调需要有针对性的公共卫生监测.
科学领域:
- 公共卫生
- 流行病学
- 老年学
背景情况:
- 移民的糖尿病患病率高于本土人口.
- 在COVID-19大流行期间,移民的糖尿病相关死亡数据很少.
- 疫情期间,糖尿病相关死亡人数显著增加.
研究的目的:
- 在COVID-19大流行期间调查意大利移民中与糖尿病有关的死亡率.
- 为了比较移民群体和意大利本土人口的死亡率趋势.
- 确定2019-2021年糖尿病相关死亡率的差异.
主要方法:
- 使用意大利国家死亡原因登记册 (2019-2021年) 提到糖尿病 (多种死亡原因-MCOD) 的死亡.
- 使用2013年欧洲标准人口直接计算年龄标准化死亡率.
- 移民群体与意大利公民的估计标准化死亡率 (SMR).
主要成果:
- 2020年与2019年相比,与糖尿病相关的总体死亡率上升了30%,在2021年仍然很高.
- 疫情前死亡率的差异在疫情期间扩大.
- 在2021年,女性移民的SMR显著高:北非人 (1.9),撒哈拉以南非洲人 (4.4) 和南亚人 (2.8).
结论:
- 多种死亡原因监测对于监测糖尿病死亡率差异至关重要.
- 需要紧急评估,以确定意大利各个人口的死亡率差异是否会减少.
- 针对性干预可能是必要的,以应对易受伤害的移民群体糖尿病死亡风险的增加.
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