澳大利亚维多利亚州COVID-19抗病毒药物分配中的不平等:使用链接数据的回顾性队列研究
Benjamin C Cowie1, Elizabeth J Robinson2, Lakshmi Manoharan3
1MBBS, PhD, FRACP, Director, WHO Collaborating Centre for Viral Hepatitis, Doherty Institute, Vic; Physician and Epidemiologist, Victorian Infectious Diseases Service, Royal Melbourne Hospital, Vic; Professor, University of Melbourne, Vic.
Australian journal of general practice
|September 5, 2025
概括
随着社会经济劣势而降低了COVID-19抗病毒的使用率,文化和语言不同群体的使用率也较低. 严重的COVID-19结果在这些人群中增加,突出显示了治疗不平等.
科学领域:
- 公共卫生
- 流行病学
- 医疗公平
背景情况:
- 对于易受感染的人群,建议使用口服抗病毒疗法来预防严重的COVID-19.
- 了解治疗机会的差异对于公共卫生干预至关重要.
研究的目的:
- 检查COVID-19抗病毒药物 (molnupiravir或nirmatrelvir/ritonavir) 的使用模式.
- 评估严重的COVID-19结果 (住院或死亡) 的发生率.
- 通过社会经济地位和文化和语言多样性 (CALD) 来分析这些趋势.
主要方法:
- 链接人口数据的回顾性分析.
- 根据社会经济地位和CALD地位对抗病毒药物的分层描述 (2023年1月1日至6月30日).
- 根据社会经济地位和CALD状态计算严重的COVID-19结局率 (2022年11月1日至2023年4月30日).
主要成果:
- 在CALD和非CALD群体中,随着社会经济劣势的增加,抗病毒剂量下降.
- 在所有社会经济层面上,文化和语言多样性的群体总是有较低的抗病毒药物发放率.
- 严重的COVID-19结果显示了相反的关系,随着社会经济劣势的增加和CALD群体的下降.
结论:
- 有资格的维多利亚州居民在获得COVID-19抗病毒治疗方面存在显著的不平等.
- 这些接入差异与严重的COVID-19结局率的增加有关.
- 解决这些健康不平等问题是公众健康的关键.
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