慢性疾病,残疾和COVID-19测试和疫苗接种:全国快速加快诊断-服务不足人口分析
Haley R Fonseca1, Elizabeth Lydon2, Troy A Stefano3
1Department of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th Street, AHC5, Miami, FL 33199, USA.
Annals of epidemiology
|September 26, 2025
概括
慢性疾病增加了COVID-19测试,疫苗接种和不安全风险. 虽然残疾并没有改变测试或疫苗接种率,但在大流行期间,残疾使多种慢性疾病患者的日常挑战变得更加严重.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- COVID-19大流行不成比例地影响了患有慢性病的人.
- 了解慢性病,残疾和流行病相关结果之间的相互作用对于有针对性的干预至关重要.
研究的目的:
- 调查慢性疾病如何影响COVID-19测试,疫苗接种和相关挑战.
- 检查残疾在这些关系中的调节作用.
主要方法:
- 从NIH RADx-UP倡议 (n=8813) 获得的自我报告数据的横截面分析.
- 多变量通用估计方程模型,调整了社会人口统计学和健康相关因素.
- 分析的重点是慢性疾病数量与残疾状况之间的相互作用.
主要成果:
- 慢性疾病的增加与更高的COVID-19测试,疫苗接种,粮食不安全,住房不安全以及医疗保健/运输挑战的几率相关.
- 残疾并没有显著改变慢性疾病与COVID-19测试或疫苗接种之间的关联.
- 残疾与慢性疾病有显著的相互作用,增加了经历粮食不安全和医疗保健/交通接入问题的可能性.
结论:
- 虽然COVID-19测试和接种疫苗的机会在慢性疾病患者的残疾状况中似乎是公平的,但在公共卫生危机期间,残疾加剧了日常生活的挑战.
- 公共卫生战略应应对患有慢性疾病和残疾的个人所面临的复杂脆弱性.
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