由于SARS-CoV-2感染而患有严重疾病的儿童的健康模式的社会决定因素-一种探索性方法
Joshua Prabhu1, Sebastian Acosta2, Fabio Savorgnan2
1Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201, USA.
Children (Basel, Switzerland)
|November 27, 2025
概括
健康的不利社会决定因素,包括照顾者物质使用和社会歧视,与严重的儿科COVID-19结果有关. 这些发现突出了对弱势儿童进行干预的关键领域.
科学领域:
- 公共卫生 公共卫生
- 儿童传染病 儿童传染病
- 社会流行病学 社会流行病学
背景情况:
- 有限的研究存在于健康的不利社会决定因素 (SDOH) 和严重的儿科冠状病毒病 (COVID-19) 之间的关联.
- 了解这些联系对于识别风险人群和制定有针对性的干预措施至关重要.
研究的目的:
- 检查各种健康社会决定因素 (SDOH) 模式和儿童COVID-19的严重程度之间的关联.
- 确定预测儿科COVID-19病例严重结果的特定SDOH因素.
主要方法:
- 在城市儿科急诊室进行了一项前性观察性研究,涉及有症状的SARS-CoV-2感染的儿童 (<18岁).
- 护理人员完成了一项调查,根据健康人2030框架评估SDOH.
- 严重疾病被定义为呼吸/心力衰竭或在四周内死亡;数据使用千平方测试,关联规则挖掘和多变量后勤回归来分析数据.
主要成果:
- 分析了354名儿童的数据,其中113人患有严重的COVID-19.
- 负面的SDOH包括粮食/住房不安全,缺乏社会支持,未满足的儿童保育需求和交通障碍.
- 在控制共变量后,护理人员的药物/酒精使用 (OR:5.92) 和社会歧视/缺乏支持 (OR:1.74) 与严重的儿科COVID-19显著相关.
结论:
- 护理人员的物质使用和社会歧视或缺乏支持的经历成为儿童严重COVID-19的重要预测因素.
- 这些发现强调了在儿科传染病管理的背景下解决SDOH的重要性.
- 需要进一步的研究来验证这些关联,并为开发有效的公共卫生干预提供信息.
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