贫困和种族模式在COVID-19过度死亡率:来自智利的证据,2020-2022年
Raj Kumar Subedi1, Svenn-Erik Mamelund2, Iris Delgado3
1School of Public Health, Georgia State University, Atlanta, GA, USA.
American journal of epidemiology
|December 10, 2025
概括
COVID-19导致智利老年人和土著人口的过度死亡率较高,独立于贫困. 应对疫情需要将卫生措施与解决健康社会决定因素的战略相结合.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 在全球范围内,COVID-19大流行加剧了现有的健康不平等.
- 边缘化的人群经历了不成比例的高疾病负担.
研究的目的:
- 估计2020-2022年智利的过度死亡率.
- 分析地理,人口和贫困群体之间的差异.
- 在地方一级确定过度死亡率的预测因素.
主要方法:
- 使用了Serfling回归模型和多变量分析.
- 估计不同人口子组的过度死亡率.
- 空间分析确定了死亡热点.
主要成果:
- 老年人群 (80岁以上) 的过度死亡率最高.
- 原住民和老年人口比例强烈预测过度死亡率.
- 贫困显示出显著的相关性,但其影响在调整后减少.
- 过度死亡率在2021年达到顶峰,男性的初始死亡率较高.
- 在智利北部和南部观察到过度死亡率的空间聚类.
结论:
- 根据年龄和土著身份存在持续的死亡率差异,无论贫困程度如何.
- 这些发现强调了需要以公平为重点的流行病准备.
- 有效的流行病应对必须将生物医学干预与文化敏感策略结合起来,以解决健康的社会决定因素.
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