在COVID-19大流行之前和之后在康涅狄格州绘制支气管炎的地图
Alexander H Hogan1,2, Aaron Adams3, Doug Brugge4
1Division of Hospital Medicine, Connecticut Children's, Hartford, Connecticut, USA.
Pediatric pulmonology
|December 29, 2025
概括
支气管炎病例在康涅狄格州较贫穷的地区呈现地理集群,特别是在冬季. 在这些高风险地区,有针对性的公共卫生干预和免疫可以改善结果和健康公平.
科学领域:
- 儿童传染病 儿童传染病
- 公共卫生监督是对公共卫生的监督.
- 空间流行病学空间流行病学
背景情况:
- 支气管炎是幼儿常见的呼吸道感染.
- 了解其地理分布对于有效的公共卫生干预至关重要.
- COVID-19大流行影响了呼吸道病毒的季节性和医疗保健利用率.
研究的目的:
- 在康涅狄格州确定支气管炎急性护理出院的地理集群.
- 在高风险地区开展有针对性的免疫接种活动.
- 为了分析后流行性支气管炎发病率模式.
主要方法:
- 使用全州出院数据 (2018-2022) 的回顾性队列研究.
- 对2岁以下儿童的邮政编码表格区域 (ZCTA) 的分析.
- 空间分析包括莫兰的I,Getis-Ord Gi*和SaTScan.
主要成果:
- 确诊了10,065例支气管炎排泄.
- 观察到支气管炎负担的适度空间自相关性.
- 在所有时间段内,在较贫穷的城市地区始终确定热点.
结论:
- 支气管炎的季节性在流行病后重新出现.
- 在社会经济上处于不利地位的地区持续的地理聚类突出了差异.
- 为了获得公平的结果,建议在这些地区有针对性的资源分配和免疫促进.
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