预期作为Covid-19相关嗅觉变化的风险:加利福尼亚农业工人健康调查的观察结果
Derry Ridgway1, Nimrat K Sandhu1,2, Ana M Mora3
1Health Science Research Institute, University of California, Merced, California, USA.
概括
许多COVID-19患者报告说,由于意识到他们的感染,而不是病毒本身,气味或味道发生了变化. 这凸显了患者知识如何影响医学研究中的健康报告.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 患者报告的结果在医学和公共卫生研究中至关重要.
- 在SARS-CoV-2 (COVID-19) 大流行期间,人们广泛报告了气味和味道的变化.
- 患者对诊断的认识可以影响他们的症状报告.
研究的目的:
- 调查患者意识对报告COVID-19大流行期间气味和味道变化的影响.
- 量化先前知识对COVID-19患者自我报告的嗅觉和味觉症状的影响.
主要方法:
- 使用鲁宾模型进行因果推理.
- 分析了加利福尼亚州公共卫生部对农场工人健康的调查数据.
- 估计了报告的症状受其COVID-19诊断意识影响的患者比例.
主要成果:
- 大约56.5%的感染患者报告COVID-19诊断后嗅觉变化,可能没有报告这些变化,没有意识到他们的感染.
- 对于COVID-19相关的味觉变化也观察到类似的发现.
- 患者的意识显著影响了在流行病期间报告感官变化的情况.
结论:
- 在早期COVID-19大流行期间,报告的大量气味和味道变化可能归因于患者的意识,而不是直接的病毒影响.
- 这强调了在解释患者报告的结果时考虑心理和认知因素的重要性.
- 未来的研究应该考虑事先知识对传染病研究中症状报告的潜在影响.
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