不平等出现的地方:跨越COVID-19住院连续的种族和种族差异
Shaminul H Shakib1, Michael Goldsby2, Seyed M Karimi2,3
1Department of Public Health, College of Health Sciences, Sam Houston State University, Huntsville, TX 77340, USA.
International journal of environmental research and public health
|February 27, 2026
概括
存在COVID-19住院差异,黑人患者更有可能入院. 然而,在住院死亡率中没有观察到种族差异,这表明在入院前或入院时存在不平等.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 流行病学 流行病学
背景情况:
- COVID-19加剧了现有的种族和种族不平等在医疗保健的获取和结果.
- 贫困人口,特别是种族少数群体,在疫情期间面临不成比例的影响.
- 了解整个住院连续性的不平等现象对于有针对性的干预至关重要.
研究的目的:
- 检查肯塔基州医疗补助受益者在COVID-19住院和住院死亡率中的种族和种族不平等.
- 分析从初始诊断到医院治疗结果之间的差异.
- 为了确定住院的哪个阶段种族不平等是最明显的.
主要方法:
- 在2020-2021年住院的肯塔基州医疗补助受益人的回顾性队列研究.
- 使用多变量回归模型分析全州住院数据.
- 倾向性得分匹配 (PSM) 用于对死亡模式的确认分析.
主要成果:
- 与非西班牙裔白人患者相比,非西班牙裔黑人患者患COVID-19住院的可能性更高 (aOR=1.41).
- 住院治疗的COVID-19病例与在医院死亡率显著增加有关 (aHR=2.38).
- 对于COVID-19病例,在住院死亡率上没有发现显著的黑白差异,PSM证实了这些发现.
结论:
- 在COVID-19护理中的种族不平等在住院治疗中比在住院治疗中更明显.
- 专注于预防,早期诊断和及时门诊护理对于解决这些差异至关重要.
- 干预措施应针对住院前和入院阶段,以减轻COVID-19结果中的种族不平等.
关键词:
在 COVID-19 疫情中,医疗补助公司 (Medicaid) 的医疗补助.地方性COVID-19的流行.卫生公平性健康公平性获得医疗保健的机会.住院治疗的连续性.在医院的死亡率.传染性疾病的结果.种族和民族的差异.健康的社会决定因素更多相关视频
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