COVID-19 大流行期间的虚拟学习与青少年 2 型糖尿病发病情况。

IF 2.6 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Hormone Research in Paediatrics Pub Date : 2024-01-01 Epub Date: 2023-06-30 DOI:10.1159/000531720
Jody B Grundman, Stephanie T Chung, Elizabeth Estrada, Robert H Podolsky, Abby Meyers, Brynn E Marks
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引用次数: 0

摘要

导言:在 COVID-19 大流行期间,青年发病型 2 型糖尿病(Y-T2D)的病例数和严重程度都有所上升,但这一上升的潜在驱动因素仍然未知。在此期间,公共卫生规定暂停了面对面的教育,限制了社会交往,导致了生活方式的彻底改变。我们假设,在 COVID-19 大流行期间的虚拟学习中,Y-T2D 的发病率和严重程度都会增加:我们进行了一次单中心回顾性病历审查,以确定华盛顿特区一家儿科三级护理中心在华盛顿特区公立学校按学习方式预先确定的三个学习期间所有新诊断的 Y-T2D 病例(n=387):大流行前的面对面学习(3/11/2018-3/13/2020)、大流行虚拟学习(3/14/2020-8/29/2021)和大流行面对面学习(8/30/2021-3/10/2022)期间:在大流行前的面对面学习期间,发病率保持稳定(3.9 例/月,95% CI:2.8 - 5.4 例/月),在虚拟学习期间发病率达到高峰(18.7 例/月,95% CI:15.9 - 22.1 例/月),在恢复面对面学习后发病率有所下降(4.3 例/月,95% CI:2.8 - 6.8 例/月)。Y-T2D发病率为16.9(95% CI:9.8-29.1,p讨论/结论:这项研究及时揭示了 Y-T2D 发病率的一个重要且可改变的相关因素、其对服务不足社区的过度影响,以及在制定公共政策时考虑其对长期健康结果和原有医疗保健不平等的影响的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Virtual Learning and Youth-Onset Type 2 Diabetes during the COVID-19 Pandemic.

Introduction: Cases and severity of presentation of youth-onset type 2 diabetes (Y-T2D) increased during the COVID-19 pandemic, yet the potential drivers of this rise remain unknown. During this time public health mandates paused in-person education and limited social interactions, resulting in radical lifestyle changes. We hypothesized that the incidence and severity of presentation of Y-T2D increased during virtual learning amidst the COVID-19 pandemic.

Materials and methods: We conducted a single-center retrospective chart review to identify all newly diagnosed cases of Y-T2D (n = 387) at a pediatric tertiary care center in Washington, DC during three predetermined learning periods as defined by learning modality in Washington, DC Public Schools: pre-pandemic in-person learning (March 11, 2018-March 13, 2020), pandemic virtual learning (March 14, 2020-August 29, 2021), and pandemic in-person learning (August 30, 2021-March 10, 2022) periods.

Results: Incident cases were stable during pre-pandemic in-person learning (3.9 cases/month, 95% CI: 2.8-5.4 cases/month), increased to a peak during virtual learning (18.7 cases/month, 95% CI: 15.9-22.1 cases/month), and declined with return to in-person learning (4.3 cases/month, 95% CI: 2.8-6.8 cases/month). Y-T2D incidence was 16.9 (95% CI: 9.8-29.1, p < 0.001) and 5.1-fold higher (95% CI: 2.9-9.1, p < 0.001) among non-Hispanic Black and Latinx youth, respectively, throughout the study period. Overall COVID-19 infection rates at diagnosis were low (2.5%) and were not associated with diabetes incidence (p = 0.26).

Conclusions: This study provides timely insights into an important and modifiable correlate of Y-T2D incidence, its disproportionate impact on underserved communities, and the need to consider the effects on long-term health outcomes and preexisting healthcare inequities when designing public policy.

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来源期刊
Hormone Research in Paediatrics
Hormone Research in Paediatrics ENDOCRINOLOGY & METABOLISM-PEDIATRICS
CiteScore
4.90
自引率
6.20%
发文量
88
审稿时长
4-8 weeks
期刊介绍: The mission of ''Hormone Research in Paediatrics'' is to improve the care of children with endocrine disorders by promoting basic and clinical knowledge. The journal facilitates the dissemination of information through original papers, mini reviews, clinical guidelines and papers on novel insights from clinical practice. Periodic editorials from outstanding paediatric endocrinologists address the main published novelties by critically reviewing the major strengths and weaknesses of the studies.
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