[地中海地区COVID-19暴露环境、社会和性别决定因素]

IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Revista Espanola De Salud Publica Pub Date : 2022-12-19
Jesús Soriano López, Diego Salmerón Martínez, Rocío García Pina, Jesús Humberto Gómez, Inés Sánchez Rodríguez, Mónica Ballesta Ruíz, María Dolores Chirlaque López
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引用次数: 0

摘要

目的:了解影响人们接触COVID-19的地方的社会和性别决定因素,可能与制定预防和控制战略有关。本文的目的是根据原籍国、职业社会阶层和性别确定COVID-19病例感染的环境(家庭、工作/劳动、卫生、社会卫生和社会休闲环境),这对于设计公共卫生战略至关重要。方法:对西班牙穆尔西亚地区2020年6月15日至12月23日56628例新冠肺炎病例流行病学登记资料进行横断面研究,并根据之前的变量研究其暴露/传染环境。基于上述变量,采用精确Fisher检验研究COVID-19病例分布。结果:非洲人群(5133.5例/10万居民)和拉丁美洲人群(11351.1例)的累积发病率高于非移民人群(3145.7例)。女性(3885.6)也高于男性(3572.6)。值得注意的是,53.3%的就业病例是工业或建筑工人、工匠、农业工人或初级职业的工人。相比之下,在2020年第二学期,穆尔西亚地区41.3%的就业人口从事这类工作。家庭是主要的暴露环境(56.5%的已知环境病例),其次是社会休闲(20.7%)和工作/劳动(18.2%)。非洲移民(28.4%)和拉丁美洲移民(35.7%)的劳动环境比非移民(12%)更重要,与社会休闲环境相反。女性(19.6%)比男性(16.5%)更重视劳动环境,体力劳动者(44.1%)比非体力劳动者(26.6%)更重要。结论:根据与原籍国、性别和职业社会阶层相关的社会不平等,COVID-19病例的感染背景存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[COVID-19 exposure setting, social and gender determinants in a mediterranean region.]

Objective: Knowledge of social and gender determinants, which influence the places where people are exposed to COVID-19, may be relevant in the development of preventive and control strategies. The aim of this paper was to determine the context in which COVID-19 cases were infected (household, work/labor, health, social-health, and social-leisure settings) according to country of origin, occupational social class and gender, which is essential in order to designing public health strategies.

Methods: A cross-sectional study of an epidemiological registry of 56,628 COVID-19 incident cases was made, whose exposure/contagion setting was studied according to the previous variables from June 15 to December 23, 2020, in the Region of Murcia (Spain). An exact Fisher test was used to study the distribution of COVID-19 cases based on the above variables.

Results: The cumulative incidence was higher in people from Africa (5,133.5 cases/100,000 inhabitants) and Latin America (11,351.1) than in non-immigrants (3,145.7). It was also higher in women (3,885.6) than in men (3,572.6). It is noteworthy, that 53.3% of the cases with employment were workers in industry or construction, artisans, agricultural workers, or elementary occupations. In contrast, during the second semester of 2020, 41.3% of the employed population in the Region of Murcia performed such jobs. The household was the main exposure setting (56.5% of cases with a known setting), followed by social-leisure (20.7%) and work/labor (18.2%). The labor settings were more important in immigrants from Africa (28.4%) and Latin America (35.7%) than in non-immigrants (12%), inversely to social-leisure settings. Labor context was more important in women (19.6%) than in men (16.5%) and in manual workers (44.1%) than in non-manual workers (26.6%).

Conclusions: The context in which COVID-19 cases were infected is different according to social inequalities related to country of origin, gender and occupational social class.

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来源期刊
Revista Espanola De Salud Publica
Revista Espanola De Salud Publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.00
自引率
0.00%
发文量
106
审稿时长
12 weeks
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