在加拿大大流行的最初几个月里,COVID-19死亡的性别差异:用移民镜头进行检查。

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Edward Ng
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引用次数: 0

摘要

背景:在COVID-19大流行开始时,全球COVID-19死亡人数中男性比例过高,加拿大报告的女性COVID-19死亡人数更多。本文从移民的角度研究了加拿大女性COVID-19死亡人数过多的问题。数据和方法:从COVID-19性别分类数据跟踪器中提取数据,比较加拿大与其他国家COVID-19死亡的性别分布。将死亡人数与纵向移民数据库(IMDB)联系起来,可以使用纵向移民数据库的税收数据,按年龄和地理位置的移民身份以及移民的主要就业部门,比较特定性别的COVID-19死亡率。结果:虽然在大流行的最初几个月,加拿大女性COVID-19死亡人数比例高于男性,但这一趋势主要发生在85岁及以上的非移民中。此外,除非移民人口中年龄在85岁及以上的人外,按移民身份划分的各年龄组男性的covid -19特异性死亡率高于女性。在移民中,男性保健和社会援助工作者的死亡率高于女性(每10万人10.7人对2.9人)。最初观察到的加拿大女性COVID-19死亡人数占男性COVID-19死亡人数的比例在2021年夏天趋于平衡。解释:女性COVID-19死亡比例较高可能与长期护理机构中COVID-19死亡的高度集中有关,在这些机构中观察到移民的机构率较低。自从在加拿大实施针对长期护理机构居民的疫苗接种以来,女性COVID-19死亡的比例过高的情况已经停止。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sex differences in COVID-19 deaths in the early months of the pandemic in Canada: An examination with an immigration lens.

Background: At the onset of the COVID-19 pandemic, there was an overrepresentation of males in COVID-19 deaths worldwide, with Canada reporting more female COVID-19 deaths. This paper examines the overrepresentation of female COVID-19 deaths in Canada, with an immigration lens.

Data and methods: Data were extracted from the COVID-19 Sex-Disaggregated Data Tracker to compare the sex distribution of COVID-19 deaths in Canada with that of other countries. A linkage of deaths to the Longitudinal Immigration Database (IMDB) allows for the comparison of sex-specific COVID-19 death rates by immigrant status for age and geography, as well as by major employment sector among immigrants, using the tax data from the IMDB.

Results: While there were proportionately more female than male COVID-19 deaths in Canada in the early months of the pandemic, this trend was mainly a phenomenon among non-immigrants aged 85 and older. In addition, COVID-19-specific death rates for males were higher than those for females across age groups by immigrant status, except for those aged 85 and older among the non-immigrant population. Among immigrants, the death rate among health care and social assistance workers was higher among males than among females (10.7 vs. 2.9 per 100,000 population). The initially observed overrepresentation of female COVID-19 deaths to male COVID-19 deaths in Canada evened out in the summer of 2021.

Interpretation: The higher proportion of female COVID-19 deaths was likely related to the high concentration of COVID-19 deaths in long-term care facilities, where a lower institutionalization rate for immigrants had been observed. Since the implementation of vaccination targeting long-term care facility residents in Canada, the overrepresentation of female COVID-19 deaths ceased.

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来源期刊
Health Reports
Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
4.00%
发文量
28
期刊介绍: Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.
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