长 COVID 的多层面决定因素和远程保健干预的潜力。

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ethnicity & Disease Pub Date : 2024-08-21 eCollection Date: 2024-08-01 DOI:10.18865/EthnDis-2024-2
Molly Jacobs, Charles Ellis, Irene Estores
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引用次数: 0

摘要

背景:2019年冠状病毒病(COVID-19)后综合征或长COVID有多种症状,但人们对这种疾病知之甚少。本研究通过评估互联网使用情况作为远程医疗可行途径的指标,评估了个人因素、健康的社会决定因素与长COVID可能性之间的关联:方法:2022 年全国健康访谈调查的数据确定了以下成年人:(1)曾报告 COVID-19 阳性检测和/或诊断;(2)经历过长时间 COVID。一个两阶段选择模型在第一阶段预测 COVID-19 感染,在第二阶段预测长 COVID。为了测试远程医疗的潜在使用情况,二元因变量回归评估了患有长期 COVID 的受访者的互联网使用情况:约 40% 的受访者(N=10,318)检测结果呈阳性/被确诊感染了 COVID-19,但其中只有不到 20% 的受访者(N=1797)感染了长 COVID。虽然年龄较大的受访者感染 COVID 的可能性较低(几率比 [OR]=0.48; 95% 置信区间 [CI]=0.44, 0.53),但他们更有可能感染长期 COVID(OR=1.63; CI=1.37, 1.93)。与白种人相比,黑种人发生 COVID 的可能性较低(OR=0.78;CI=0.69,0.89),但发生长时间 COVID 的可能性明显更高(OR=1.21;CI=1.09,1.64)。低收入者(第一收入与贫困比率四分位数 OR=1.40,CI=1.14,1.72;第二收入与贫困比率 OR=1.37,CI=1.14,1.64)和无大学学历者(OR=1.42;CI=1.01,1.66)也更有可能经历长时间 COVID。不同种族、地域或收入群体在互联网接入方面没有明显的统计学差异:黑人和低收入家庭中长期 COVID 的可能性明显高于同类人群,但由于可利用的资源很少,远程医疗服务可能是一种可行的干预机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multilevel Determinants of Long COVID and Potential for Telehealth Intervention.

Background: Post-coronavirus disease 2019 (COVID-19) syndrome, or long COVID, has a variety of symptoms, but little is known about the condition. This study evaluated the association between individual factors, social determinants of health, and the likelihood of long COVID by assessing internet usage as an indicator of viable access to telehealth.

Methods: Data from the 2022 National Health Interview Survey identified adults who (1) reported a previous COVID-19-positive test and/or diagnosis and (2) experienced long COVID. A 2-stage selection model predicted COVID-19 infection in the first stage and long COVID in the second stage. To test the potential use of telehealth, binary dependent variable regression evaluated internet usage among respondents with long COVID.

Results: About 40% (N=10,318) of respondents had tested positive/been diagnosed with COVID-19, but less than 20% of them (N=1797) had long COVID. Although older respondents were less likely to have COVID (odds ratio [OR]=0.48; 95% confidence interval [CI]=0.44, 0.53), they were more likely to experience long COVID (OR=1.63; CI=1.37, 1.93). Relative to White individuals, Black individuals were less likely to have COVID (OR=0.78; CI=0.69, 0.89) but significantly more likely (OR=1.21; CI=1.09, 1.64) to experience long COVID. Long COVID was also more likely among low-income earners (first income-to-poverty ratio quartile OR=1.40, CI=1.14, 1.72; second income-to-poverty ratio OR=1.37, CI=1.14, 1.64) and those without a college degree (OR=1.42; CI=1.01, 1.66). There were no statistically significant differences in internet access between racial, geographic, or income groups.

Conclusion: Long COVID is significantly more likely among Black individuals and low-income households than among their counterparts, but with few recourses available, telehealth service delivery could be a feasible intervention mechanism.

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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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