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2020 - 2021年73个国家新冠病毒病死亡率和死亡风险的性别差异分析

Sex differences in COVID-19 fatality rate and risk of death: An analysis in 73 countries, 2020-2021.

作者信息

Ramírez-Soto Max Carlos, Ortega-Cáceres Gutia, Arroyo-Hernández Hugo

机构信息

School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.

Facultad de Ciencias de la Salud, Universidad Tecnológica del Perú, Lima, Peru.

出版信息

Infez Med. 2021 Sep 10;29(3):402-407. doi: 10.53854/liim-2903-11. eCollection 2021.

Abstract

There is a worrying lack of epidemiological data on the sex differential in COVID-19 fatality rates. We examined the Global Health 50/50 tracks of sex-disaggregated infection and mortality COVID-19 data from 73 countries through May 20, 2021. We compared the infection fatality rate (IFR) in men vs. women and risk of death from COVID-19 by country. Of all cases in 73 countries, 42,933,757 were in women and 40,187,894 in men; 1,274,663 men and 971,899 women died. The IFR was higher in males (3.17%) than in women (2.26%). The IFR in males vs. females varied from country to country, and it was higher in men in Brazil, Yemen, Mexico, Ecuador, Scotland, Peru, Guatemala, North Macedonia and Afghanistan. Overall, men had a higher odd of death from COVID-19 (OR, 1.22; 95% CI, 1.13-1.32; =0.00001) and in 49 countries, compared to women. Men in Albania and Guatemala had twice the risk of death from COVID-19. Our findings show higher fatality rates among men than among women. These rates vary widely by country, and men have a higher odd of death from COVID-19.

摘要

关于新冠病毒病死亡率的性别差异,目前存在令人担忧的流行病学数据匮乏问题。我们研究了截至2021年5月20日来自73个国家的按性别分类的新冠病毒病感染和死亡的全球健康50/50追踪数据。我们比较了男性与女性的感染死亡率(IFR)以及各国新冠病毒病的死亡风险。在73个国家的所有病例中,女性有42,933,757例,男性有40,187,894例;1,274,663名男性和971,899名女性死亡。男性的感染死亡率(3.17%)高于女性(2.26%)。男性与女性的感染死亡率因国家而异,在巴西、也门、墨西哥、厄瓜多尔、苏格兰、秘鲁、危地马拉、北马其顿和阿富汗,男性的感染死亡率更高。总体而言,男性死于新冠病毒病的几率更高(比值比,1.22;95%置信区间,1.13 - 1.32;P = 0.00001),在49个国家中,与女性相比皆是如此。阿尔巴尼亚和危地马拉的男性死于新冠病毒病的风险是女性的两倍。我们的研究结果表明,男性的死亡率高于女性。这些比率因国家而异,并且男性死于新冠病毒病的几率更高。

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