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新冠疫情的社会经济、人口统计学及健康决定因素

Socio-Economic, Demographic and Health Determinants of the COVID-19 Outbreak.

作者信息

Ozyilmaz Ayfer, Bayraktar Yuksel, Toprak Metin, Isik Esme, Guloglu Tuncay, Aydin Serdar, Olgun Mehmet Firat, Younis Mustafa

机构信息

Department of Foreign Trade, Kocaeli University, Kocaeli 41650, Turkey.

Department of Economics, Istanbul University, Istanbul 34452, Turkey.

出版信息

Healthcare (Basel). 2022 Apr 18;10(4):748. doi: 10.3390/healthcare10040748.

Abstract

OBJECTIVE

In this study, the effects of social and health indicators affecting the number of cases and deaths of the COVID-19 pandemic were examined. For the determinants of the number of cases and deaths, four models consisting of social and health indicators were created.

METHODS

In this quantitative research, 93 countries in the model were used to obtain determinants of the confirmed cases and determinants of the COVID-19 fatalities.

RESULTS

The results obtained from Model I, in which the number of cases was examined with social indicators, showed that the number of tourists, the population between the ages of 15 and 64, and institutionalization had a positive effect on the number of cases. The results obtained from the health indicators of the number of cases show that cigarette consumption affects the number of cases positively in the 50th quantile, the death rate under the age of five affects the number of cases negatively in all quantiles, and vaccination positively affects the number of cases in 25th and 75th quantile values. Findings from social indicators of the number of COVID-19 deaths show that life expectancy negatively affects the number of deaths in the 25th and 50th quantiles. The population over the age of 65 and CO positively affect the number of deaths at the 25th, 50th, and 75th quantiles. There is a non-linear relationship between the number of cases and the number of deaths at the 50th and 75th quantile values. An increase in the number of cases increases the number of deaths to the turning point; after the turning point, an increase in the number of cases decreases the death rate. Herd immunity has an important role in obtaining this finding. As a health indicator, it was seen that the number of cases positively affected the number of deaths in the 50th and 75th quantile values and the vaccination rate in the 25th and 75th quantile values. Diabetes affects the number of deaths positively in the 75th quantile.

CONCLUSION

The population aged 15-64 has a strong impact on COVID-19 cases, but in COVID-19 deaths, life expectancy is a strong variable. On the other hand, it has been found that vaccination and the number of cases interaction term has an effect on the mortality rate. The number of cases has a non-linear effect on the number of deaths.

摘要

目的

在本研究中,考察了影响新冠疫情病例数和死亡数的社会与健康指标的作用。针对病例数和死亡数的决定因素,构建了由社会和健康指标组成的四个模型。

方法

在这项定量研究中,模型中的93个国家被用于获取新冠确诊病例的决定因素以及新冠死亡病例的决定因素。

结果

在模型I中,用社会指标考察病例数,结果显示游客数量、15至64岁人口以及机构收容情况对病例数有正向影响。用健康指标考察病例数的结果表明,香烟消费量在第50分位数对病例数有正向影响,五岁以下死亡率在所有分位数对病例数有负向影响,疫苗接种率在第25和第75分位数对病例数有正向影响。新冠死亡病例社会指标的研究结果表明,预期寿命在第25和第50分位数对死亡数有负向影响。65岁以上人口和一氧化碳在第25、第50和第75分位数对死亡数有正向影响。在第50和第75分位数处,病例数与死亡数之间存在非线性关系。病例数增加会使死亡数增加至转折点;转折点之后,病例数增加会使死亡率降低。群体免疫在得出这一结果中发挥了重要作用。作为一项健康指标,发现在第50和第75分位数处病例数对死亡数有正向影响,在第25和第75分位数处病例数对疫苗接种率有正向影响。糖尿病在第75分位数对死亡数有正向影响。

结论

15至64岁人口对新冠病例有强烈影响,但在新冠死亡病例中,预期寿命是一个重要变量。另一方面,发现疫苗接种与病例数的交互项对死亡率有影响。病例数对死亡数有非线性影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d19/9031016/5ffe8b509e87/healthcare-10-00748-g001.jpg

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