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迈阿密-戴德县和布劳沃德县儿童 COVID-19 病例的映射:社会人口差异分析。

Mapping of Pediatric COVID-19 Cases in Miami-Dade and Broward Counties: an Analysis of Sociodemographic Disparities.

机构信息

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Reid Health, Richmond, IN, USA.

出版信息

J Racial Ethn Health Disparities. 2023 Aug;10(4):1783-1789. doi: 10.1007/s40615-022-01362-y. Epub 2022 Jul 8.

DOI:10.1007/s40615-022-01362-y
PMID:35802253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9266088/
Abstract

BACKGROUND

Numerous studies have shown a disproportionate impact of COVID-19 infection on Black and Hispanic Americans in the adult patient population. However, few studies have been done with pediatric populations. The aim of this study is to identify the prevalence and distribution of COVID-19 cases among pediatric patients in Miami-Dade and Broward counties and identify any sociodemographic disparities.

METHODS

A total of 10,087 children/adolescents ages zero years-old to 20 years-old were tested from July 1, 2020, to December 31, 2020. ArcGIS was used to map cases and obtain sociodemographic data. SPSS software was used to determine significance of data trends and create a predictive model.

RESULTS

There were 1,161 pediatric COVID-19 cases detected. White Hispanics and Black Hispanics had statically significantly higher cases when compared to White non-Hispanics and Black non-Hispanics. Percentage of households on food stamps, percentage of households below the poverty line, percentage of minority populations, and percentage of Hispanic population showed a positive correlation with detected pediatric COVID-19 cases. Alternatively, areas with higher median household incomes and higher educational status were negatively correlated with COVID-19. Percentage of Hispanic population and percentage of households below the poverty line were predictive of pediatric COVID-19 cases.

CONCLUSION

There was a disproportionate impact of pediatric COVID-19 infection on zip codes of lower socioeconomic status and increased racial/ethnic minority populations. This study demonstrates the need for public health policies that prioritize testing children/adolescents in these communities.

摘要

背景

许多研究表明,新冠病毒在成年患者群体中对黑人和西班牙裔美国人的影响不成比例。然而,针对儿科人群的研究却很少。本研究旨在确定迈阿密戴德县和布劳沃德县儿科患者中新冠病毒病例的流行程度和分布情况,并确定任何社会人口统计学方面的差异。

方法

共有 10087 名零岁至 20 岁的儿童/青少年在 2020 年 7 月 1 日至 12 月 31 日期间接受了检测。ArcGIS 用于绘制病例图并获取社会人口统计学数据。使用 SPSS 软件确定数据趋势的显著性并创建预测模型。

结果

共发现 1161 例儿科新冠病毒病例。与白人和非西班牙裔黑人相比,白西班牙裔和黑西班牙裔的病例数量具有统计学意义上的显著增加。食品券家庭比例、贫困线以下家庭比例、少数族裔人口比例和西班牙裔人口比例与检测到的儿科新冠病毒病例呈正相关。相反,中等家庭收入较高和教育程度较高的地区与新冠病毒呈负相关。西班牙裔人口比例和贫困线以下家庭比例是预测儿科新冠病毒病例的指标。

结论

新冠病毒对社会经济地位较低和种族/族裔少数群体较多的邮政编码的儿童感染产生了不成比例的影响。本研究表明,需要制定公共卫生政策,优先在这些社区对儿童/青少年进行检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/9266088/31320ea6327a/40615_2022_1362_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/9266088/b1c97bc94d38/40615_2022_1362_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/9266088/31320ea6327a/40615_2022_1362_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/9266088/b1c97bc94d38/40615_2022_1362_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/9266088/31320ea6327a/40615_2022_1362_Fig2_HTML.jpg

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本文引用的文献

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Socioeconomic inequalities in the spread of coronavirus-19 in the United States: A examination of the emergence of social inequalities.美国新冠病毒传播中的社会经济不平等:社会不平等现象的出现分析。
Soc Sci Med. 2021 Jan;268:113554. doi: 10.1016/j.socscimed.2020.113554. Epub 2020 Nov 30.
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COVID-19 infection prevalence in pediatric population: Etiology, clinical presentation, and outcome.儿童人群中 COVID-19 感染的流行情况:病因、临床表现和结局。
J Infect Public Health. 2020 Dec;13(12):1791-1796. doi: 10.1016/j.jiph.2020.10.008. Epub 2020 Oct 20.
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COVID-19: A Review for the Pediatric Neurologist.
新型冠状病毒肺炎:儿科神经科医生的综述
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