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Gendered Differentials in Symptoms, Morbidity, and Case Fatality Rate in COVID-19 Pandemic in India: A Study of Karnataka State 印度COVID-19大流行中症状、发病率和病死率的性别差异:卡纳塔克邦的研究
Pub Date : 2021-06-12 DOI: 10.2139/ssrn.3865604
Shubham Ranjan, A. Kaur, R. Thakur
Background: COVID-19 pandemic has resulted in heavy loss of life worldwide and indeed has an adverse outcome on the health of both the genders. Statistics revealed that fewer females are getting affected directly than males, though the former might be more affected by its consequences. Some studies at the global level have suggested gender as the key determining factor in case of COVID-19, but there is a lack of such studies in a developing country like India. Considering the need, this study has analyzed the gender wise pattern of symptoms, morbidity, multimorbidity, and mortality due to COVID-19 in Karnataka, India. Methods: We used patient-level raw data from 09th March to 05th September 2020. We have used descriptive statistics such as frequency, and percentage distribution along with the latent class analysis (LCA) to carry out this analysis. Findings: A total of 78,983 COVID-19 patients comprising of 63.6% males and 36.4% females were included in the study. Out of total patients, 10.1% were reported as deceased from which 68.4% were males and 31.6% females. We found that in case of diseases symptoms, all three symptoms (cough, breathlessness, and fever) were higher among males as compared to females. Males tend to have a higher risk of severe infection and mortality in general while females suffering from comorbidities like diabetes and hypertension are at higher risk of mortality due to COVID-19 than male counterparts. Latent class analysis further reflected a higher proportion of females with two or more symptoms whereas more males were found having more than two comorbidities.Interpretation: Given the differences in lethality between the two genders, we believe that studying gender differentials extensively will help in finding the root causes of the gender differentials in COVID-19 pandemic and help policymakers in finding suitable interventions to reduce the spread.
背景:2019冠状病毒病(COVID-19)大流行在世界范围内造成了重大生命损失,确实对男女的健康产生了不利影响。统计数据显示,直接受到影响的女性比男性少,尽管前者可能更容易受到其后果的影响。全球层面的一些研究表明,性别是COVID-19病例的关键决定因素,但在印度这样的发展中国家缺乏此类研究。考虑到需要,本研究分析了印度卡纳塔克邦COVID-19的症状、发病率、多病性和死亡率的性别差异模式。方法:我们使用2020年3月9日至9月5日的患者级原始数据。我们使用了描述性统计,如频率和百分比分布以及潜在类分析(LCA)来进行此分析。结果:共纳入78,983例COVID-19患者,其中男性占63.6%,女性占36.4%。在所有患者中,10.1%报告死亡,其中68.4%为男性,31.6%为女性。我们发现,在疾病症状方面,所有三种症状(咳嗽、呼吸困难和发烧)在男性中都高于女性。总体而言,男性患严重感染和死亡的风险更高,而患有糖尿病和高血压等合并症的女性因COVID-19死亡的风险高于男性。潜在分类分析进一步反映了具有两种或两种以上症状的女性比例较高,而发现有两种以上合并症的男性比例较高。鉴于两性在致死率方面的差异,我们认为,广泛研究性别差异将有助于找到COVID-19大流行中性别差异的根本原因,并有助于决策者找到适当的干预措施,以减少传播。
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引用次数: 1
A Multi-Disciplinary Study of the Drivers of Smoking Cessation in Canada 加拿大戒烟驱动因素的多学科研究
Pub Date : 1900-01-01 DOI: 10.2139/ssrn.3774423
I. Irvine, Sam Hampsher
This paper reviews the history of smoking and tobacco use in Canada from 1950 to the present day. It examines the drivers of cessation and explores the capacity of modern reduced-harm nicotine products to further reduce the health damage that attends smoking.
本文回顾了1950年至今加拿大吸烟和烟草使用的历史。它检查了戒烟的驱动因素,并探讨了现代低危害尼古丁产品进一步减少吸烟对健康损害的能力。
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引用次数: 0
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PublicHealthRN: Other Global Public Health (Topic)
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