按社会人口特征划分的 COVID-19 相关患者预后的不平等:范围审查。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01
Michelle R Kaufman, Caroline Palmer, Sarah Hirner, Lori-Ann Palen, Theresa Asuquo, Kadidiatou Toure, Emilie C Hynes, Julia M Dixon, Teri Reynolds, Lisa A Cooper
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引用次数: 0

摘要

健康治疗和结果中的社会人口不平等并非新现象。然而,COVID-19 大流行为研究和解决偏见问题提供了新的机遇。本文对全球疫苗接种和治疗开始前(2021 年 12 月)发表的 170 篇论文进行了范围界定。我们报告了与 COVID-19 相关的患者的不同社会人口学特征,包括插管和通气需求、入住重症监护室、出院后接受临终关怀以及死亡率。利用 PROGRESS-Plus 框架,我们确定最有研究价值的社会人口因素是种族/民族/文化/语言。少数种族和民族群体成员的 COVID-19 相关患者预后往往较差;鉴于在进行综述时有关这些因素的文献很少,因此需要对其他类别的社会不利因素进行更多研究。只有研究并解决社会弱势的原因,我们才能在未来的公共卫生危机中避免这种不公正。
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Inequities in COVID-19-Related Patient Outcomes by Socio-Demographic Characteristics: A Scoping Review.

Socio-demographic inequities in health treatment and outcomes are not new. However, the COVID-19 pandemic presented new opportunities to examine and address biases. This article describes a scoping review of 170 papers published prior to the onset of global vaccinations and treatment (December 2021). We report differentiated COVID-19-related patient outcomes for people with various socio-demographic characteristics, including the need for intubation and ventilation, intensive care unit admission, discharge to hospice care, and mortality. Using the PROGRESS-Plus framework, we determined that the most researched socio-demographic factor was race/ethnicity/culture/language. Members of minoritized racial and ethnic groups tended to have worse COVID-19-related patient outcomes; more research is needed about other categories of social disadvantage, given the scarcity of literature on these factors at the time of the review. It is only by researching and addressing the causes of social disadvantage that we can avoid such injustice in future public health crises.

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来源期刊
CiteScore
2.00
自引率
7.10%
发文量
154
期刊介绍: The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.
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