减轻 COVID-19 对无家可归者影响的干预措施:伊利诺伊州芝加哥,2020 年 3 月 1 日至 2023 年 5 月 11 日。

IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of public health Pub Date : 2024-10-01 Epub Date: 2024-08-28 DOI:10.2105/AJPH.2024.307801
Lauren Tietje, Isaac Ghinai, Antea Cooper, Elizabeth L Tung, Brian Borah, Michelle Funk, Divya Ramachandran, Ben Gerber, Bernice Man, Rebecca Singer, Elizabeth Bell, Angela Moss, Andrew Weidemiller, Mehreen Chaudhry, Frances Lendacki, Rachel Bernard, Stephanie Gretsch, Kayla English, Thomas D Huggett, Mary Tornabene, Caroline Cool, Wayne M Detmer, Mary Kate Schroeter, Stockton Mayer, Elizabeth Davis, Josh Boegner, Erik Elias Glenn, Gregory Phillips, Suzanne Falck, Lindsay Barranco, Karrie-Ann Toews
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引用次数: 0

摘要

目标。比较伊利诺斯州芝加哥市无家可归者(PESH)和更广泛的社区之间 COVID-19 的发病率、病例住院率和疫苗接种率,并描述在公共卫生突发事件期间采用全社区方法缓解疾病的影响。方法。利用 2020 年 3 月 1 日至 2023 年 5 月 11 日的病例监测数据,将 PESH 中 COVID-19 的发病率与整个社区的发病率进行比较。对整个研究期间以及 COVID-19 传播的 6 个不同波次中每个波次的 COVID-19 发病率的七天滚动平均值进行了评估。研究结果共检测到 774 009 例 COVID-19 病例:2579 例在 PESH 中传播,771 430 例在更广泛的社区中传播。在第 1 波(2020 年 3 月 1 日至 2020 年 10 月 3 日)中,每 10 万名长者和青少年中的发病率和住院率(99.84 vs 13.94 和 16.88 vs 2.14)是整个社区的 5 倍多。这一差异在第 3 阶段(2021 年 3 月 7 日至 2021 年 6 月 26 日)有所缩小,每 10 万人中ESH 的发病率低于整个社区(8.02 vs 13.03)。在第 4 波至第 6 波期间,PESH 的发病率和住院率再次上升到高于整个社区的水平,但再也没有恢复到第 1 波的水平。在整个研究期间,PESH 的 COVID-19 发病率是社区的 2.88 倍(70.90 vs 24.65),住院率是社区的 4.56 倍(7.51 vs 1.65)。结论我们的研究结果表明,全社区方法可以最大限度地减少易感人群和更广泛的社区之间在严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)传播方面的差异,并强化了在应对特殊人群的公共卫生突发事件时采取包括多个合作伙伴在内的共同方法的益处。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307801 )。
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Interventions to Mitigate the Impact of COVID-19 Among People Experiencing Sheltered Homelessness: Chicago, Illinois, March 1, 2020-May 11, 2023.

Objectives. To compare the incidence, case-hospitalization rates, and vaccination rates of COVID-19 between people experiencing sheltered homelessness (PESH) and the broader community in Chicago, Illinois, and describe the impact of a whole community approach to disease mitigation during the public health emergency. Methods. Incidence of COVID-19 among PESH was compared with community-wide incidence using case-based surveillance data from March 1, 2020, to May 11, 2023. Seven-day rolling means of COVID-19 incidence were assessed for the overall study period and for each of 6 distinct waves of COVID-19 transmission. Results. A total of 774 009 cases of COVID-19 were detected: 2579 among PESH and 771 430 in the broader community. Incidence and hospitalization rates per 100 000 in PESH were more than 5 times higher (99.84 vs 13.94 and 16.88 vs 2.14) than the community at large in wave 1 (March 1, 2020-October 3, 2020). This difference decreased through wave 3 (March 7, 2021-June 26, 2021), with PESH having a lower incidence rate per 100 000 than the wider community (8.02 vs 13.03). Incidence and hospitalization of PESH rose again to rates higher than the broader community in waves 4 through 6 but never returned to wave 1 levels. Throughout the study period, COVID-19 incidence among PESH was 2.88 times higher than that of the community (70.90 vs 24.65), and hospitalization was 4.56 times higher among PESH (7.51 vs 1.65). Conclusions. Our findings suggest that whole-community approaches can minimize disparities in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission between vulnerable populations and the broader community, and reinforce the benefits of a shared approach that include multiple partners when addressing public health emergencies in special populations. (Am J Public Health. 2024;114(S7):S590-S598. https://doi.org/10.2105/AJPH.2024.307801).

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来源期刊
American journal of public health
American journal of public health 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.50
自引率
3.90%
发文量
1109
审稿时长
2-4 weeks
期刊介绍: The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.
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