COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics.
COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics.
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DOI：
10.1093/pubmed/fdac058
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发表时间：
2022-08-25
影响因子：
4.4
通讯作者：
Munayco, Cesar, V
中科院分区：
文献类型：
--
作者：
Gabriela Soto-Cabezas, M.;Reyes, Mary F.;Soriano, Anderson N.;Velasquez Rodriguez, Jean Pierre;Ordonez Ibarguen, Luis;Martel, Kevin S.;Flores Jaime, Noemi;Munayco, Cesar, V
很少有研究描述少数民族COVID-19患者的临床特征。我们的目的是评估秘鲁亚马逊土著族群COVID-19病例的死亡率和发病率、临床特征以及与死亡率相关的因素。我们进行了一项回顾性队列研究，包括2020年3月7日至10月31日被确定为亚马逊土著的秘鲁人中的所有COVID-19病例。我们使用间接年龄调整方法计算标准化死亡率和发病率，以确定亚马逊土著居民和普通人群之间的差异。此外，我们使用多变量逻辑回归来确定死亡的危险因素。共分析了19018例实验室确诊的COVID-19病例。土著人的感染风险是秘鲁一般人口的3.18倍（95% CI，3.13-3.23），死亡风险是秘鲁一般人口的0.34倍（0.31-0.37）。男性的死亡率是女性的1.29（1.04-1.61）倍，每增加一岁，死亡率增加1.03（1.03-1.04）倍。有呼吸窘迫者死亡率是无呼吸窘迫者的2.47（1.96-3.10）倍。有免疫缺陷的人死亡的可能性高18.7（6.12-57.00）倍。与一般秘鲁人口相比，秘鲁的亚马逊土著人口受到COVID-19的严重影响。
Few studies have described the clinical characteristics of patients with COVID-19 from ethnic minority groups. Our objective was to evaluate the mortality and incidence rates, clinical characteristics and factors associated with mortality in cases with COVID-19 belonging to the Amazonian indigenous ethnic group in Peru. We performed a retrospective cohort study including all cases from COVID-19 among Peruvian people identified as Amazonian indigenous from 07 March to 31 October 2020. We calculated the standardized mortality and incidence ratios using the indirect age-adjusted method to determine the differences between Amazonian Indigenous and the general population. In addition, we used multivariable logistic regression to determine the risk factors for death. A total of 19 018 laboratory confirmed COVID-19 cases were analyzed. Indigenous people had 3.18 (95% CI, 3.13–3.23) times the risk of infection and 0.34 (0.31–0.37) times the mortality risk of the general Peruvian population. Males had 1.29 (1.04–1.61) times the odds of death compared with females and for each year of age, the odds of mortality increased 1.03 (1.03–1.04) times. Cases with respiratory distress had 2.47 (1.96–3.10) times more likely to die. Having an immunodeficiency was 18.7 (6.12–57.00) times more likely to die. The Amazonian indigenous population in Peru was strongly affected by COVID-19 compared with the general Peruvian population.
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在一个世纪以上的3种流感大流感中，种族的差异死亡率，新西兰。
影响因子：
11.8
作者：
Wilson N;Barnard LT;Summers JA;Shanks GD;Baker MG
通讯作者：
Baker MG
影响因子：
11.4
作者：
Flint, Shaun M.;Davis, Joshua S.;Tong, Steven Y. C.
通讯作者：
Tong, Steven Y. C.
DOI：
10.1016/s2214-109x(21)00173-x
发表时间：
2021-07
期刊：
The Lancet. Global health
影响因子：
--
作者：
Álvarez-Antonio C;Meza-Sánchez G;Calampa C;Casanova W;Carey C;Alava F;Rodríguez-Ferrucci H;Quispe AM
通讯作者：
Quispe AM
影响因子：
3.3
作者：
Brierley, Charlotte K.;Suarez, Nicolas;Graham, Devon
通讯作者：
Graham, Devon
DOI：
10.1177/0003134820973356
发表时间：
2020-12
期刊：
The American surgeon
影响因子：
--
作者：
Boserup B;McKenney M;Elkbuli A
通讯作者：
Elkbuli A