Estimated inequities in COVID-19 infection fatality rates by ethnicity for Aotearoa New Zealand
Estimated inequities in COVID-19 infection fatality rates by ethnicity for Aotearoa New Zealand
复制标题
新西兰各族裔 COVID-19 感染死亡率估计不平等
DOI：
--
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
A. Sporle
中科院分区：
文献类型：
--
作者：
N. Steyn;Rachelle N. Binny;K. Hannah;S. Hendy;A. James;T. Kukutai;Audrey Lustig;M. Mcleod;M. Plank;K. Ridings;A. Sporle
关于COVID-19感染致死率（IFR）如何因种族而异的证据有限。我们将新西兰奥特亚罗瓦地区种族群体的人口和健康数据与不同年龄组IFR的国际数据相结合，以估计IFR中种族的不平等。我们发现，如果年龄是决定IFR的主要因素，估计毛利人的IFR比非毛利人高50%左右。如果基本健康状况比年龄本身更重要，那么毛利人的估计IFR是新西兰欧裔的2.5倍以上，太平洋岛屿族裔的估计IFR几乎是新西兰欧裔的两倍。毛利人和太平洋岛屿族裔的国际财务报告准则可能会因保健系统内的种族主义和官方数据中未反映的其他不公平现象而高于这些估计数。IFR没有考虑COVID-19发病率的种族差异，由于拥挤的住房和较高的代际接触率，毛利人和太平洋岛屿族裔的发病率可能更高。这些因素应包括在未来的疾病发病率建模。风险最高的社区将是那些有老年人口的社区，以及毛利人和太平洋岛屿族裔社区，在这些社区，潜在的健康状况、社会经济劣势和结构性种族主义的综合影响导致感染COVID-19、身体不适和死亡的风险成倍增加。
There is limited evidence as to how COVID-19 infection fatality rates (IFR) may vary by ethnicity. We combine demographic and health data for ethnic groupings in Aotearoa New Zealand with international data on IFR for different age groups to estimate inequities in IFR by ethnicity. We find that, if age is the dominant factor determining IFR, estimated IFR for Māori is around 50% higher than non-Māori. If underlying health conditions are more important than age per se, then estimated IFR for Māori is more than 2.5 times that of New Zealand European, and estimated IFR for Pasifika is almost double that of New Zealand European. IFRs for Māori and Pasifika are likely to be increased above these estimates by racism within the healthcare system and other inequities not reflected in official data. IFR does not account for differences among ethnicities in COVID-19 incidence, which could be higher in Māori and Pasifika as a result of crowded housing and higher inter-generational contact rates. These factors should be included in future disease incidence modelling. The communities at the highest risk will be those with elderly populations, and Māori and Pasifika communities, where the compounded effects of underlying health conditions, socioeconomic disadvantage, and structural racism result in imbricated risk of contracting COVID-19, becoming unwell, and death.
群体发病率假说：新西兰老年毛利人和非毛利人的健康不平等。
DOI：
--
发表时间：
2014
期刊：
New Zealand population review
影响因子：
--
作者：
Yon,Yongjie;Crimmins,EileenM
通讯作者：
Crimmins,EileenM