Racial, ethnic, and sex disparities in the incidence and cognitive symptomology of long COVID-19.
Racial, ethnic, and sex disparities in the incidence and cognitive symptomology of long COVID-19.
复制标题
长期Covid-19的发病率和认知症状学中的种族，种族和性别差异。
DOI：
10.1016/j.jnma.2023.01.016
复制
发表时间：
2023-04
影响因子：
3.3
通讯作者：
Ellis C
中科院分区：
文献类型：
--
作者：
Jacobs MM;Evans E;Ellis C
这场大流行突出并加剧了2019年急性冠状病毒病(新冠肺炎)及其长期后遗症中的卫生不平等。鉴于慢性冠状病毒病定义的异质性以及缺乏疾病患者的集中登记，人们对种族、民族和性别亚组之间的患病率差异知之甚少。这项研究考察了黑人、白人、亚裔和西班牙裔美国人中的长期COVID，并评估了相关认知症状的差异。结合了美国人口普查局发布的四份家庭脉搏调查的数据，这些数据详细列出了2022年6月1日至2022年10月17日期间，具有全国代表性的成年人样本中新冠肺炎的发病率、持续时间和症状类型。二元Logistic回归分析了种族、民族和性别亚组之间确诊为COVID的患者发生长COVID的相对可能性。在那些报告长期COVID的人中，评估了理解困难和记忆困难的患病率的差异。经验模型考虑了受访者之间的家庭、地区、疫苗接种和保险差异。采用两阶段选择模型检验结果的稳健性。在新冠肺炎检测呈阳性的受访者中，黑人(OR=1.097，CI=1.034-1.163)、女性(OR=1.849，CI=1.794-1.907)和拉美裔(OR=1.349，CI=1.286-1.414)分别比白人、男性和非拉美裔更有可能经历长期的冠状病毒感染(症状持续3个月或更长时间)。然而，那些拥有私人医疗保险(OR=0.634，CI=0.611-0.658)和接种过新冠疫苗(OR=0.901，CI=0.864-0.94)的人比他们的同龄人更不可能出现新冠症状。慢性COVID的症状在不同的人群亚组之间有显著差异。与白人相比，黑人更容易记忆困难(OR=1.878，CI=1.765-1.808)，而西班牙裔更有可能报告难以理解(OR=1.827，CI=1.413，2.362)。与男性相比，女性较少经历理解困难(OR=0.664，CI=0.537，0.821)，但更容易报告记忆困难(OR=1.34，CI=1.237，1.451)。长冠状病毒病在黑人、西班牙裔和女性中更为普遍，但每一组人经历长冠状病毒病的情况似乎都不同。因此，需要进一步的研究来确定治疗和管理这种知之甚少的疾病的最佳方法。
The pandemic has highlighted and exacerbated health inequities in both acute coronavirus disease 2019 (COVID‐19) and its longer‐term sequelae. Given the heterogeneity in definitions of long COVID and the lack of centralized registries of patients with the disease, little is known about the differential prevalence among racial, ethnic, and sex subgroups. This study examines long COVID among Black, White, Asian, and Hispanic Americans and evaluates differences in the associated cognitive symptomology. Data from four releases of the Census Bureau's Household Pulse Survey detailing COVID-19 incidence and the duration and type of symptoms among a nationally representative sample of adults from June 1, 2022, through October 17, 2022, were combined. Binary logistic regression assessed the relative likelihood of long COVID among those who had been diagnosed COVID between racial, ethnic, and sex subgroups. Among those reporting long COVID, differences in the prevalence of difficulty understanding and difficulty remembering were assessed. Empirical models accounted for household, regional, vaccination, and insurance differences between respondents. Two-stage selection models were applied to test the robustness of the results. Among respondents who tested positive for COVID-19, Blacks (OR=1.097, CI=1.034-1.163), females (OR=1.849, CI=1.794-1.907), and Hispanics (OR=1.349, CI=1.286-1.414) were more likely to experience long COVID (symptoms lasting for 3 months or longer) compared to Whites, males, and non-Hispanics respectively. However, those with private health insurance (OR=0.634, CI=0.611-0.658) and who received the COVID vaccine (OR=0.901, CI=0.864-0.94) were less likely to have endured COVID symptoms than their counterparts. Symptoms of long COVID varied significantly between population subgroups. Compared to Whites, Blacks were more likely to have trouble remembering (OR=1.878, CI=1.765-1.808) while Hispanics were more likely to report difficult understanding (OR=1.827, CI=1.413, 2.362). Females, compared to males, were less likely to experience trouble understanding (OR=0.664, CI=0.537, 0.821), but more likely to report trouble remembering (OR=1.34, CI=1.237, 1.451). Long COVID is more prevalent among Blacks, Hispanics, and females, but each group appears to experience long COVID differently. Therefore, additional research is needed to determine the best method to treat and manage this poorly understood condition.
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影响因子：
17.3
作者：
Aiyegbusi OL;Hughes SE;Turner G;Rivera SC;McMullan C;Chandan JS;Haroon S;Price G;Davies EH;Nirantharakumar K;Sapey E;Calvert MJ;TLC Study Group
通讯作者：
TLC Study Group
影响因子：
4.4
作者：
Mahajan, Uma, V;Larkins-Pettigrew, Margaret
通讯作者：
Larkins-Pettigrew, Margaret
影响因子：
5.6
作者：
Holtgrave, David R.;Barranco, Meredith A.;Rosenberg, Eli S.
通讯作者：
Rosenberg, Eli S.
影响因子：
33.9
作者：
Hatcher, Sarah M.;Agnew-Brune, Christine;McCollum, Jeffrey
通讯作者：
McCollum, Jeffrey
DOI：
10.1016/j.cmi.2021.11.002
发表时间：
2022-04
期刊：
Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
影响因子：
--
作者：
Bai F;Tomasoni D;Falcinella C;Barbanotti D;Castoldi R;Mulè G;Augello M;Mondatore D;Allegrini M;Cona A;Tesoro D;Tagliaferri G;Viganò O;Suardi E;Tincati C;Beringheli T;Varisco B;Battistini CL;Piscopo K;Vegni E;Tavelli A;Terzoni S;Marchetti G;Monforte AD
通讯作者：
Monforte AD