COVID-19 Mortality Rates in Los Angeles County Among People Experiencing Homelessness, March 2020-February 2021.
COVID-19 Mortality Rates in Los Angeles County Among People Experiencing Homelessness, March 2020-February 2021.
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DOI：
10.1177/00333549221115658
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发表时间：
2022-11
影响因子：
3.3
通讯作者：
Brosnan, Hannah K.
中科院分区：
文献类型：
--
作者：
Chang, Alicia H.;Kwon, Jennifer J.;Shover, Chelsea L.;Greenwell, Lisa;Gomih, Ayodele;Blake, Jerome;Del Rosario, Aubrey;Jones, Padma S.;Fisher, Rebecca;Balter, Sharon;Brosnan, Hannah K.
了解洛杉矶县（LA县）大量无家可归者（PEH）中与新冠病毒相关的死亡率，可能会为保护这一弱势群体的公共卫生政策提供依据。我们研究了新冠病毒对无家可归者与洛杉矶县普通人群的影响。
我们计算了无家可归者每10万人的新冠病毒粗死亡率以及根据年龄、种族和性别调整后的死亡率，并将其与2020年3月1日至2021年2月28日期间洛杉矶县的普通人群进行了比较。
在18岁及以上的成年人中，无家可归者每10万人的粗死亡率比洛杉矶县普通人群高20%（348.7比287.6）。在根据年龄调整后，无家可归者的死亡率为每10万人570.7人。无家可归者死于新冠病毒的风险几乎是洛杉矶县普通人群的两倍；18 - 29岁的无家可归者与洛杉矶县普通人群中的同龄人相比，死亡风险几乎是其8倍。在根据种族（标准化死亡比[SMR]=1.4；95%置信区间，1.2 - 1.6）和性别（SMR = 1.3；95%置信区间，1.1 - 1.5）调整后，无家可归者的死亡风险仍高于普通人群。
与普通人群相比，无家可归者死于新冠病毒相关疾病的风险更高，这表明需要制定公共卫生政策和采取干预措施来保护这一弱势群体。
Understanding COVID-19–related mortality among the large population of people experiencing homelessness (PEH) in Los Angeles County (LA County) may inform public health policies to protect this vulnerable group. We investigated the impact of COVID-19 on PEH compared with the general population in LA County. We calculated crude COVID-19 mortality rates per 100 000 population and mortality rates adjusted for age, race, and sex/gender among PEH and compared them with the general population in LA County from March 1, 2020, through February 28, 2021. Among adults aged ≥18 years, the crude mortality rate per 100 000 population among PEH was 20% higher than among the general LA County population (348.7 vs 287.6). After adjusting for age, the mortality rate among PEH was 570.7 per 100 000 population. PEH had nearly twice the risk of dying from COVID-19 as people in the general LA County population; PEH aged 18-29 years had almost 8 times the risk of dying compared with their peers in the general LA County population. PEH had a higher risk of mortality than the general population after adjusting for race (standardized mortality ratio [SMR] = 1.4; 95% CI, 1.2-1.6) and sex/gender (SMR = 1.3; 95% CI, 1.1-1.5). A higher risk of COVID-19–related death among PEH compared with the general population indicates the need for public health policies and interventions to protect this vulnerable group.
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