COVID-19 and CKD: Employment, Food Security and Healthcare in El Salvador.
COVID-19 and CKD: Employment, Food Security and Healthcare in El Salvador.
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DOI：
10.5334/aogh.3820
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发表时间：
2022
影响因子：
2.9
通讯作者：
Scammell MK
中科院分区：
文献类型：
--
作者：
Leibler JH;Keogh SA;Jarquín E;Garcia-Trabanino R;Velázquez JJA;Pilarte DL;Beltran M;Delgado IS;Petropoulos ZE;Friedman DJ;Brooks DR;Scammell MK
在中美洲，COVID-19大流行与原因不明的慢性肾病的毁灭性流行同时存在。这些重叠的健康危机的后果在很大程度上仍然未知。我们评估了第一波COVID-19对萨尔瓦多慢性肾脏病（CKD）队列研究参与者的脆弱性和影响（n = 229）。参与者于2020年8月和9月通过电话联系。我们查询了疫情（自2020年3月至访谈时）及期间COVID-19相关症状对就业、医疗服务、家庭收入及粮食安全的影响。我们达到了94%的队列（n = 215）。近40%的参与者报告就业或工作活动出现意外变化，8.8%的人报告因疫情而出现新的失业。CKD参与者（n = 27）报告新的收入不安全，粮食不安全和由于流行病而减少医疗服务的可能性更高。7.0%（n = 15）报告了COVID-19相关症状（近似疾病）。与无CKD的参与者相比，CKD参与者更有可能报告COVID-19相关症状，尽管这些差异在统计学上并不显著。总体而言，CKD参与者因大流行遭受了更大的经济后果，并且可能经历了更高的COVID-19疾病发病率，尽管需要实验室诊断才能得出这一结论。需要进行纵向分析，以全面评估大流行对中美洲CKD患者的影响。
In Central America, the COVID-19 pandemic coexists with a devastating epidemic of chronic kidney disease of unknown origin. The consequences of these overlapping health crises remain largely unknown. We assessed vulnerability to and impact of the first wave of COVID-19 on participants in a cohort study of chronic kidney disease (CKD) in El Salvador (n = 229). Participants were contacted by phone during August and September 2020. We queried changes to employment, healthcare access, household income and food security due to the pandemic (from March 2020 until the time of the interview) and COVID-19-associated symptoms during that time. We reached 94% of the cohort (n = 215). Nearly 40% of participants reported an unexpected change in employment or work activities and 8.8% reported new unemployment due to the pandemic. Participants with CKD (n = 27) had higher odds of reporting new income insecurity, food insecurity, and reductions in medical care access due to the pandemic. COVID-19-associated symptoms (an approximation of disease) were reported in 7.0% (n = 15). Participants with CKD were more likely to report COVID-19-associated symptoms compared to those without CKD, although these differences were not statistically significant. Overall, participants with CKD suffered greater economic consequences as a result of the pandemic and may have experienced higher incidence of COVID-19 disease, although laboratory diagnostics would be required to draw this conclusion. Longitudinal analyses are required to comprehensively evaluate the implications of the pandemic for individuals with CKD in Central America.
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影响因子：
8.5
作者：
Adorni F;Prinelli F;Bianchi F;Giacomelli A;Pagani G;Bernacchia D;Rusconi S;Maggi S;Trevisan C;Noale M;Molinaro S;Bastiani L;Fortunato L;Jesuthasan N;Sojic A;Pettenati C;Tavio M;Andreoni M;Mastroianni C;Antonelli Incalzi R;Galli M
通讯作者：
Galli M
影响因子：
3.2
作者：
Pereira M;Oliveira AM
通讯作者：
Oliveira AM
影响因子：
5.9
作者：
Niles, Meredith T.;Bertmann, Farryl;Neff, Roni
通讯作者：
Neff, Roni
COVID-19肾脏病纲要：AKI，CKD，ESKD和移植。
影响因子：
2.3
作者：
Kant S;Menez SP;Hanouneh M;Fine DM;Crews DC;Brennan DC;Sperati CJ;Jaar BG
通讯作者：
Jaar BG
影响因子：
3.3
作者：
Fischer, Rebecca S. B.;Mandayam, Sreedhar;Murray, Kristy O.
通讯作者：
Murray, Kristy O.