Estimated County-Level Prevalence of Selected Underlying Medical Conditions Associated with Increased Risk for Severe COVID-19 Illness - United States, 2018.
Estimated County-Level Prevalence of Selected Underlying Medical Conditions Associated with Increased Risk for Severe COVID-19 Illness - United States, 2018.
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DOI：
10.15585/mmwr.mm6929a1
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发表时间：
2020-07-24
期刊：
影响因子：
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通讯作者：
Greenlund, Kurt J
中科院分区：
文献类型：
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作者：
Razzaghi, Hilda;Wang, Yan;Greenlund, Kurt J
2019年严重冠状病毒病的风险（COVID-19）相关疾病（需要住院治疗、重症监护病房[ICU]入院、机械通气或导致死亡的疾病）随着年龄的增长以及存在已显示出强有力和一致证据的基础医学状况而增加，包括慢性阻塞性肺病、心血管疾病、糖尿病、慢性肾病、肥胖（1-4）。识别和描述这些情况在地方一级的流行程度，有助于指导预防或控制严重COVID-19相关疾病的决策和努力。低于州一级的估计，缺乏关于增加严重COVID-19相关疾病风险的基础医疗状况的标准化公开数据。采用小面积估计方法，使用来自2018年行为风险因素监测系统（BRFSS）的自我报告数据和美国人口普查数据，估计美国18岁以上成年人（5，6岁）中与严重COVID-19疾病相关的选定疾病的县级患病率。所有50个州和哥伦比亚特区（DC）的3，142个县的居民中任何基础疾病的中位患病率为47.2%（范围=22.0%-66.2%）;患病率最高的县集中在东南部和阿巴拉契亚地区。尽管在人口密集的大都市地区，患有任何潜在疾病的估计人数较高，但在农村非大都市地区，总体患病率较高。这些数据可以提供有关患有某些潜在疾病的估计人数和比例的重要地方信息，以帮助指导有关额外资源投资以及减缓和预防措施的决策，以减缓COVID-19的传播。
Risk for severe coronavirus disease 2019 (COVID-19)-associated illness (illness requiring hospitalization, intensive care unit [ICU] admission, mechanical ventilation, or resulting in death) increases with increasing age as well as presence of underlying medical conditions that have shown strong and consistent evidence, including chronic obstructive pulmonary disease, cardiovascular disease, diabetes, chronic kidney disease, and obesity (1-4). Identifying and describing the prevalence of these conditions at the local level can help guide decision-making and efforts to prevent or control severe COVID-19-associated illness. Below state-level estimates, there is a lack of standardized publicly available data on underlying medical conditions that increase the risk for severe COVID-19-associated illness. A small area estimation approach was used to estimate county-level prevalence of selected conditions associated with severe COVID-19 disease among U.S. adults aged ≥18 years (5,6) using self-reported data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) and U.S. Census population data. The median prevalence of any underlying medical condition in residents among 3,142 counties in all 50 states and the District of Columbia (DC) was 47.2% (range=22.0%-66.2%); counties with the highest prevalence were concentrated in the Southeast and Appalachian region. Whereas the estimated number of persons with any underlying medical condition was higher in population-dense metropolitan areas, overall prevalence was higher in rural nonmetropolitan areas. These data can provide important local-level information about the estimated number and proportion of persons with certain underlying medical conditions to help guide decisions regarding additional resource investment, and mitigation and prevention measures to slow the spread of COVID-19.