Epidemiology of COVID-19 vs. influenza: Differential failure of COVID-19 mitigation among Hispanics, Cook County Health, Illinois.
Epidemiology of COVID-19 vs. influenza: Differential failure of COVID-19 mitigation among Hispanics, Cook County Health, Illinois.
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DOI：
10.1371/journal.pone.0240202
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Weinstein RA
中科院分区：
文献类型：
--
作者：
Trick WE;Badri S;Doshi K;Zhang H;Rezai K;Hoffman MJ;Weinstein RA
在美国COVID-19大流行的早期阶段，非洲裔美国人或西班牙裔社区受到不成比例的影响。为了更好地了解COVID-19在住院西班牙裔患者中的流行病学和相对影响，我们将确诊为COVID-19的患者与确诊为流感（另一种呼吸道传播的病毒感染）的患者的个体和人口普查水平特征进行了比较。我们评估了流行病学的时间变化与就地避难的任务。我们评估了在库克县健康中心住院的患者，库克县健康中心是芝加哥大都市区的安全网卫生系统。在自我确认的住院西班牙裔患者中，我们将2020年3月16日至2020年5月11日期间的流感（2019-2020季节）与COVID-19感染进行了比较。我们使用多变量分析来确定两组之间的个体和人口普查水平特征的差异。相对于非西班牙裔黑人和白人，在推广社交距离政策期间，COVID-19在西班牙裔中迅速增加。虽然非西班牙裔黑人更有可能因流感住院，但西班牙裔患者在COVID-19感染中占主导地位（与流感相比相对增加40%）。在对流感和COVID-19的比较分析中，西班牙裔COVID-19患者更有可能居住在人口普查区，该人口普查区的居民比例较高，具有以下特征：西班牙裔;没有高中文凭;非美国公民;英语口语能力有限;受雇于制造业或建筑业;以及过度拥挤。通过多变量分析，与流感患者相比，因COVID-19住院的西班牙裔患者更有可能是男性（校正OR = 1.8; 95% CI 1.1 - 2.9），肥胖（aOR = 2.5; 95% CI 1.5 - 4.2），或居住在≥40%的居民没有高中文凭的人口普查区（aOR = 2.5; 95% CI 1.3 - 4.8）。在庇护所到位后，西班牙裔人中COVID-19住院治疗的迅速和不成比例的增加表明公共卫生战略不足以保护这一人群-特别是那些居住在教育水平较低的社区的人。
During the early phases of the COVID-19 pandemic in the U.S., African-American or Hispanic communities were disproportionately impacted. To better understand the epidemiology and relative effects of COVID-19 among hospitalized Hispanic patients, we compared individual and census-tract level characteristics of patients diagnosed with COVID-19 to those diagnosed with influenza, another viral infection with respiratory transmission. We evaluated temporal changes in epidemiology related to a shelter-in-place mandate. We evaluated patients hospitalized at Cook County Health, the safety-net health system for the Chicago metropolitan area. Among self-identified hospitalized Hispanic patients, we compared those with influenza (2019–2020 season) to COVID-19 infection during March 16, 2020-May 11, 2020. We used multivariable analysis to identify differences in individual and census-tract level characteristics between the two groups. Relative to non-Hispanic blacks and whites, COVID-19 rapidly increased among Hispanics during promotion of social-distancing policies. Whereas non-Hispanic blacks were more likely to be hospitalized for influenza, Hispanic patients predominated among COVID-19 infections (40% relative increase compared to influenza). In the comparative analysis of influenza and COVID-19, Hispanic patients with COVID-19 were more likely to reside in census tracts with higher proportions of residents with the following characteristics: Hispanic; no high school diploma; non-US citizen; limited English speaking ability; employed in manufacturing or construction; and overcrowding. By multivariable analysis, Hispanic patients hospitalized with COVID-19 compared to those with influenza were more likely to be male (adjusted OR = 1.8; 95% CI 1.1 to 2.9), obese (aOR = 2.5; 95% CI 1.5 to 4.2), or reside in a census tract with ≥40% of residents without a high-school diploma (aOR = 2.5; 95% CI 1.3 to 4.8). The rapid and disproportionate increase in COVID-19 hospitalizations among Hispanics after the shelter-in-place mandate indicates that public health strategies were inadequate in protecting this population—in particular, for those residing in neighborhoods with lower levels of educational attainment.
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影响因子：
6.4
作者：
Gil, Raul Macias;Marcelin, Jasmine R.;Piggott, Damani A.
通讯作者：
Piggott, Damani A.
影响因子：
11.8
作者：
Tai, Don Bambino Geno;Shah, Aditya;Wieland, Mark L.
通讯作者：
Wieland, Mark L.
影响因子：
16.2
作者：
Allard R;Leclerc P;Tremblay C;Tannenbaum TN
通讯作者：
Tannenbaum TN
影响因子：
3.8
作者：
Clark, Eva;Fredricks, Karla;Weatherhead, Jill
通讯作者：
Weatherhead, Jill
DOI：
10.1016/j.numecd.2020.07.031
发表时间：
2020-10-30
期刊：
Nutrition, metabolism, and cardiovascular diseases : NMCD
影响因子：
--
作者：
Di Castelnuovo A;Bonaccio M;Costanzo S;Gialluisi A;Antinori A;Berselli N;Blandi L;Bruno R;Cauda R;Guaraldi G;My I;Menicanti L;Parruti G;Patti G;Perlini S;Santilli F;Signorelli C;Stefanini GG;Vergori A;Abdeddaim A;Ageno W;Agodi A;Agostoni P;Aiello L;Al Moghazi S;Aucella F;Barbieri G;Bartoloni A;Bologna C;Bonfanti P;Brancati S;Cacciatore F;Caiano L;Cannata F;Carrozzi L;Cascio A;Cingolani A;Cipollone F;Colomba C;Crisetti A;Crosta F;Danzi GB;D'Ardes D;de Gaetano Donati K;Di Gennaro F;Di Palma G;Di Tano G;Fantoni M;Filippini T;Fioretto P;Fusco FM;Gentile I;Grisafi L;Guarnieri G;Landi F;Larizza G;Leone A;Maccagni G;Maccarella S;Mapelli M;Maragna R;Marcucci R;Maresca G;Marotta C;Marra L;Mastroianni F;Mengozzi A;Menichetti F;Milic J;Murri R;Montineri A;Mussinelli R;Mussini C;Musso M;Odone A;Olivieri M;Pasi E;Petri F;Pinchera B;Pivato CA;Pizzi R;Poletti V;Raffaelli F;Ravaglia C;Righetti G;Rognoni A;Rossato M;Rossi M;Sabena A;Salinaro F;Sangiovanni V;Sanrocco C;Scarafino A;Scorzolini L;Sgariglia R;Simeone PG;Spinoni E;Torti C;Trecarichi EM;Vezzani F;Veronesi G;Vettor R;Vianello A;Vinceti M;De Caterina R;Iacoviello L;COvid-19 RISk and Treatments (CORIST) collaboration
通讯作者：
COvid-19 RISk and Treatments (CORIST) collaboration