Medical Vulnerability of Young Adults to Severe COVID-19 Illness-Data From the National Health Interview Survey
Medical Vulnerability of Young Adults to Severe COVID-19 Illness-Data From the National Health Interview Survey
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DOI：
10.1016/j.jadohealth.2020.06.025
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发表时间：
2020-09-01
影响因子：
7.6
通讯作者：
Irwin, Charles E., Jr.
中科院分区：
文献类型：
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作者：
Adams, Sally H.;Park, M. Jane;Irwin, Charles E., Jr.
目的：美国的COVID-19发病率和死亡率报告不包括针对年轻人的发现。美国疾病控制和预防中心提供了一份条件和相关行为的清单，包括吸烟，无论年龄大小，都容易患上严重的COVID-19疾病。本研究探讨了年轻人对严重COVID-19疾病的医疗脆弱性，重点关注吸烟相关行为。方法：从全国健康访谈调查（National Health Interview Survey）中开发了一个年轻人子样本（18-25岁），这是一个全国代表性的数据集，汇集了2016-2018年。在疾病控制和预防中心医疗指标的指导下，制定了医疗脆弱性衡量标准（是或否）。医疗脆弱性的估计，制定了完整的样本，非吸烟样本，和个人的风险指标。Logistic回归进行检查性别，种族/民族，收入和insurance.Results的差异：医疗脆弱性为32%的完整样本和一半（16%）的非吸烟样本。一些亚组差异的模式和意义在完整样本和非吸烟样本之间存在差异。在整个样本中，男性脆弱性（33%）高于女性（30%; 95% CI：0.7 - 0.9），但在非吸烟者中较低：男性（14%）与女性（19%; 95% CI：1.2-1.7）。在两个样本中，白色亚组的脆弱性高于西班牙裔和亚洲亚组-全样本：白色（31%）与西班牙裔（24%; 95% CI：0.6 - 0.9）和亚裔（18%; 95% CI：0.4 - 0.5）;非吸烟者：白色（17%）vs西班牙裔（13%; 95% CI：0.06 - 0.9）和亚裔（10%; 95% CI：.3-.8）。值得注意的是，与整个样本相比，非吸烟者中年轻成人的医疗脆弱性较低，这突出了预防和缓解吸烟的重要性。(C)2020年青少年健康和医学协会。All rights reserved.
Purpose: COVID-19 morbidity and mortality reports in the U.S. have not included findings specific to young adults. The Centers for Disease Control and Prevention provides a list of conditions and associated behaviors, including smoking, conferring vulnerability to severe COVID-19 illness regardless of age. This study examines young adults' medical vulnerability to severe COVID-19 illness, focusing on smoking-related behavior.Methods: A young adult subsample (aged 18-25 years) was developed from the National Health Interview Survey, a nationally representative data set, pooling years 2016-2018. The medical vulnerability measure (yes vs. no) was developed, guided by the Centers for Disease Control and Prevention medical indicators. The estimates of medical vulnerability were developed for the full sample, the nonsmoking sample, and the individual risk indicators. Logistic regressions were conducted to examine differences by sex, race/ethnicity, income, and insurance.Results: Medical vulnerability was 32% for the full sample and half that (16%) for the nonsmoking sample. Patterns and significance of some subgroup differences differed between the full and the nonsmoking sample. Male vulnerability was (33%) higher than female (30%; 95% CI:.7-.9) in the full sample, but lower in nonsmokers: male (14%) versus female (19%; 95% CI: 1.2-1.7). The white sub-group had higher vulnerability than Hispanic and Asian subgroups in both samples-full sample: white (31%) versus Hispanic (24%; 95% CI:.6-.9) and Asian (18%; 95% CI:.4-.5); nonsmokers: white (17%) versus Hispanic (13%; 95% CI:.06-.9) and Asian (10%; 95% CI:.3-.8).Conclusions: Notably, lower young adult medical vulnerability within nonsmokers versus the full sample underscores the importance of smoking prevention and mitigation. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.