关键词: Ethnic groups Health inequities Influenza Pandemic Social class

来  源:   DOI:10.1016/j.ssmph.2022.101314   PDF(Pubmed)

Abstract:
UNASSIGNED: The COVID-19 pandemic has exacerbated existing health disparities. To provide a historical perspective on health disparities for pandemic acute respiratory viruses, we conducted a scoping review of the public health literature of health disparities in influenza outcomes during the 1918, 1957, 1968, and 2009 influenza pandemics.
UNASSIGNED: We searched for articles examining socioeconomic or racial/ethnic disparities in any population, examining any influenza-related outcome (e.g., incidence, hospitalizations, mortality), during the 1918, 1957, 1968, and 2009 influenza pandemics. We conducted a structured search of English-written articles in PubMed supplemented by a snowball of articles meeting inclusion criteria.
UNASSIGNED: A total of 29 articles met inclusion criteria, all but one focusing exclusively on the 1918 or 2009 pandemics. Individuals of low socioeconomic status, or living in low socioeconomic status areas, experienced higher incidence, hospitalizations, and mortality in the 1918 and 2009 pandemics. There were conflicting results regarding racial/ethnic disparities during the 1918 pandemic, with differences in magnitude and direction by outcome, potentially due to issues in data quality by race/ethnicity. Racial/ethnic minorities had generally higher incidence, mortality, and hospitalization rates in the 1957 and 2009 pandemics.
UNASSIGNED: Individuals of low socioeconomic status and racial/ethnic minorities have historically experienced worse influenza outcomes during pandemics. These historical patterns can inform current research to understand disparities in the ongoing COVID-19 pandemic and future pandemics.
摘要:
未经批准:COVID-19大流行加剧了现有的健康差距。提供关于大流行性急性呼吸道病毒的健康差异的历史观点,我们对1918年,1957年,1968年和2009年流感大流行期间流感结局的健康差异的公共卫生文献进行了范围审查.
未经评估:我们搜索了研究任何人口的社会经济或种族/民族差异的文章,检查任何与流感相关的结果(例如,发病率,住院治疗,死亡率),在1918年、1957年、1968年和2009年流感大流行期间。我们在PubMed中对英语撰写的文章进行了结构化搜索,并补充了符合纳入标准的文章。
未经评估:共有29篇文章符合纳入标准,除了一个人只关注1918年或2009年的大流行。社会经济地位低的人,或者生活在社会经济地位低下的地区,经历了更高的发病率,住院治疗,和死亡率在1918年和2009年的大流行。在1918年大流行期间,关于种族/族裔差异的结果相互矛盾,结果在大小和方向上存在差异,可能是由于种族/族裔数据质量问题。种族/族裔少数群体的发病率普遍较高,死亡率,和住院率在1957年和2009年的大流行。
UNASHSIGNED:社会经济地位较低的个体和种族/族裔少数群体在大流行期间历史上经历了更糟糕的流感结局。这些历史模式可以为当前的研究提供信息,以了解正在进行的COVID-19大流行和未来大流行的差异。
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