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J Gen Intern Med:美国各种族群体中COVID-19死亡率的性别差异

2021-04-08 MedSci原创 MedSci原创

男性新冠肺炎的死亡率高于女性,而黑人的死亡率则高于白人。

Worldometers世界实时统计数据显示,截至北京时间202148701分,全球累计确诊新冠肺炎COVID-19)病例超过13365万例,累计死亡病例超289.7万例,而美国新冠肺炎累计确诊病例全球最多,超过3163万例,累计死亡病例超过57.1万例。在美国,男性新冠肺炎的死亡率高于女性,而黑人的死亡率则高于白人。然而,COVID-19死亡中性别和种族有何差异,尚待探讨。

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近日,来自哈佛大学研究团队发表在Journal of General Internal Medicine杂志的一项研究显示,男性的COVID-19死亡率始终高于女性,且黑人的死亡率最高。而且,黑人女性的死亡率明显高于白人男性,白人女性,以及亚洲/太平洋岛民男性和女性。

在这项研究中,研究人员使用了截至2020921日美国佐治亚州(GA)和密歇根州(MI)的COVID-19死亡率数据,以了解COVID-19死亡中明显的性别和种族差异。

结果显示,在种族群体中,男性的COVID-19死亡率高于女性,且黑人在所有种族性别群体中死亡率最高(在MI中:254.6,每100,000人死亡,95CI241.1–268.2,在GA128.595CI121.0-135.9)。具体而言,黑人男性的死亡率远远高于其他任何性别和种族群体,其中比白人男性的死亡率高6倍以上。

美国佐治亚州和密歇根州COVID-19死亡率

此外,黑人女性的COVID-19死亡率几乎是白人男子的4倍,是亚洲男子的3倍,也高于白人和亚洲女性。黑人女性和白人女性之间的死亡率差距是白人男性和白人女性之间差距的3倍以上。黑人男性和黑人女性之间的差距比白人男性和白人女性之间的差距更大。

总体而言,许多研究者专注于生物学来解释COVID-19死亡率的性别和种族差异。然而,本文的研究结果对仅以生物学为重点来解释COVID-19死亡率的性别差异提出质疑,并认为与性别有关的社会因素加上种族主义和社会经济分层是重要的解释因素。

原始出处

Tamara Rushovich et al, Sex Disparities in COVID-19 Mortality Vary Across US Racial Groups, Journal of General Internal Medicine (2021). DOI: 10.1007/s11606-021-06699-4

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    2021-10-28 xjy13
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    2021-04-08 靖哥哥的小狐狸

    在美国种族群体死亡率有性别差异

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    2021-04-08 ms5000001544972915

    学习赚积分

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