COVID-19-related adolescent mortality and morbidity in nineteen European countries
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/156077 |
Resumo: | Funding Information: Open access funding provided by FCT|FCCN (b-on). The present publication was funded by Fundação para a Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). FCT e a Unidade de I&D CHRC—Comprehensive Health Research Centre (UI/BD/150908/2021). GHTM (UID/Multi/04413/2019) is funded by the Portuguese Science Foundation (FCT). Publisher Copyright: © 2023, The Author(s). |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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COVID-19-related adolescent mortality and morbidity in nineteen European countriesAdolescentsCOVID-19EnvironmentMortalityVaccinePediatrics, Perinatology, and Child HealthSDG 2 - Zero HungerSDG 3 - Good Health and Well-beingSDG 13 - Climate ActionFunding Information: Open access funding provided by FCT|FCCN (b-on). The present publication was funded by Fundação para a Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). FCT e a Unidade de I&D CHRC—Comprehensive Health Research Centre (UI/BD/150908/2021). GHTM (UID/Multi/04413/2019) is funded by the Portuguese Science Foundation (FCT). Publisher Copyright: © 2023, The Author(s).Prior to the COVID-19 pandemic, adolescents in most countries experienced a syndemic of malnutrition, obesity, deprivation, mental health problems, inequalities, and the effects of climate change. Today, other factors have added to this burden during the pandemic, and it is important to have an updated reflection. We aimed to assess the risk and protective factors for COVID-19-related adolescent mortality and morbidity in the European region. Three double models were fitted to analyze the relationship between different factors with the number of diagnosed cases and deaths. The 1a and 1b use a multiple Poisson regression. The 2a and 2b are optimized models that use the same variables as prior models but with backward selection with a p value < 0.05 as the limit. Finally, the 3a and 3b models (backward stepwise multivariable Poisson regression) include the variable “fully vaccinated.” All models used the at-risk population (15–19 years or total population) as a regression covariate (offset). Increased access to quality healthcare (IRR 0.68; CI 0.55–0.84), increased private sector involvement (IRR 0.86; CI 0.82–0.90), Gini coefficient (IRR 0.93; CI 0.88–0.99), and full vaccination (IRR 0.94; CI 0.90–0.99) represent protective factors of COVID-19 mortality in this population. Additionally, a positive association between pollution and mortality was found. Conclusion: Being fully vaccinated and having access to quality medical care are protective factors against COVID-19 mortality in this age group. Interestingly, the more the pollution, the greater the risk of dying from COVID-19. We stress the great importance of coordination between the public and private sectors to address crises such as the current one. What is Known: • Compared to other age groups, adolescents have been little studied, and most studies focused on mental health during the COVID-19 pandemic. What is New: • In this study, we show how in 19 European countries, different factors interact, such as socio-demographic, environmental, health system, and control measures with morbidity and mortality by COVID-19, in a very little studied age group as teenagers.Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)RUNCortés, JesusAguiar, Pedro Manuel VarguesFerrinho, Paulo2023-07-31T22:18:41Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/156077eng0340-6199PURE: 67770728https://doi.org/10.1007/s00431-023-05068-zinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:38:38Zoai:run.unl.pt:10362/156077Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:56:18.985532Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
COVID-19-related adolescent mortality and morbidity in nineteen European countries |
| title |
COVID-19-related adolescent mortality and morbidity in nineteen European countries |
| spellingShingle |
COVID-19-related adolescent mortality and morbidity in nineteen European countries Cortés, Jesus Adolescents COVID-19 Environment Mortality Vaccine Pediatrics, Perinatology, and Child Health SDG 2 - Zero Hunger SDG 3 - Good Health and Well-being SDG 13 - Climate Action |
| title_short |
COVID-19-related adolescent mortality and morbidity in nineteen European countries |
| title_full |
COVID-19-related adolescent mortality and morbidity in nineteen European countries |
| title_fullStr |
COVID-19-related adolescent mortality and morbidity in nineteen European countries |
| title_full_unstemmed |
COVID-19-related adolescent mortality and morbidity in nineteen European countries |
| title_sort |
COVID-19-related adolescent mortality and morbidity in nineteen European countries |
| author |
Cortés, Jesus |
| author_facet |
Cortés, Jesus Aguiar, Pedro Manuel Vargues Ferrinho, Paulo |
| author_role |
author |
| author2 |
Aguiar, Pedro Manuel Vargues Ferrinho, Paulo |
| author2_role |
author author |
| dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) Comprehensive Health Research Centre (CHRC) - Pólo ENSP Centro de Investigação em Saúde Pública (CISP/PHRC) Global Health and Tropical Medicine (GHTM) Instituto de Higiene e Medicina Tropical (IHMT) RUN |
| dc.contributor.author.fl_str_mv |
Cortés, Jesus Aguiar, Pedro Manuel Vargues Ferrinho, Paulo |
| dc.subject.por.fl_str_mv |
Adolescents COVID-19 Environment Mortality Vaccine Pediatrics, Perinatology, and Child Health SDG 2 - Zero Hunger SDG 3 - Good Health and Well-being SDG 13 - Climate Action |
| topic |
Adolescents COVID-19 Environment Mortality Vaccine Pediatrics, Perinatology, and Child Health SDG 2 - Zero Hunger SDG 3 - Good Health and Well-being SDG 13 - Climate Action |
| description |
Funding Information: Open access funding provided by FCT|FCCN (b-on). The present publication was funded by Fundação para a Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). FCT e a Unidade de I&D CHRC—Comprehensive Health Research Centre (UI/BD/150908/2021). GHTM (UID/Multi/04413/2019) is funded by the Portuguese Science Foundation (FCT). Publisher Copyright: © 2023, The Author(s). |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-07-31T22:18:41Z 2023 2023-01-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/156077 |
| url |
http://hdl.handle.net/10362/156077 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
0340-6199 PURE: 67770728 https://doi.org/10.1007/s00431-023-05068-z |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
| institution |
RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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