{"id":1431,"date":"2024-07-03T10:18:22","date_gmt":"2024-07-03T08:18:22","guid":{"rendered":"https:\/\/semmelweis.hu\/esk\/?p=1431"},"modified":"2024-07-06T11:34:30","modified_gmt":"2024-07-06T09:34:30","slug":"a-harmadik-covid-19-pandemias-hullam-jellemzoi-magyarorszagon-kulonos-tekintettel-a-morbiditas-mortalitas-es-a-covid-19-elleni-atoltottsag-tarsadalmi-gazdasagi-helyzet-szerinti-egyenlotlensegeire","status":"publish","type":"post","link":"https:\/\/semmelweis.hu\/esk\/2024\/07\/03\/a-harmadik-covid-19-pandemias-hullam-jellemzoi-magyarorszagon-kulonos-tekintettel-a-morbiditas-mortalitas-es-a-covid-19-elleni-atoltottsag-tarsadalmi-gazdasagi-helyzet-szerinti-egyenlotlensegeire\/","title":{"rendered":"A harmadik COVID-19 pand\u00e9mi\u00e1s hull\u00e1m jellemz\u0151i Magyarorsz\u00e1gon, k\u00fcl\u00f6n\u00f6s tekintettel a morbidit\u00e1s, mortalit\u00e1s, \u00e9s a COVID-19 elleni \u00e1toltotts\u00e1g t\u00e1rsadalmi-gazdas\u00e1gi helyzet szerinti egyenl\u0151tlens\u00e9geire"},"content":{"rendered":"<p style=\"text-align: justify\">A J Pers Med-ben publik\u00e1lt k\u00f6zlem\u00e9ny a COVID-19 pand\u00e9mia 3. magyarorsz\u00e1gi hull\u00e1m\u00e1t vizsg\u00e1lja, amely a COVID-19-cel \u00f6sszef\u00fcgg\u0151 mortalit\u00e1st tekintve az eddigi legs\u00falyosabb volt. Az eg\u00e9szs\u00e9g\u00fcgyi, gazdas\u00e1gi, t\u00e1rsadalmi terheket jelent\u0151sen n\u00f6velte az 50-64 \u00e9ves koroszt\u00e1ly kiugr\u00f3an magas t\u00f6bblethal\u00e1loz\u00e1sa, mely a harmadik hull\u00e1mban 40%-kal haladta meg a 2014-19 azonos id\u0151szak \u00e1tlagos heti hal\u00e1loz\u00e1s\u00e1t. A publik\u00e1ci\u00f3 bemutatja a COVID-19 morbidit\u00e1s \u00e9s mortalit\u00e1s egyenl\u0151tlens\u00e9geit Magyarorsz\u00e1gon a harmadik hull\u00e1mban. A kedvez\u0151tlenebb t\u00e1rsadalmi-gazdas\u00e1gi helyzet\u0171 telep\u00fcl\u00e9seken \u00e9l\u0151k k\u00f6r\u00e9ben az orsz\u00e1gos \u00e1tlagt\u00f3l alacsonyabb volt a regisztr\u00e1lt COVID-19 esetek, de magasabb volt a hal\u00e1loz\u00e1s gyakoris\u00e1ga, amely a megbeteged\u00e9sek jelent\u0151s aluldetekt\u00e1lts\u00e1g\u00e1t val\u00f3sz\u00edn\u0171s\u00edti ezeken a telep\u00fcl\u00e9seken.<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1432 size-full\" src=\"https:\/\/semmelweis.hu\/esk\/files\/2024\/07\/Oroszi-Beatrix-prezentacio.jpg\" alt=\"\" width=\"619\" height=\"286\" srcset=\"https:\/\/semmelweis.hu\/esk\/files\/2024\/07\/Oroszi-Beatrix-prezentacio.jpg 619w, https:\/\/semmelweis.hu\/esk\/files\/2024\/07\/Oroszi-Beatrix-prezentacio-400x185.jpg 400w\" sizes=\"auto, (max-width: 619px) 100vw, 619px\" \/><\/p>\n<p style=\"text-align: justify\">A COVID-19 elleni v\u00e9d\u0151olt\u00e1si program m\u00e1r a m\u00e1sodik hull\u00e1m v\u00e9g\u00e9n megkezd\u0151d\u00f6tt, azonban az egyenl\u0151tlens\u00e9gek id\u0151vel az \u00e1toltotts\u00e1gban is megmutatkoztak. A harmadik j\u00e1rv\u00e1nyhull\u00e1m v\u00e9g\u00e9n a legkedvez\u0151tlenebb t\u00e1rsadalmi gazdas\u00e1gi helyzet\u0171 telep\u00fcl\u00e9si kvintilis lakoss\u00e1g\u00e1nak az \u00e1toltotts\u00e1ga 38%-kal volt alacsonyabb az orsz\u00e1gos \u00e1tlagn\u00e1l, azaz \u00e9pp azokon a ter\u00fcleteken detekt\u00e1ltak a szerz\u0151k szignifik\u00e1nsan alacsonyabb \u00e1toltotts\u00e1got, ahol a kedvez\u0151tlen t\u00e1rsadalmi-gazdas\u00e1gi helyzet\u0171 telep\u00fcl\u00e9sek magas mortalit\u00e1si kock\u00e1zat\u00fa lakoss\u00e1ga \u00e9l. A megbeteged\u00e9si \u00e9s hal\u00e1loz\u00e1si tendenci\u00e1k t\u00e1rsadalmi-gazdas\u00e1gi kateg\u00f3ri\u00e1kkal val\u00f3 ellent\u00e9tes kapcsolata aggodalomra ad okot, \u00e9s r\u00e1mutat esetlegesen elmaradt prevenci\u00f3s int\u00e9zked\u00e9sekre, valamint adekv\u00e1t v\u00e1laszl\u00e9p\u00e9sek sz\u00fcks\u00e9gess\u00e9g\u00e9re.<\/p>\n<h3 style=\"text-align: justify\"><span style=\"color: #000080\"><strong>Characteristics of the Third COVID-19 Pandemic Wave with Special Focus on Socioeconomic Inequalities in Morbidity, Mortality and the Uptake of COVID-19 Vaccination in Hungary<\/strong><\/span><\/h3>\n<p style=\"text-align: justify\"><em>Beatrix Oroszi<\/em> (Epidemiology and Surveillance Centre, Semmelweis University),<em> Attila Juh\u00e1sz<\/em> (Department of Public Health, Government Office of Capital City Budapest), <em>Csilla Nagy<\/em> (Department of Public Health, Government Office of Capital City Budapest),<em> Judit Krisztina Horv\u00e1th<\/em> (Epidemiology and Surveillance Centre, Semmelweis University), <em>Krisztina Eszter Koml\u00f3s<\/em> (Epidemiology and Surveillance Centre, Semmelweis University), <em>Gerg\u0151 T\u00fari<\/em> (Epidemiology and Surveillance Centre, Semmelweis University), <em>Martin McKee<\/em> (Epidemiology and Surveillance Centre, Semmelweis University), <em>R\u00f3za \u00c1d\u00e1ny<\/em> (MTA-DE-Public Health Research Group, Department of Public Health and Epidemiology, Faculty of Medicine, University of Debrecen; Department of Public Health, Faculty of Medicine, Semmelweis University)<\/p>\n<p style=\"text-align: justify\"><span style=\"color: #000080\"><strong>Abstract<br \/>\n<\/strong><\/span>Governments are increasingly looking to vaccination to provide a path out of the COVID-19 pandemic. Hungary offers an example to investigate whether social inequalities compromise what a successful vaccine program can achieve. COVID-19 morbidity, mortality, and vaccination coverage were characterized by calculation of indirectly standardized ratios in the Hungarian population during the third pandemic wave at the level of municipalities, classified into deprivation quintiles. Then, their association with socioeconomic deprivation was assessed using ecological regression. Compared to the national average, people living in the most deprived municipalities had a 15\u201324% lower relative incidence of confirmed COVID-19 cases, but a 17\u201337% higher relative mortality and a 38% lower vaccination coverage. At an ecological level, COVID-19 mortality showed a strong positive association with deprivation and an inverse association with vaccination coverage (RRVaccination = 0.86 (0.75\u20130.98)), but the latter became non-significant after adjustment for deprivation (RRVaccination = 0.95 (0.84\u20131.09), RRDeprivation = 1.10 (1.07\u20131.14)). Even what is widely viewed as one of the more successful vaccine roll outs was unable to close the gap in COVID-19 mortality during the third pandemic wave in Hungary. This is likely to be due to the challenges of reaching those living in the most deprived municipalities who experienced the highest mortality rates during the third wave.<\/p>\n<p>J. Pers. Med., 2022, 12(3), 388 <a href=\"https:\/\/doi.org\/10.3390\/jpm12030388\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3390\/jpm12030388<\/a><\/p>\n<p><span style=\"font-size: 12pt;color: #003366\"><em>K\u00e9sz\u00edtette az <img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-1068\" src=\"https:\/\/semmelweis.hu\/esk\/files\/2024\/02\/se_esk_logo_fekvo_sotet-400x90.png\" alt=\"\" width=\"263\" height=\"59\" srcset=\"https:\/\/semmelweis.hu\/esk\/files\/2024\/02\/se_esk_logo_fekvo_sotet-400x90.png 400w, https:\/\/semmelweis.hu\/esk\/files\/2024\/02\/se_esk_logo_fekvo_sotet-768x172.png 768w, https:\/\/semmelweis.hu\/esk\/files\/2024\/02\/se_esk_logo_fekvo_sotet-753x169.png 753w, https:\/\/semmelweis.hu\/esk\/files\/2024\/02\/se_esk_logo_fekvo_sotet.png 900w\" sizes=\"auto, (max-width: 263px) 100vw, 263px\" \/>\u00a0<\/em><\/span><\/p>\n<p><span style=\"font-size: 12pt\"><em> RRF-2.3.1-21-2022-00006 Eg\u00e9szs\u00e9gbiztons\u00e1g Nemzeti Laborat\u00f3rium projekt <\/em><\/span><b><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-803 \" src=\"https:\/\/semmelweis.hu\/esk\/files\/2023\/11\/RRF-1024x118.jpg\" alt=\"\" width=\"788\" height=\"91\" srcset=\"https:\/\/semmelweis.hu\/esk\/files\/2023\/11\/RRF-1024x118.jpg 1024w, https:\/\/semmelweis.hu\/esk\/files\/2023\/11\/RRF-400x46.jpg 400w, https:\/\/semmelweis.hu\/esk\/files\/2023\/11\/RRF-768x88.jpg 768w, https:\/\/semmelweis.hu\/esk\/files\/2023\/11\/RRF-1536x177.jpg 1536w, https:\/\/semmelweis.hu\/esk\/files\/2023\/11\/RRF-2048x235.jpg 2048w, https:\/\/semmelweis.hu\/esk\/files\/2023\/11\/RRF-753x87.jpg 753w\" sizes=\"auto, (max-width: 788px) 100vw, 788px\" \/><\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A J Pers Med-ben publik\u00e1lt k\u00f6zlem\u00e9ny a COVID-19 pand\u00e9mia 3. magyarorsz\u00e1gi hull\u00e1m\u00e1t vizsg\u00e1lja, amely a COVID-19-cel \u00f6sszef\u00fcgg\u0151 mortalit\u00e1st tekintve az eddigi legs\u00falyosabb volt. Az eg\u00e9szs\u00e9g\u00fcgyi, gazdas\u00e1gi, t\u00e1rsadalmi terheket jelent\u0151sen n\u00f6velte az 50-64 \u00e9ves koroszt\u00e1ly kiugr\u00f3an magas t\u00f6bblethal\u00e1loz\u00e1sa, mely a harmadik hull\u00e1mban 40%-kal haladta meg a 2014-19 azonos id\u0151szak \u00e1tlagos heti hal\u00e1loz\u00e1s\u00e1t. A publik\u00e1ci\u00f3 bemutatja a &hellip;<\/p>\n","protected":false},"author":102284,"featured_media":1432,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[],"class_list":["post-1431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cikk-osszefoglalok"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/posts\/1431","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/users\/102284"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/comments?post=1431"}],"version-history":[{"count":3,"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/posts\/1431\/revisions"}],"predecessor-version":[{"id":1467,"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/posts\/1431\/revisions\/1467"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/media\/1432"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/media?parent=1431"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/categories?post=1431"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/esk\/wp-json\/wp\/v2\/tags?post=1431"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}