1918 Influenza Pandemic: In Utero Exposure in the United States and Long-Term Impact on Hospitalizations
Identifieur interne : 000755 ( Main/Exploration ); précédent : 000754; suivant : 0007561918 Influenza Pandemic: In Utero Exposure in the United States and Long-Term Impact on Hospitalizations
Auteurs : Joseph Kofi Acquah ; Roshani Dahal ; Frank A. SloanSource :
- American Journal of Public Health [ 0090-0036 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- mortalité : Grippe humaine.
- physiologie : Foetus.
- psychologie : Activités de la vie quotidienne.
- épidémiologie : Grippe humaine.
- Femelle, Hospitalisation, Humains, Mâle, Pandémies, Sujet âgé, Sujet âgé de 80 ans ou plus, États-Unis d'Amérique.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Influenza, Human.
- mortality : Influenza, Human.
- physiology : Fetus.
- psychology : Activities of Daily Living.
- statistics & numerical data : Hospitalization.
- Aged, Aged, 80 and over, Female, Humans, Male, Pandemics, United States.
Abstract
Url:
DOI: 10.2105/AJPH.2017.303887
PubMed: 28727536
PubMed Central: 5551642
Affiliations:
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Le document en format XML
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Long-Term Impact on Hospitalizations</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Fetus (physiology)</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (mortality)</term>
<term>Male</term>
<term>Pandemics</term>
<term>United States</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (psychologie)</term>
<term>Femelle</term>
<term>Foetus (physiologie)</term>
<term>Grippe humaine (mortalité)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Hospitalisation ()</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>États-Unis d'Amérique</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Grippe humaine</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Foetus</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Fetus</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Activités de la vie quotidienne</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Activities of Daily Living</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Pandemics</term>
<term>United States</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>États-Unis d'Amérique</term>
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<front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic>
To explore associations between in utero exposure to the
1918 influenza pandemic and hospitalization rates in old age (≥ 70
years) in the United States.</p>
<p><italic>Methods.</italic>
We identified individuals exposed (mild and deadly waves)
and unexposed in utero to the 1918 influenza pandemic (a natural experiment) by using
birth dates from the Asset and Health Dynamics Among the Oldest Old survey. We
analyzed differences in hospitalization rates by exposure status with multivariate
linear regression.</p>
<p><italic>Results.</italic>
In utero exposure to the deadly wave of the 1918 influenza
pandemic increased the number of hospital visits by 10.0 per 100 persons. For those
exposed in utero to the deadliest wave of the influenza pandemic, high rates of
functional limitations are shown to drive the higher rates of hospitalizations in old
age.</p>
<p><italic>Conclusions.</italic>
In utero exposure to the influenza pandemic increased
functional limitations and hospitalization rates in old age.</p>
<p><italic>Public Health Implications.</italic>
To determine investments in influenza
pandemic prevention programs that protect fetal health, policymakers should include
long-term reductions in hospitalizations in their cost–benefit
evaluations.</p>
</div>
</front>
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<tree><noCountry><name sortKey="Acquah, Joseph Kofi" sort="Acquah, Joseph Kofi" uniqKey="Acquah J" first="Joseph Kofi" last="Acquah">Joseph Kofi Acquah</name>
<name sortKey="Dahal, Roshani" sort="Dahal, Roshani" uniqKey="Dahal R" first="Roshani" last="Dahal">Roshani Dahal</name>
<name sortKey="Sloan, Frank A" sort="Sloan, Frank A" uniqKey="Sloan F" first="Frank A." last="Sloan">Frank A. Sloan</name>
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</affiliations>
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