16歳から23歳の若者における医療訪問とワクチン接種のパターン:米国におけるクレームデータベースの遡及的分析
Oscar Herrera-Restrepo1, Jasjit K Multani2, Zifan Zhou2
1GSK, Philadelphia, PA, USA.
Current medical research and opinion
|September 4, 2025
まとめ
16歳から23歳までの若者の多くは毎年診察を欠き,青少年と若者のワクチン接種率に影響を及ぼしています. 定期的な訪問を奨励することは,特に高齢のティーンエイジャーの場合,予防接種の範囲を改善するために非常に重要です.
科学分野:
- 公衆衛生
- 青春期と若年期における医療
- ワクチン学
背景:
- 16歳から23歳の若者向けに推奨されるワクチンの接種率は大きく異なります.
- 定期的な医療訪問は,青少年と若年成人におけるワクチン接種の増加と関連しています.
研究 の 目的:
- 16歳から23歳の人の医療訪問パターンを分析する.
- 青少年と若い成人のワクチン接種を改善するための課題と機会を特定する.
主な方法:
- 商業およびメディケイドの請求データ (2019年-2022年) の遡及分析
- 検査を受けた医療従事者の診察,診察の種類,ワクチン接種の含有
- 16歳から23歳までの 商業保険とメディケイド保険に加入した人
主要な成果:
- 2022年には16歳から23歳までの商業保険者の68.2%が少なくとも1回の医療従事者の診察を受けた.
- 病気の訪問は最も一般的であり,予防的な訪問の割合は年齢とともに減少した (16-23歳).
- ワクチン接種は,16歳から18歳までの訪問の52. 6% (商用) と33. 0% (メディケイド),19歳から23歳の訪問の34. 5% (商用) と25. 6% (メディケイド) で行われた.
結論:
- 年齢を重ねるにつれて予防的な訪問が少なくなります.
- 訪問中のワクチン接種率は,特に19歳から23歳までの年齢層では著しく低かった.
- 予防接種の機会として定期的な診察を枠組づける ターゲットを絞った介入が必要であり,年齢特有の健康を求める行動も考慮する必要があります.
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