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主要疫苗接种覆盖率和针对COVID-19的强增疫苗接种率之间的关系,社会经济指标和巴西的医疗保健结构
P R Martins-Filho1, R R Rocha Santana2, L G Barberia3
1Investigative Pathology Laboratory, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
Public health
|June 9, 2023
概括
巴西的COVID-19疫苗接种和增剂覆盖率有很大的差异. 在社会经济指标较差,医疗保健资源较少的地区,疫苗接种率较低,这表明接种机会不平等.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 针对COVID-19的疫苗接种活动对于减轻疾病的传播和严重程度至关重要.
- 了解影响疫苗接种的因素对于公平的公共卫生战略至关重要.
- 巴西多样化的社会经济格局为全国范围的卫生干预带来了独特的挑战.
研究的目的:
- 检查巴西COVID-19疫苗接种和增剂覆盖率与社会经济因素之间的相关性.
- 评估医疗保健基础设施对巴西各州疫苗接种率的影响.
- 为了识别COVID-19疫苗可访问性的差异.
主要方法:
- 在全国范围内,基于人口的生态研究进行了.
- 到2022年12月收集了COVID-19疫苗接种覆盖率 (初级和增强疫苗) 的数据.
- 多变量线性回归分析了疫苗接种覆盖率与诸如人类健康指数,吉尼指数,人口密度,失业率和初级医疗保健 (PHC) 准入等指标之间的关联.
主要成果:
- 较低的初级COVID-19疫苗接种覆盖率与较低的人类发展指数 (HDI),较少的PHC覆盖率和较少的公共卫生机构相关.
- 较低的增强剂覆盖率 (第一和第二) 与较低的人口密度,减少PHC覆盖率和较少的公共卫生机构有关.
- 对于初级剂量和强剂量,在多个指标上观察到统计学意义.
结论:
- 在巴西各地的COVID-19疫苗接种中存在显著的异质性.
- 社会经济差异和有限的医疗保健资源与疫苗接种率较低有关.
- 调查结果强调需要有针对性的干预措施,以改善脆弱地区的疫苗公平.
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