计划性非医院分娩作为不接受乙型肝炎免疫接种的风险因素
David M Higgins1,2,3,4, Allison L Haynes1, Julia C Jensen1
1From the Department of Epidemiology, Colorado School of Public Health, Aurora, CO.
The Pediatric infectious disease journal
|June 13, 2023
概括
计划的非医院分娩与新生儿在出生时没有接种乙型肝炎疫苗 (HBV) 密切相关. 需要有针对性的政策和教育,因为这些出生地点变得越来越普遍.
科学领域:
- 新生儿护理 新生儿护理
- 疫苗学 疫苗学 疫苗学
- 公共卫生 公共卫生
背景情况:
- 在出生时接种乙型肝炎疫苗 (HBV) 可以防止围产期传播.
- 许多新生儿没有获得HBV出生剂量.
- 计划的医院外分娩正在增加.
研究的目的:
- 为了确定是否计划的非医院分娩地点与未收到HBV分娩剂量有关.
主要方法:
- 使用科罗拉多州出生登记数据进行回顾性队列研究 (2007-2019).
- 用于人口比较的千平方分析.
- 后勤回归用于评估出生地点与HBV未接收的关联.
主要成果:
- 1.5%的分娩中心和0.1%的家庭分娩接受了HBVvs76.3%的医院分娩.
- 医院外分娩显著增加了HBV未接收的几率 (aORs 173-502).
- 较年长的母亲年龄,白人/非西班牙裔种族,更高的收入和保险状况也与未收到的相关.
结论:
- 计划性非医院分娩是错过HBV分娩剂量的重要危险因素.
- 越来越多的出院分娩需要有针对性的干预措施.
- 政策和教育有必要改善HBV出生剂量覆盖率.
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