收入衡量的地理差异对英格兰麻疹,黄,红疹感染率和覆盖率的影响;生态研究的议定书
Salma Ghazal1, Ireneous N Soyiri1
1Hull York Medical School, University of Hull, Hull, United Kingdom.
PloS one
|June 28, 2023
概括
收入差异可能会影响英国的麻疹,疹和红疹 (MMR) 疫苗覆盖率. 本研究研究了地方当局的收入剥夺和MMR疫苗接种率之间的联系,以告知有针对性的公共卫生战略,并防止未来的麻疹爆发.
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:
- 尽管有疫苗可用,但麻疹疫情在英格兰仍然存在,导致世卫组织撤销了消除状态.
- 英国的麻疹,疹和红疹 (MMR) 疫苗接种覆盖率低于推水平,地理差异很大.
- 收入不平等对MMR疫苗接种覆盖率的影响仍未得到充分探索.
研究的目的:
- 调查收入剥夺措施与英国地方当局的MMR疫苗覆盖率之间的关系.
- 评估空间收入聚类对疫苗接种率的影响.
- 确定针对性公共卫生干预的MMR疫苗接种的潜在决定因素.
主要方法:
- 一项生态研究利用2019年公开可用的MMR疫苗接种数据和国家统计局的收入剥夺指标.
- 使用莫兰的I和回归/中介分析与收入剥夺得分的空间聚类分析.
- 包括混因素,如农村/城市分类,孕产妇教育,以及按年龄组的活产率.
主要成果:
- 该研究旨在确定收入水平是否是MMR疫苗接种和覆盖率的重要因素.
- 结果将突出MMR覆盖率与收入剥夺相关的地理差异.
- 空间分析将揭示收入和疫苗接种覆盖率聚类的模式.
结论:
- 调查结果将为决策者提供有关社会经济因素在疫苗接种覆盖率中的作用的信息.
- 这项研究可以指导制定有针对性的运动,以提高MMR疫苗接种率.
- 了解与收入相关的差异对于未来的麻疹疫情预防战略至关重要.
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