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在综合卫生系统中及时接种产前和婴儿百日咳疫苗
Tracy Becerra-Culqui1, Bradley Ackerson2,3, Hung Fu Tseng4,5
1Department of Occupational Therapy, California State University, Dominguez Hills, Carson, CA, USA.
出生在国外的西班牙裔母亲显示了较高的破伤风,喉和非细胞性百日咳 (Tdap) 疫苗接种率. 没有加入医疗保险计划的医疗补助保险母亲的婴儿可能缺乏 pertussis 保护.
科学领域:
- 公共卫生 公共卫生
- 免疫接种 免疫接种
- 健康差异 在健康上的差异
背景情况:
- 西班牙裔婴儿经历了一个不成比例的 pertussis (百日咳) 感染的负担.
- 百日咳疫苗接种对于保护婴儿免受这种可能严重的呼吸系统疾病至关重要.
研究的目的:
- 为了比较美国出生的西班牙裔母亲与外国出生的西班牙裔母亲出生的婴儿的百日咳疫苗保护.
- 确定影响不同孕妇群体接种和坚持疫苗接种的因素.
主要方法:
- 追溯队列研究,分析1岁以下婴儿的数据.
- 包括从怀孕27周开始拥有持续健康计划会员的母亲.
- 从加利福尼亚州南部 (2012-2017) 的综合医疗保健系统收集的数据.
主要成果:
- 与美国出生的白人母亲相比,出生在国外的西班牙裔母亲在产前接受了较高的破伤风, diphtheria,无细胞性百日咳 (Tdap) 疫苗.
- 拥有医疗补助保险的母亲的婴儿在DTaP疫苗系列的入学率很低 (68.4%).
- 一旦启动,外国出生的西班牙裔母亲比美国出生的白人母亲更坚持婴儿疫苗系列.
结论:
- 在综合卫生系统中,可以减少接种疫苗的差异.
- 出生于有医疗补助保险的母亲的婴儿,在出生后没有参加健康计划的婴儿面临 pertussis 保护不足的风险.
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