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在印第安纳州完成HPV疫苗接种的县级相关值
Sharon C Enujioke1, Rivienne Shedd-Steele2, Joanne Daggy3
1CDR, MC USN, Department of Pediatrics-Division of Adolescent Medicine, Navy Medicine Readiness and Training Command, Portsmouth, VA, United States.
Vaccine
|August 20, 2023
概括
印第安纳州 印第安纳州 印第安纳州 印第安纳州
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 健康人2030倡议的目标是完成80%的青少年人类乳头瘤病毒 (HPV) 疫苗系列.
- 印第安纳州HPV疫苗系列完成率 (55.2%) 低于2021年全国免疫调查-青少年 (NIS-Teen) 的全国平均水平 (61.7%).
- 在印第安纳州内,HPV疫苗接种率存在重要的县级差异.
研究的目的:
- 估计9-14岁的印第安纳州青少年中完成2剂量HPV疫苗系列的完成率,他们开始了系列.
- 确定与HPV疫苗系列完成相关的县级因素.
- 检查社会人口统计和健康措施与县级HPV疫苗系列完成之间的关系.
主要方法:
- 从印第安纳州免疫信息系统 (IIS) 中提取了2017-2018年开始HPV疫苗接种的9-14岁的个人数据.
- 评估系列完成时间为2020年10月,允许从第一剂开始至少有22个月的时间间隔.
- 在县级进行了统计分析,将完成率与社会人口统计和健康指标相关联.
主要成果:
- 印第安纳州各县的平均HPV疫苗系列完成率为73%,范围从55.7%到90.4%.
- 更高的完成率与人均增加的初级保健提供者,乳房扫描查参与,家庭收入中位数,预期寿命,更高的教育程度,结肠镜检查和成人流感疫苗接种率有关.
- 反映了医疗保健准入和财政资源方面的挑战的县级因素与较低的HPV疫苗系列完成率有关.
结论:
- 印第安纳州HPV疫苗系列完成率显示了相当大的县级差异.
- 社会人口统计学和健康因素,特别是与医疗保健和社会经济地位相关的因素,显著影响HPV疫苗系列的完成.
- 有针对性的干预措施,解决接入障碍和社会经济因素,对于改善印第安纳州HPV疫苗接种率至关重要.
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