从2000年到2019年,免疫覆盖率的变化以及12-23个月龄段儿童的贡献因素,埃塞俄比亚:多变量分解分析
Melash Belachew Asresie1, Gizachew Worku Dagnew1, Yibeltal Alemu Bekele1
1Department of Reproductive Health and Population Studies, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
PloS one
|September 13, 2023
概括
埃塞俄比亚的全面免疫覆盖率从2000年的14.62%大幅增加到2019年的44.18%. 这一变化主要是由诸如增加产前和产后护理访问,以及母亲年龄等因素驱动的.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 免疫接种是改善儿童生存率的关键全球战略.
- 监测免疫覆盖率的变化及其驱动因素对于公共卫生倡议至关重要.
- 本研究侧重于2000年至2019年埃塞俄比亚全面免疫覆盖率的变化.
研究的目的:
- 检查2000年至2019年间埃塞俄比亚全面免疫覆盖率的变化.
- 通过多变量分解分析来识别导致这些变化的因素.
主要方法:
- 对2000年和2019年埃塞俄比亚人口与健康调查 (EDHS) 数据的分析.
- 包括3072个12-23个月龄段儿童的权重样本.
- 应用多变量分解分析来评估变化和贡献因素.
主要成果:
- 全免疫覆盖率增加了29.56%,从2000年的14.62%增加到2019年的44.18%.
- 大约75%的变化归因于解释变量的组成差异,包括产前护理,产后护理,产妇年龄和儿童死亡率史.
- 由于母婴死亡史的系数发生变化,观察到显著的抵消效应.
结论:
- 埃塞俄比亚在全面免疫覆盖率上经历了统计学上显著的增长.
- 建议加强孕产妇卫生服务的使用,以进一步提高免疫率.
- 针对有儿童死亡史的母亲进行有针对性的宣传和疫苗教育对于解决其对覆盖范围变化影响至关重要.
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