针对接种疫苗的行为干预:系统性审查和元分析
Amyn A Malik1, Noureen Ahmed2, Mehr Shafiq3
1Yale Institute for Global Health, New Haven, CT 06510, USA; Analysis Group, Inc, Boston, MA 02199, USA.
Health policy (Amsterdam, Netherlands)
|September 15, 2023
概括
在全球范围内,行为干预显著提高了疫苗接种率. 提供者推和现场疫苗接种显示出最大的影响,改善了不同人群的疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 基于行为洞察力的疫苗接种方法往往被忽视.
- 以前对疫苗接种行为干预措施的审查是叙述性的,而不是系统性的.
研究的目的:
- 进行行为干预措施的系统审查和元分析,以增加疫苗接种率.
- 评估高收入国家 (HIC) 和中低收入国家 (LMIC) 的干预措施.
主要方法:
- 从Medline数据库中对613项研究进行了系统审查和元分析.
- 干预措施分为9个领域:教育,现场接种疫苗,激励措施,免费接种疫苗,机构建议,提供者建议,提醒/召回,信息框架和疫苗冠军.
- 对于HIC和LMIC进行单独分析.
主要成果:
- 所有检查的行为干预领域都改善了疫苗接种率.
- 提供者推 (OR: 3.4) 和现场接种疫苗 (OR: 2.9) 显示了最高的效果大小.
- 研究质量在HIC和LMIC之间是相似的,尽管LMIC研究数量较小.
结论:
- 提供者推和现场接种疫苗是非常有效的行为干预措施.
- 这些策略和其他策略一起,可以在全球范围内实施,以提高疫苗接种率.
- 行为干预对于改善全球疫苗接种至关重要.
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