扩散疫苗接种的区域性决定因素,以达到弱势群体:巴基斯坦的一项横截面研究
Xiaoting Chen1, Allan Porter2, Nabeel Abdur Rehman2
1Department of Biostatistics, New York University, New York, New York, United States of America.
PLOS global public health
|September 27, 2023
概括
贫困与更多的诊所疫苗接种和更少的外展工作有关,影响了巴基斯坦儿童免疫覆盖率. 了解这些空间因素是改善接种疫苗的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 空间流行病学 空间流行病学
背景情况:
- 资源较低的国家经常面临疫苗接种覆盖率高的亚区域差异.
- 数字化卫生工作者数据为分析疫苗接种的空间决定因素提供了机会.
- 了解疫苗接种差异对于公平的健康结果至关重要.
研究的目的:
- 为了比较分析影响外展与临床疫苗接种策略的空间决定因素.
- 确定影响在资源有限的地区提供疫苗接种服务的因素.
- 为改善疫苗接种和公平的运营战略提供信息.
主要方法:
- 利用超过400万次公共部门疫苗接种 (2017年9月至2019年9月) 的地理位置数据.
- 将疫苗接种地点 (诊所/外展) 与区域空间属性进行比较.
- 采用了回归,梯度增强和通用添加模型进行分析.
主要成果:
- 确定了外展,临床和第三剂量五价值疫苗接种的一致预测因素.
- 86.3%的Penta-3疫苗是通过外展接种的.
- 增加的贫困与更多的临床接种疫苗和较低的外展比例相关.
结论:
- 贫困严重影响到临床和外展疫苗接种策略之间的选择.
- 推广疫苗接种设计可以有效地补充基于诊所的服务.
- 研究结果为改善巴基斯坦和类似地区的疫苗接种计划提供了见解.
相关概念视频
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Principles of Disease Surveillance
122
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
122
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Steps in Outbreak Investigation
152
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
152
Vaccinations
44.6K
Overview
44.6K
Analysis of Population Pharmacokinetic Data
282
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
282


