与大平原COVID-19疫苗接种相关的因素 美国印第安人社区
Sara J Purvis1, Katrina Armstrong2, Mary J Isaacson3
1Department of Medicine, Massachusetts General Hospital, 100 Cambridge Street, 16th Floor, Boston, MA, 02114, USA. spurvis@mgh.harvard.edu.
Journal of racial and ethnic health disparities
|October 5, 2023
概括
了解大平原美洲印第安人和阿拉斯加原住民社区的COVID-19疫苗接种情况至关重要. 年龄,就业,先前接种流感疫苗,医疗保健信任和家庭安全问题等因素影响了疫苗的接受.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- COVID-19大流行突显了现有的健康差异,特别影响了美国印第安人和阿拉斯加土著 (AI/AN) 社区.
- 了解疫苗接受驱动因素对于改善AI/AN人群的健康结果至关重要.
研究的目的:
- 确定与大平原地区AI/AN个人中COVID-19疫苗接种相关的人口,社会经济和动机因素.
- 为提高弱势群体接受疫苗的目标公共卫生战略提供信息.
主要方法:
- 2021年10月,在三个大平原保留地对679名部落成员进行了一项横截面的,匿名的虚拟调查.
- 使用多变量逻辑回归分析来评估独立变量与COVID-19疫苗接种状态之间的关联,并对混因素进行调整.
主要成果:
- 年龄较大,全职工作,先前接种过流感疫苗,对医疗保健系统的信任更高,接种疫苗的机会增加,隔离能力和保护家庭的愿望与COVID-19疫苗接种有积极联系.
- 相反,没有明确提到的因素被发现影响力较小或负面关联.
结论:
- 人口,社会经济和动机因素显著影响大平原AI/AN社区的COVID-19疫苗接种.
- 未来的干预措施应侧重于经济发展,医疗保健系统的改进,以及强调家庭和社区福祉的文化相关信息,以提高疫苗接种率.
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