在大流行期间的疫苗授权和流感疫苗接种
Claire Abraham1,2,3, Laura F Garabedian3, Robert F LeCates3
1Division of General Pediatrics, Harvard Medical School, Boston, Massachusetts.
Pediatrics
|October 10, 2023
概括
一个州的流感疫苗授权增加了儿童疫苗接种率. 然而,高社区COVID-19严重程度降低了先前接种疫苗的儿童接种疫苗的可能性.
科学领域:
- 儿科传染病流行病学.
- 公共卫生政策对疫苗接种的影响
背景情况:
- 了解影响儿童流感疫苗接种的因素对于公共卫生至关重要.
- 2020-2021年流感季节发生在COVID-19大流行期间,引入了独特的挑战和政策考虑.
研究的目的:
- 评估国家流感疫苗授权对儿科流感疫苗接种的影响.
- 评估社区冠状病毒病2019 (COVID-19) 严重程度对儿童流感疫苗接种的影响.
- 检查先前的疫苗接种史如何改变这些影响.
主要方法:
- 使用保险索赔数据对71,333名儿童 (6个月18岁) 进行了纵向队列研究.
- 在2020-2021年流感季节对马萨诸塞州,新罕布什尔州和缅因州的数据进行分析.
- 将县级COVID-19病例数据与个人疫苗接种记录联系起来.
主要成果:
- 在一个流感疫苗强制性州的儿童中,接种疫苗的概率明显更高,特别是以前的未接种疫苗的儿童.
- 在COVID-19严重程度较高的县里,以前接种过疫苗的儿童,接种流感疫苗的可能性较低.
- 任务显示了积极的影响,而高社区COVID-19负担对一些儿童构成了障碍.
结论:
- 流感疫苗接种策略应考虑个人的疫苗接种史.
- 社区层面的因素,如流行病的严重程度,在疫苗接种中发挥作用.
- 需要量身定制的方法来优化儿童流感疫苗接种覆盖率.
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