无家可归的年轻人免疫接种覆盖率和护士领导的计划的影响
Belinda L Tominc1,2, Kate L Francis2,3, Susan M Sawyer1,2,3
1The Royal Children's Hospital, Melbourne, VIC, Australia.
Journal of primary care & community health
|October 17, 2023
概括
无家可归的年轻人接种疫苗覆盖率显著增加了综合免疫护士计划. 这种由护士领导的模型改善了弱势年轻人的健康结果.
科学领域:
- 公共卫生 公共卫生
- 免疫学 免疫学 免疫学
- 健康的社会决定因素
背景情况:
- 无家可归的年轻人接种疫苗的比例很低.
- 疫苗可预防的疾病对这一群体构成重大风险.
- 需要有针对性的干预措施来改善免疫覆盖率.
研究的目的:
- 确定无家可归的年轻人免疫率,以防疫苗可以预防的疾病.
- 评估护士领导的免疫计划在提高疫苗接种覆盖率方面的有效性.
- 确定影响疫苗接种状况的健康的社会决定因素.
主要方法:
- 电子医疗记录的回顾性审计.
- 包括400名年龄在15-24岁之间的参与者.
- 数据收集自澳大利亚墨尔本与青年无家可归服务中心共设的护士主导诊所 (2019年2月 - 2021年5月).
主要成果:
- 在计划整合后,接种疫苗的覆盖率从6.0%增加到38.8%.
- 健康的共同社会决定因素增加了参与者患疫苗可预防疾病的风险.
- 护士领导的模型显示,常规疫苗接种率大幅提高.
结论:
- 在无家可归的年轻人中,常规疫苗覆盖率不完全.
- 将免疫护士整合到青年无家可归服务中可以提高疫苗接种率.
- 同处的护士领导的诊所有效地改善了处于危险的年轻人的健康状况.
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