疫苗接种中的国家依赖性和阻止的作用
Kabir Dasgupta1, Gail Pacheco2, Alexander Plum2
1Federal Reserve Board, Washington, DC, USA.
Economics and human biology
|November 11, 2023
概括
儿童免疫接种计划显示出强大的国家依赖. 之前接种过疫苗的儿童更有可能接种后续的免疫接种,这凸显了及时接种疫苗对持续儿童健康的重要性.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿童免疫对于预防疾病至关重要.
- 了解影响接种疫苗的因素对于公共卫生战略至关重要.
研究的目的:
- 确定儿童免疫接种的真正国家依赖性.
- 调查先前接种疫苗是否会增加后续接种疫苗的可能性.
主要方法:
- 利用了来自新西兰成长研究的纵向数据.
- 应用了一个动态随机效应模型控制初始免疫状态和共变量.
- 分析了未观察到的异质性,以估计真正的国家依赖.
主要成果:
- 未经调整的数据显示,96%的先前接种疫苗的儿童接种了随后的疫苗,而未接种疫苗的儿童则为29%.
- 疫苗接种的真实国家依赖率估计平均为20个百分点.
- 毛利儿童 (5个百分点) 的国家依赖程度更高. 和那些母亲在产前被阻止 (10 p.p. ) 的情况.
结论:
- 在儿童免疫接种计划中存在明显的真正国家依赖.
- 针对怀疑接种疫苗的母亲和支持毛利家庭的干预措施可能会提高接种率.
- 持续的免疫接种实践对于在整个童年期间保持保护范围至关重要.
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