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弗吉尼亚州学校级人类乳头瘤病毒疫苗接种覆盖率的多层次分析

Kimberly McNally¹, Ali Weinstein¹, Lisa Lindley¹

¹Department of Global and Community Health, George Mason University College of Public Health, Fairfax, VA, USA.

The Journal of school nursing : the official publication of the National Association of School Nurses

|November 30, 2023

概括

学校护士促进公共卫生,但HPV疫苗的规定各不相同. 较高的HPV疫苗接种率与经济不利的学校有关,这表明社区因素影响了遵守.

科学领域:

公共卫生公共卫生
流行病学流行病学
卫生政策卫生政策

背景情况:

学校护士在公共卫生倡议中发挥着至关重要的作用,包括疫苗推广和义务遵守.
尽管有建议,但只有少数美国州和华盛顿特区从2023年开始在学校强制使用人类乳头瘤病毒 (HPV) 疫苗.
弗吉尼亚州的授权包括护理人员的选择退出条款,学校一级的疫苗遵守可能受到学校和社区因素的影响.

研究的目的:

探索学校和县级因素与弗吉尼亚州HPV疫苗接种率之间的关联.
了解社区的社会经济地位如何影响学校内的HPV疫苗覆盖率.

主要方法:

进行了多层次分析,以检查学校和县的特点与HPV疫苗接种率之间的关系.
分析了2019年至2021年的数据,以评估实施性别包容性任务后的趋势.

主要成果:

经济弱势学生比例较高的学校,HPV疫苗覆盖率较高.
在实施性别包容性授权后,HPV疫苗接种率在2019年至2021年之间增加.
尽管增长了,但弗吉尼亚州的HPV疫苗接种率仍然低于没有强制性的州.

结论:

学校对HPV疫苗的遵守似乎受到社区层面的社会经济因素的影响.
这些发现表明,与HPV疫苗推广和遵守相关的学校护理实践可能会受到社区的经济地位的影响.
需要进一步的研究来解决障碍,并优化HPV疫苗接种策略在不同的学校环境.

关键词:

中学/初中/高中传染病是一种传染性疾病.社区社区社区社区社区社区社区社区社区人类乳头瘤病毒人类乳头瘤病毒免疫接种免疫接种法律/道德问题.定量研究是指量化研究.疫苗疫苗疫苗疫苗

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