疫苗接种中的社会经济不平等:全球综合性审查
Amber Sacre1,2, Clare Bambra1,2, Josephine M Wildman3
1Population Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.
PloS one
|December 13, 2023
概括
社会经济地位影响全球常规接种疫苗,弱势群体往往呈现较低的比率. 然而,结果因国家和社会经济因素而异,如教育和对疫苗的信心.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 疫苗学 疫苗学 疫苗学
背景情况:
- 社会经济不平等影响了全世界的常规疫苗接种.
- 之前关于这个主题的系统性审查的综合是有限的.
- 了解这些差异对于改善全球免疫覆盖率至关重要.
研究的目的:
- 综合全球关于常规接种疫苗的社会经济不平等的证据.
- 确定有助于观察到疫苗接种社会经济差异的机制.
- 探索这些协会在不同国家和社会经济措施的变化.
主要方法:
- 进行了2011年至今出版的系统性审查的全球综合审查.
- 搜索了八个数据库,通过教育,收入,职业或区域级贫困来评估疫苗接种情况.
- 包括世卫组织推的常规接种疫苗的定性或定量审查,使用PRISMA-E指南和AMSTAR-2进行质量评估.
主要成果:
- 所有26项包括的审查都发现了不利社会经济地位 (SES) 个人中疫苗接种率较低的证据.
- 十七项审查报告了混合的发现,包括反向关联 (例如,优势SES群体的吸收率较低).
- 疫苗知识和对疫苗/提供者的信心是最常被引用的机制,通常与教育水平有关.
结论:
- 在全球范围内,常规接种疫苗的社会经济差异存在,但这种联系并不总是渐变的.
- 教育在接种疫苗中的作用因国家背景而异.
- 需要进一步的研究,以充分理解和解决SES和疫苗接种覆盖面的复杂相互作用.
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