改善第一民族儿童接种第一剂疫苗的疫苗覆盖率:加拿大西部的一项回顾性队列研究
Shannon E MacDonald1, Bonny Graham2, Keith D King3
1Faculty of Nursing & School of Public Health, University of Alberta, Edmonton, Alberta, Canada smacdon@ualberta.ca.
BMJ global health
|January 2, 2024
概括
当社区卫生中心开始免疫接种系列时,加拿大第一民族儿童的疫苗接种率有所改善. 数据共享协议提高了疫苗接种率的准确测量,并支持社区免疫力.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 土著健康土著健康
背景情况:
- 免疫报告系统的碎片化挑战了加拿大第一民族儿童疫苗覆盖率的准确测量.
- 初代民族和省级卫生部之间的数据共享协议为改善覆盖率跟踪提供了机会.
研究的目的:
- 计算阿尔伯塔省第一民族儿童的常规儿童疫苗覆盖率.
- 根据第一剂疫苗的位置和居住状态来比较疫苗覆盖率.
主要方法:
- 追溯队列研究,将第一民族社区内外的疫苗管理数据联系起来.
- 在2岁和7岁 (2013-2019) 的部分和完全免疫覆盖率的计算.
- 基于持续居住和初始接种地点的覆盖范围的比较.
主要成果:
- 与其他地方接种疫苗的儿童相比,在储备区社区卫生中心接种了第一种疫苗的儿童的疫苗覆盖率更高 (p<0.05).
- 对于肺炎球菌疫苗,如果在社区开始,在2岁时的完整覆盖率为55.7%,而在其他情况下为33.3%;在7岁时,它是75.6%,而在55.5%.
结论:
- 在第一民族卫生中心启动疫苗接种对免疫覆盖率产生了积极影响.
- 通过数据共享和记录链接准确地测量覆盖范围,支持社区免疫评估.
- 调查结果支持将卫生资金和服务转移给原住民,以提高儿童免疫率.
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