埃塞俄比亚及时接种疫苗的空间模式和相关因素使用EDHS-2016数据:多层次和空间分析
Muluken Chanie Agimas1, Meron Asmamaw1, Nebiyu Mekonen1
1College of Medicine and Health Science, Institute of Public Health, Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
PloS one
|February 7, 2024
概括
埃塞俄比亚的儿童及时接种疫苗率低至33.8%,且空间分布非随机. 财富,产前护理和分娩地点等因素显著影响疫苗接种的及时性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 空间分析 空间分析
背景情况:
- 适合年龄的疫苗接种或疫苗的及时性对儿童健康至关重要,但经常被忽视.
- 埃塞俄比亚没有国家一级的研究确切地确定了影响及时接种疫苗的因素.
研究的目的:
- 评估埃塞俄比亚及时疫苗接种的空间模式.
- 利用2016年埃塞俄比亚人口健康调查数据,识别与及时接种疫苗相关的因素.
主要方法:
- 一项基于社区的,横截面的研究,使用来自2016年EDHS数据的两阶段集群抽样.
- 使用Arc GIS 10.3进行空间分析和使用通用线性混合效应模型进行多层次分析.
- 统计学意义以p值<0.05和95%的置信区间来确定.
主要成果:
- 埃塞俄比亚的年龄适当的疫苗接种实践为33.8%,具有非随机的空间分布 (莫兰的I = 0.22,p < 0.001).
- 与及时接种疫苗相关的关键因素包括更高的财富指数,产前护理 (ANC) 的利用率和在医疗机构分娩.
- 农村居住与较低的及时接种疫苗率有关,而接种≥2 TT疫苗和更高的收入水平与更高的疫苗率有关.
结论:
- 在埃塞俄比亚,适合年龄的疫苗接种覆盖率很低,并且存在显著的空间差异.
- 财富指数,ANC利用率,TT疫苗接种史,分娩地点和居住地是及时接种疫苗的关键决定因素.
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