社区参与疫苗推广:系统审查和元分析
Yao Jie Xie1,2, Xiaoli Liao1, Meijuan Lin1
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).
JMIR public health and surveillance
|March 13, 2024
概括
社区参与显著提高了疫苗接种率,参与者招募和高参与水平显示出最大的影响. 针对性的方法对于有效的疫苗推广策略至关重要.
科学领域:
- 公共卫生 公共卫生
- 促进健康 促进健康
- 疫苗学 疫苗学 疫苗学
背景情况:
- 社区的参与被认为具有解决疫苗接种犹和建立信心的潜力.
- 尽管广泛支持社区参与健康,但证据表明其对疫苗接种促进的影响是零碎的,质量不一.
研究的目的:
- 系统地审查各种社区参与战略在促进疫苗接种率方面的有效性.
- 分析不同内容和程度的社区参与对接种疫苗接种的影响.
主要方法:
- 在多个数据库 (PubMed,Embase,Web of Science,Cochrane Library,CNKI,Wan Fang) 进行了系统的文献搜索,遵循PRISMA的指导方针.
- 包括具有实验设计的原始研究文章,评估社区参与疫苗接种推广.
- 数据提取和质量评估由两名独立审查员进行,第三名审查员解决了差异.
主要成果:
- 对20篇文章 (2006-2021) 的元分析显示,疫苗接种率显著增加.
- 参与者招募 (RD 0.51) 和高社区参与程度 (RD 0.49) 产生了最大的效果大小.
- 卫生服务支持和健康教育/讨论是最有效的参与内容.
结论:
- 社区参与是促进疫苗接种的有效策略,其有效性因内容和程度而异.
- 建议采用"适合目的"的方法,而不是"一刀切"的策略,以最大限度地提高社区参与对疫苗接种率的影响.
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