一个概念框架来建模COVID-19疫苗接种在服务不足的无家可归人口中接种疫苗的社会决定因素
Sahar Haidar1, Thomas Roederer2, Cécile Allaire1
1Santé publique France, Saint-Maurice, France.
Vaccine: X
|March 25, 2024
概括
住房不稳定和缺乏医疗保健的机会显著影响无家可归者的COVID-19疫苗接种. 解决这些障碍对于改善这一脆弱人群的疫苗接种率至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于社会,经济和环境因素,无家可归人口面临COVID-19感染风险较高.
- 有限的数据存在于COVID-19疫苗接种及其决定因素在这个服务不足的群体.
- 障碍包括并发症,获得医疗保健权利的挑战以及医疗保健系统利用率不足.
研究的目的:
- 开发和验证影响无家可归人群COVID-19疫苗接种结构性社会决定因素的概念模型.
- 在法国两个主要大都市地区的无家可归者中确定COVID-19疫苗接种的关键决定因素.
主要方法:
- 从2021年11月到12月,在马赛和巴黎地区进行了一项多中心的横截面调查.
- 符合条件的参与者包括庇护所的无家可归成年人和COVID无家可归队伍中的那些人.
- 结构方程建模分析了疫苗接种 (至少一剂量) 的社会决定因素.
主要成果:
- 参与率达到了64% (3811名参与者).
- 增加接种疫苗的关键因素包括:机会 (全科医生接入,医疗保险,预约陪同),动机 (接种态度,信息获取,先前接种疫苗史) 和住房稳定性.
- 住房类型和稳定性是疫苗接种的重要预测因素.
结论:
- 住房排斥是影响法国无家可归人口接种COVID-19疫苗的关键结构性社会决定因素.
- 增强机会和动机是改善这一服务不足群体接种疫苗的重要策略.
- 该研究为了解和解决弱势群体的疫苗犹和接种障碍提供了一个框架.
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