评估纽约市的COVID-19疫苗推广战略:风险知情分发的案例
Nina Schwalbe1,2, Marta C Nunes3,4, Clare Cutland5
1School of Pathology, Faculty of Health Science, University of the Witwatersrand, January 1 Smuts Avenue, Braamfontein, Johannesburg, 2000, South Africa. nschwalbe@ssc.nyc.
概括
纽约市早期的COVID-19疫苗推广政策导致低收入,高年龄人口的覆盖率较低,导致死亡率更高. 优先考虑风险群体可能会挽救生命.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 早期的COVID-19疫苗推出面临着公平地覆盖所有人口的挑战.
- 资格政策显著影响了疫苗的可及性和接种率.
研究的目的:
- 评估COVID-19疫苗资格政策对纽约市疫苗接种范围和死亡率的影响.
- 根据社会经济地位和年龄,识别疫苗接种方面的差异.
主要方法:
- 追溯的生态研究使用链接的人口普查局和纽约市卫生行政数据.
- 分析修改邮政编码表格区域 (MODZCTAs) 的疫苗接种覆盖率和COVID-19死亡率.
- 常规最小平方 (OLS) 回归以基于收入,年龄人口统计和疫苗接种率的总死亡率模型.
主要成果:
- 与较富裕地区 (平均74.6%) 相比,高年龄成年人比例的低收入地区的疫苗接种覆盖率明显较低 (平均52.8%).
- 这些覆盖率较低的地区在随后的一年中经历了较高的COVID-19死亡率.
- 高收入地区的年轻人早期获得了疫苗,有时甚至在资格之前.
结论:
- 实施的疫苗推广战略,基于最初的资格政策,在降低总体死亡率方面没有达到最佳水平.
- 政策制定者必须考虑当地环境,并优先考虑高风险人群,以实现公平的疫苗分配.
- 一个专注于纽约市弱势,低收入,老年人群的战略可能会降低整体死亡率.
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