错过了使用爱荷华州免疫注册信息系统接种人类乳头瘤病毒疫苗的机会
Ona R Loper1, Jessica M Schultz1, Bethany F Kintigh1
1Iowa Department of Health and Human Services, Des Moines, Iowa, USA.
概括
超过三分之一的爱荷华州青少年错过了接种人类乳头瘤病毒 (HPV) 疫苗第一剂的机会. 错过的机会在农村地区更为常见,在缺乏保险的青少年,男性和老年青少年中更为常见.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 爱荷华州青少年人类乳头瘤病毒 (HPV) 疫苗接种率落后于全国平均水平和其他青少年免疫.
- 识别导致错过疫苗接种机会的因素对于提高接种率至关重要.
研究的目的:
- 检查爱荷华州青少年第一剂HPV疫苗注射错过机会的预测因素.
- 为了告知有针对性的宣传策略,并加强青少年的HPV疫苗接种.
主要方法:
- 对爱荷华州免疫注册信息系统数据的回顾性分析.
- 从2019-2022年包括154,905名11-15岁的青少年.
- 错过机会的定义:在同一场遭遇中接受Tdap和/或MenACWY疫苗而没有第一剂HPV疫苗.
主要成果:
- 超过三分之一的研究人口错过了HPV疫苗接种机会.
- 错过机会的预测因素包括农村县居住 (aOR=1.36),保险不足状态 (aOR=1.74),男性性别 (aOR=1.12),年龄13-15岁 (aOR=1.76),以及白人,非西班牙裔种族.
结论:
- 这项研究确定了与爱荷华州错过的HPV疫苗接种机会相关的关键人口和社会经济因素.
- 需要进一步研究提供者障碍和儿童疫苗计划的作用,以提高HPV疫苗接种率,特别是在农村社区.
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