根据父母出生的国家,华盛顿州的36个月和7年的疫苗覆盖率
Azadeh Tasslimi1, Teal R Bell2, Tyler P Moore2
1Refugee and Immigrant Health Program, Office of Communicable Disease Epidemiology, Washington State Department of Health, Shoreline, Washington.
Pediatrics
|May 22, 2024
概括
儿童接种疫苗的覆盖范围因父母出生的国家而异. 移民社区的疫苗接种情况多样化,突出了针对性公共卫生干预措施的必要性,以确保公平的获取和提高免疫率.
科学领域:
- 公共卫生 公共卫生
- 免疫接种 免疫接种
- 健康差异 在健康上的差异
背景情况:
- 移民社区公平接种疫苗对于解决健康差异至关重要.
- 关于儿童疫苗接种覆盖率的数据有限,按父母出生国家 (PBC) 分层.
- 这项研究将华盛顿州免疫信息系统的数据与出生记录联系起来,以评估覆盖率.
研究的目的:
- 根据父母出生国家 (PBC) 评估儿童疫苗接种覆盖率.
- 确定移民父母的儿童在接种疫苗方面的差异.
- 为提高不同社区免疫率提供有针对性的干预信息.
主要方法:
- 华盛顿州 (2006-2019) 出生的儿童的回顾性队列研究.
- 在36个月和7岁时评估MMR,DTaP和脊髓灰质炎病毒的最新疫苗接种状态.
- 使用波桑回归,将至少有一个非美国出生的父母的孩子与两个美国出生的父母的孩子进行了比较.
主要成果:
- 在902,909名儿童中,有24%的孩子至少有一个不是美国出生的父母.
- 接种疫苗的覆盖率因PBC而异,从32.6%到93.2%.
- 菲律宾,印度和墨西哥父母的孩子有更高的覆盖率 (3-16%),而摩尔多瓦,俄罗斯和乌克兰父母的孩子与美国出生的父母相比,覆盖率较低 (33-56%).
结论:
- 连接公共卫生数据有效地描述了社区一级的儿童免疫结果.
- 根据父母出生的国家,疫苗接种范围存在显著差异.
- 调查结果为加强疫苗覆盖率和公平性的干预提供了可操作的见解.
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