一个HPV疫苗接种多层次,多组件计划对HPV疫苗接种在儿科诊所网络启动和完成的影响
Lara S Savas1, Ross Shegog1, Erica L Frost1
1Center for Health Promotion and Prevention Research, UTHealth Houston School of Public Health, Houston, TX 77030, USA.
Vaccines
|May 25, 2024
概括
青少年疫苗接种计划 (AVP) 在德克萨斯州的儿科网络中成功提高了人类乳头瘤病毒 (HPV) 疫苗启动和完成率. 这种多层次的干预措施在各种群体中都被证明是有效的,甚至在疫情期间也是如此.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 预防医学 预防医学
背景情况:
- 人类乳头瘤病毒 (HPV) 疫苗的使用不足在美国仍然存在,尽管公众健康益处已被证明.
- 多层次干预对于解决HPV疫苗接种行为的决定因素和提高疫苗接种率至关重要.
- 通过疫苗接种预防HPV相关的癌症和生殖器仍然是一个关键的公共卫生目标.
研究的目的:
- 在一个由五个诊所组成的儿科网络中实施和评估一个适应的青少年疫苗接种计划 (AVP).
- 评估AVP对HPV疫苗启动和完成率的影响.
- 确定AVP干预的可行性和普遍性.
主要方法:
- 采用了一种准实验性的,单组研究前后设计.
- 使用了来自全国免疫调查-青少年 (NIS-Teen) 的外部比较数据.
- 间断时间序列分析 (ITSA) 将临床患者的结果与一般青少年人口进行了比较.
主要成果:
- 开始接种HPV疫苗的比例从64.7%增加到80.2% (p < 0.05).
- 完成HPV疫苗接种率从43.2%上升到60.2% (p < 0.05).
- 在疫情期间,AVP在不同的人口和经济小组和弹性方面表现出有效性.
结论:
- 适应的AVP是一种有效的临床干预措施,用于增加HPV疫苗接种率.
- 干预在各个子组中的成功凸显了其普遍性和广泛采用的潜力.
- 实施所需的最小调整表明AVP在各种医疗保健环境中的可行性.
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