围产期COVID-19感染和接种疫苗的差异
Bethany Dubois1, Alexandra N Mills1, Rebecca H Jessel2
1Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Seminars in perinatology
|July 3, 2024
概括
由于COVID-19大流行,孕妇的健康不平等状况更加严重,导致疫苗接种和感染率不平等. 跨健康的社会决定因素的系统性问题推动了围产期结果的这些差异.
科学领域:
- 围产期健康 围产期健康
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- COVID-19大流行突出并加剧了围产期人口中现有的健康差异.
- 这些差异表现为不平等的孕产妇和胎儿并发症率.
- 卫生框架的现有社会决定因素需要适应流行病背景.
研究的目的:
- 在COVID-19大流行期间,介绍一个适应的围产期健康社会决定因素的概念框架.
- 将有关COVID-19疫苗接种和感染在围产期人口中的差异的文献置于背景中.
- 确定差距,提出机制,并讨论观察到的差异的缓解策略.
主要方法:
- 这项研究采用了叙事审查方法.
- 使用了一个适应的围产期健康社会决定因素的概念框架.
- 综合了关于COVID-19疫苗接种和围产期人口感染的文献.
主要成果:
- 结构性,社会经济和中间层面的系统性不平等影响围产期COVID-19疫苗接种和感染.
- 这些不平等导致了观察到的围产期健康结果的差异.
- 鉴定了文献中的差距和差异的潜在机制.
结论:
- 解决健康的社会决定因素的系统性不平等对于减轻围产期COVID-19结果的差异至关重要.
- 需要有针对性的策略来提高疫苗接种率,并减少脆弱的围产期人口的感染风险.
- 需要进一步的研究,以充分理解和解决影响大流行期间围产期健康的因素的复杂相互作用.
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