麻疹疫苗接种范围及其相关因素的区域差异:日本的一项生态研究
Masaki Machida1,2, Shinji Fukushima3, Takahiro Tabuchi4
1Department of Preventive Medicine and Public Health, Tokyo Medical University.
Journal of epidemiology
|July 7, 2024
概括
日本的麻疹疫苗接种覆盖率显示出显著的区域差异. 诸如单身父亲家庭,母亲的年龄和社会经济地位等因素影响了市政疫苗接种率,突出了针对性公共卫生战略的领域.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球对麻疹疫苗接种率下降的担忧.
- 日本麻疹疫苗覆盖率在2021财年下降至93.5%,尽管自2010财年以来超过了95.0%的目标.
- 覆盖率在2022财年恢复至95.4%,但显示出市政的显著变化.
研究的目的:
- 在日本市级调查麻疹疫苗接种覆盖率的区域差异.
- 确定与麻疹疫苗接种率的区域差异相关的因素.
主要方法:
- 生态研究分析了2022财年1,698个日本市镇的数据.
- 利用负二项式回归来评估疫苗接种覆盖率与包括人口密度,面积剥夺指数,家庭组成,产妇年龄和医疗设施可用性在内的因素之间的关联.
主要成果:
- 超过一半 (54.3%) 的城市的麻疹疫苗接种覆盖率低于95.0%.
- 较高的人口密度与疫苗接种率的增加相关.
- 单亲父亲家庭的比例增加,30岁以上的母亲,以及较高的区域贫困指数与较低的疫苗接种覆盖率有关.
结论:
- 在日本各市镇中,麻疹疫苗接种覆盖率存在显著的区域差异.
- 单身父亲家庭,母亲的年龄和社会经济地位 (区域贫困指数) 是影响疫苗接种范围的关键因素.
- 调查结果可以为市政当局制定有针对性的战略,以提高麻疹疫苗接种率.
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