空间可访问性和儿童COVID-19疫苗接种率根据社会脆弱性
Rohan Khazanchi1,2,3,4, Benjamin Rader5,6, Jonathan Cantor7
1Harvard Internal Medicine-Pediatrics Residency Program at Brigham and Women's Hospital, Boston Children's Hospital, and Boston Medical Center, Boston, Massachusetts.
Pediatrics
|July 19, 2024
概括
儿童COVID-19疫苗接种因种族和社会脆弱性而异,农村和少数民族人口面临更长的旅行时间. 这些发现凸显了儿童接种疫苗的不平等现象.
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:
- 地理上的可访问性是影响儿科预防护理和疫苗接种的一个已知的因素.
- 在2019年儿童冠状病毒病 (COVID-19) 疫苗推出过程中存在的空间不平等需要进一步调查.
研究的目的:
- 评估儿科COVID-19疫苗接种场所的空间可访问性.
- 分析儿童接种疫苗的预测因素,重点关注社会脆弱性.
主要方法:
- 一项横截面研究分析了美国27,526个地点的15233956个小儿COVID-19疫苗剂量.
- 空间可访问性是通过从人口普查区到最近的疫苗接种地点的旅行时间来衡量的.
- 准松回归研究了与社会脆弱性指数 (SVI) 组件相关的疫苗接种情况.
主要成果:
- 农村,无保险,白人和美洲原住民的人口有更长的旅行时间到接种疫苗的地点.
- 总体较高的SVI,社会经济地位 (SES) 和家庭组成和残疾 (HCD) 与6个月至11岁儿童的疫苗接种率下降有关.
- 少数民族身份和语言 (MSL) 与疫苗接种率的增加有关.
结论:
- 基于种族,农村和社会脆弱性,儿科COVID-19疫苗接种和可访问性存在显著差异.
- 空间可访问性措施和脆弱性指数是公共卫生资源分配和研究的宝贵工具.
相关概念视频
Vaccinations
44.3K
Overview
44.3K
Autism Spectrum Disorder
79
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
79
Factorial Design
13.0K
Factorial Analysis is an experimental design that applies Analysis of Variance (ANOVA) statistical procedures to examine a change in a dependent variable due to more than one independent variable, also known as factors. Changes in worker productivity can be reasoned, for example, to be influenced by salary and other conditions, such as skill level. One way to test this hypothesis is by categorizing salary into three levels (low, moderate, and high) and skills sets into two levels (entry level...
13.0K
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
The Availability Heuristic
5.9K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
5.9K
Bullying
8.4K
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is...
8.4K


