根据医疗机构类型,青少年在HPV疫苗接种中的差异
Mrudula Nair1, Joël Fokom Domgue2,3,4, Christine L M Joseph1
1Department of Public Health Sciences, Henry Ford Health System, Detroit, Michigan.
JAMA pediatrics
|July 29, 2024
概括
在公共卫生机构接受护理的青少年,人乳头瘤病毒 (HPV) 疫苗启动和完成率较低. 需要有针对性的干预措施来改善这些环境中的HPV疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 人类乳头瘤病毒 (HPV) 感染在美国每年导致超过31,000例癌症病例.
- 接种HPV疫苗可以预防90%以上的这些癌症,但接种率低于健康人2030目标.
- 了解医疗保健机构的疫苗接种率对于改善HPV疫苗接种率至关重要.
研究的目的:
- 调查医疗保健机构类型与青少年HPV疫苗接种之间的关联.
- 检查医疗机构类型与临床医生对HPV疫苗的推之间的联系.
主要方法:
- 使用2020年全国免疫调查-青少年数据进行的横截面研究.
- 包括20162名年龄在13-17岁的青少年.
- 使用加权多变量后勤回归来分析HPV疫苗的启动,完成和临床医生的建议.
主要成果:
- 与私人设施相比,公共设施的青少年在HPV疫苗启动 (AOR,0.71) 和完成 (AOR,0.62) 的几率较低.
- 公共设施使用者接受临床医生推HPV疫苗的几率较低 (AOR,0.62).
- 总体而言,81.4%的人接受了临床医生的建议,75.1%的人开始了,58.6%的人完成了HPV疫苗系列.
结论:
- 根据医疗机构的类型,HPV疫苗接种存在显著的健康差异.
- 使用公共卫生设施的青少年经历了较低的HPV疫苗接种率和临床医生建议.
- 在公共卫生保健机构中,必须更加关注疫苗推和接种.
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