缩小青少年接种疫苗的差距:罗德岛的"在你毕业之前接种疫苗"计划作为其他司法管辖区的典范
Dora M Dumont1, Jennifer S Levy1, Lisa M Gargano1
1Rhode Island Department of Health, 3 Capitol Hill, Providence, RI 02908, United States.
Preventive medicine reports
|August 23, 2024
概括
罗德岛州的"在你毕业之前接种疫苗"计划在学校提供免费的青少年疫苗,使更多的有色人种青少年和没有保险的青少年受益. 这项以学校为基础的疫苗计划成功减少了免疫差异.
科学领域:
- 公共卫生 公共卫生
- 免疫接种计划 免疫接种计划
- 青少年健康 青少年健康
背景情况:
- 传统的初级保健基础设施可能无法及时接种所有青少年的疫苗.
- 基于学校的疫苗接种计划可以补充现有的医疗保健服务.
- 解决青少年免疫率的差异对于公共卫生至关重要.
研究的目的:
- 评估罗德岛州"在毕业前接种疫苗" (VBYG) 计划对青少年免疫率的影响.
- 确定VBYG计划是否减少了青少年接种疫苗的差异.
- 评估学校诊所在青少年疫苗接种覆盖率中的作用.
主要方法:
- 来自罗德岛州免疫注册表 (2019-2023) 的青少年和追赶疫苗管理数据的分析.
- 根据场所对接疫苗的比较:VBYG诊所,社区卫生中心 (CHC),其他初级保健实践 (oPCP) 和其他场所.
- 考虑青少年人口统计学的双变量和多变量分析 (种族,种族,保险,性别,年龄).
主要成果:
- 在毕业前接种疫苗 (VBYG) 诊所接种了超过387,000个常规青少年疫苗中的3.3%.
- 在VBYG的诊所中,接种疫苗的比例更高,而且接种疫苗的目标是年龄稍大一些的青少年.
- 与其他初级保健实践相比,VBYG提供的疫苗中,有色人种青少年和没有私人保险的青少年的比例更高.
结论:
- 在毕业前接种疫苗 (VBYG) 计划是青少年的重要疫苗安全网.
- 学校的疫苗接种计划可以有效地接触到服务不足的青少年群体.
- VBYG为其他司法管辖区提供了可复制的模型,以改善青少年免疫覆盖率和公平性.
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