儿童免疫覆盖的不平等:对数据来源,分析和报告方法的全面审查
Carrie Lyons1, Devaki Nambiar1, Nicole E Johns1
1Department of Data and Analytics, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland.
Vaccines
|August 29, 2024
概括
衡量儿童疫苗接种范围的不平等是实现健康公平的关键. 这次审查发现了各种方法,突出了需要标准化的方法,以更好地跟踪和解决全球免疫差异.
科学领域:
- 全球健康 全球健康
- 流行病学 流行病学
- 健康 公平 研究 健康 公平 研究
背景情况:
- 儿童免疫显著改善了全球生存率和健康结果.
- 人口和环境之间的疫苗覆盖率不均,需要衡量不平等的公平性.
- 了解和监测疫苗覆盖率差距对于有针对性的干预至关重要.
研究的目的:
- 描述儿童疫苗覆盖率不平等的报告方法.
- 分析设置,数据源,分析技术和沟通策略.
- 确定疫苗研究中不平等评估的趋势和变化.
主要方法:
- 学术期刊出版物的范围审查.
- 在PubMed和Web of Science (2013年12月 - 2023年12月) 中进行的搜索.
- 分析了242篇关于儿童疫苗接种不平等的公文.
主要成果:
- 人口健康调查 (DHS) 和多指标集群调查 (MICS) 是主要的数据来源 (39.3%).
- 大多数研究都集中在单个国家,其中许多是在低收入和中等收入国家.
- 从逻辑回归的几率比率是常见的;健康不平等的总结措施很少使用.
- 经济地位和母亲的教育是主要的不平等维度;全面接种疫苗是关键结果.
结论:
- 在定义和测量不平等维度和疫苗覆盖率方面存在显著差异.
- 协调不平等分析和报告的方法至关重要.
- 标准化方法将加强对跨背景和时间的疫苗覆盖率不平等的评估和比较.
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