埃塞俄比亚儿童肺炎球菌联合接种疫苗的流行率,空间分布和决定因素:空间和多层次分析
Tadesse Tarik Tamir1, Bewuketu Terefe2, Mulugeta Wassie3
1Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. tadestar140@gmail.com.
BMC public health
|September 6, 2024
概括
在埃塞俄比亚,只有53.94%的儿童接受了完整的肺炎球菌联合疫苗接种. 影响这一点的关键因素包括母亲的年龄,产前护理和社区识字能力,突出了改善疫苗策略的领域.
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:
- 肺炎球菌病对全球健康构成重大威胁,导致肺炎和脑膜炎等严重疾病.
- 肺炎球菌结合疫苗 (PCV) 是一个关键的干预措施,以减轻肺炎球菌疾病的影响.
- 了解疫苗接种覆盖率及其决定因素对于有效的公共卫生战略至关重要.
研究的目的:
- 确定埃塞俄比亚儿童肺炎球菌联合疫苗接种范围的空间分布.
- 在埃塞俄比亚确定与完整的儿童肺炎球菌联合疫苗接种相关的关键因素.
主要方法:
- 2019年埃塞俄比亚小型人口和健康调查数据的空间和多层次分析.
- 在分析中包括2055名加权儿童.
- 使用调整的赔率比率和95%置信区间进行统计分析,显著程度为p < 0.05.
主要成果:
- 埃塞俄比亚儿童肺炎球菌联合接种疫苗的全面覆盖率为53.94%.
- 在埃塞俄比亚的各个地区观察到覆盖范围的显著空间差异,阿法尔,索马里和SNNPR的比例较低.
- 孕产妇的年龄,产前护理访问,分娩地点,地区,社区妇女的识字率,社区贫困和社区ANC利用率是重要的决定因素.
结论:
- 埃塞俄比亚儿童肺炎球菌联合疫苗接种覆盖率呈现出显著的空间差异.
- 母亲和社区层面的因素在决定疫苗接种方面发挥着至关重要的作用.
- 针对特定决定因素和低覆盖地区的有针对性的干预措施是必要的,以改善PCV利用率和打击肺炎球菌病.
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