在国家退伍军人队列中与流感疫苗接种相关的因素
Alissa S Chen1, Melissa M Farmer2, Ling Han3
1Section of General Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
AJPM focus
|November 29, 2024
概括
在退伍军人中,流感疫苗接种率仍然存在种族差异. 黑人和美国印第安人/阿拉斯加原住民退伍军人接种疫苗的几率较低,这凸显了退伍军人卫生事务管理局在预防护理方面的持续不平等.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 流感疫苗接种对于预防疾病至关重要,但在美国成年人群中,接种率仍然低于最佳水平.
- 在各种种族和族群中,疫苗接种覆盖率存在显著差异.
研究的目的:
- 调查种族,种族,性别和农村与流感疫苗接种程度之间的关联.
- 通过退伍军人卫生事务管理局 (VHA) 接受护理的大批退伍军人的全国队伍中分析这些协会.
主要方法:
- 使用VHA行政电子健康记录数据用于2019-2020年流感季节,采用了回顾性队列研究设计.
- 使用后勤回归模型来评估接种疫苗,控制临床诊断,人口统计和医疗保健利用情况.
- 分析按性别和农村地区分层,以探索子组差异.
主要成果:
- 总的来说,5943,918名退伍军人中有48.6%接种了流感疫苗.
- 调整后的模型显示,与白人种族相比,黑人种族 (AOR=0.69) 和美洲印第安人/阿拉斯加土著种族 (AOR=0.94) 与接种疫苗的几率降低有关.
- 女性退伍军人比男性退伍军人接种疫苗的几率更高 (AOR=1.20),而农村地区的几率略有下降 (AOR=0.97).
结论:
- 黑人和美国印第安人/阿拉斯加原住民退伍军人在2019-2020赛季接受流感疫苗的几率较低.
- 这些发现强调了预防性护理的持续种族差异,即使是在VHA的综合医疗保健系统内.
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