英格兰儿童接种疫苗的不平等情况,2019-23:纵向研究
Aidan Flatt1,2, Roberto Vivancos1,2,3,4, Neil French3,5
1National Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
概括
2019年至2023年期间,英格兰的儿童接种疫苗率下降,疫苗接种率的不平等性增加. 迫切需要采取行动来解决这些差异,并改善对关键儿童疫苗的免疫覆盖率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 免疫接种实践 免疫接种实践
背景情况:
- 英国儿童疫苗接种率一直在下降.
- 了解疫苗接种不平等的趋势对于公共卫生干预至关重要.
研究的目的:
- 量化英格兰儿童接种疫苗的不平等变化.
- 在整体疫苗接种率下降的时期分析这些变化.
主要方法:
- 长度研究使用从疫苗接种量覆盖率评估快速数据集的一般实践数据.
- 在2019年4月至2023年3月期间,对5岁以下儿童的五种关键儿童疫苗 (MMR1,MMR2,轮状病毒,PCV助推剂,六合一) 的分析.
- 回归分析用于量化不平等 (SII) 斜率指数的变化,并估计累积易感性.
主要成果:
- 在2019-20年和2022-23年期间,所有研究的疫苗接种中,疫苗接种方面的不平等增加了.
- 容易感染麻疹和轮状病毒的儿童数量显著增加,特别是在更贫困的群体中.
- 在吸收方面,伦敦和北部地区的不平等程度最大.
结论:
- 在英格兰,儿童接种疫苗的不平等正在增加.
- 关键儿童疫苗的疫苗接种率已经低于世卫组织的目标.
- 迫切需要有针对性的干预措施来减少这些日益增长的健康不平等.
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