在美国60岁以上的成年人中接种呼吸道同胞性病毒疫苗
1Department of Infectious Diseases, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Frontiers in immunology
|December 18, 2024
概括
在美国60岁以上的成年人中,呼吸道同胞性病毒 (RSV) 疫苗接种覆盖率在2024年初达到22.2%. 基于种族,收入和地理位置存在重大差异,需要有针对性的干预措施来改善吸收.
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:
- 近一年前,美国60岁及以上的成年人被建议接种呼吸道同胞性病毒 (RSV) 疫苗.
- 疫苗接种覆盖率的程度和影响接种率的因素仍未得到充分研究.
- 本研究评估了国家和各州的RSV疫苗接种覆盖率,并确定了影响接种的人口和社会经济因素.
研究的目的:
- 评估60岁及以上的美国成年人中国家和特定州的RSV疫苗接种覆盖率.
- 确定与RSV接种疫苗接种相关的人口和社会经济因素.
- 为改善老年人RSV疫苗接种率的策略提供信息.
主要方法:
- 采用美国人口普查家庭脉冲调查 (1月9日至2024年3月4日) 数据的横截面研究.
- 包括49322名60岁及以上的成年人,自我报告疫苗接种情况,人口统计和社会经济信息.
- 多变量Poisson回归分析,以确定与疫苗接种相关的因素.
主要成果:
- 截至2024年3月4日,总体RSV疫苗接种覆盖率为22.2% (95%CI,21.6%-22.7%).
- 覆盖率因州 (12.4%在密西西比州到33.1%在科罗拉多州) 和人口因素而异,年轻的老年人 (60-64岁),西班牙裔和非西班牙裔黑人个体的吸收率较低.
- 与接种积极相关的因素包括年龄,高等教育/收入,失业和居住在中西部或西部;相反,没有保险,遇到经济困难和缺乏COVID-19疫苗接种与减少接种有关.
结论:
- 接种RSV疫苗的普及率看起来很有前途,但存在显著的种族/种族,社会经济和地理差异.
- 解决这些差异对于提高疫苗接种率至关重要.
- 需要努力减少RSV在这个脆弱人群中的影响.
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