流感相关经验与当前疫苗接种结果之间的关系
1Economics Division, Babson College, 231 Forest Street, Wellesley, MA, United States. ygai@babson.edu.
BMC public health
|January 17, 2025
概括
过去的流感疫苗接种是未来决定的最强有力的预测因素. 建议针对特定的人口和社会经济群体进行有针对性的疫苗接种推广,因为个人流感经历的影响较小.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 了解影响流感疫苗接种决策的因素对于公共卫生至关重要.
- 人口,社会经济和与健康相关的因素,以及个人流感经历,在接种疫苗的选择中发挥着作用.
研究的目的:
- 调查流感相关经验与当前的疫苗接种决策之间的关联.
- 确定流感疫苗接种的关键预测因素,考虑人口,社会经济和健康因素.
主要方法:
- 对2006年至2016年医疗支出小组调查 (MEPS) 数据的十个小组的分析.
- 利用线性和后勤概率模型来预测流感疫苗接种.
- 检查了疫苗接种史,流感感染史和各种人口/社会经济变量之间的相互作用.
主要成果:
- 以前的疫苗接种状态是最重要的预测因素,增加了随后的疫苗接种概率63.0-71.8%.
- 流感感染史对疫苗接种的影响因种族/种族,收入,教育,健康状况和年龄而异.
- 在人口统计,社会经济和与健康有关的变量之间观察到疫苗接种决策的显著差异.
结论:
- 疫苗接种推广应优先考虑没有先前接种疫苗的个人,并针对特定子组 (例如西班牙裔,低学历,老年人,低收入人群).
- 虽然过去的流感感染可以成为某些群体的预测因素,但与疫苗接种史相比,其影响通常很小.
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