探索影响东非儿童免疫状况的因素,使用多层次顺序逻辑回归分析
Aster Addisu Dires1, Demeke Lakew Workie1, Abay Kassa Teklie1
1Department of Statistics, Bahir Dar University, Bahir Dar, Ethiopia.
Frontiers in public health
|January 21, 2025
概括
东非的儿童免疫率很低,只有67.4%的儿童被完全接种了疫苗. 影响免疫状况的关键因素包括母亲教育,获得医疗保健和社会经济地位,突出了干预的领域.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 儿童疫苗接种对于预防传染病至关重要,是高度有效的公共卫生干预措施.
- 与高收入国家相比,东非儿童面临的疫苗可预防疾病死亡风险明显高.
- 了解影响东非儿童免疫状况的因素对于改善疫苗接种覆盖率至关重要.
研究的目的:
- 确定与东非儿童免疫状态相关的因素.
- 分析该地区12-23个月龄的儿童完全,部分和没有免疫接种的决定因素.
主要方法:
- 一个多层次的概括概率模型被用来分析来自东非10个国家的22,734名儿童 (2015-2022) 的数据.
- 这项研究利用了人口和健康调查的数据,评估了免疫状态和相关的母亲,家庭和社区层面的因素.
- 用一个带有逻辑链接函数的概率模型来解释数据的层次结构.
主要成果:
- 只有67.4%的儿童被完全免疫; 27.7%被部分免疫.
- 母亲护理利用率 (产前和产后访问) 与更高的免疫率有关.
- 重要因素包括母亲的年龄,教育,健康文件,分娩地点,出生顺序,家庭特征以及社区层面的因素,如财富和媒体曝光.
结论:
- 干预措施应针对家庭财富的改善,母亲教育和医疗保健系统的加强,以提高儿童免疫率.
- 解决获得和使用产妇健康服务的差异至关重要.
- 国家和地区的差异显著影响免疫状态,需要定制策略.
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