强制性疫苗接种法后疫苗接种范围的社会经济差异,1855年至1900年
Susanna Ukonaho1, Virpi Lummaa1, Michael Briga1,2,3
1Department of Biology, University of Turku, Turku, Finland.
JAMA network open
|February 19, 2025
概括
1883年芬兰的疫苗接种法增加了中高社会经济群体 (SEG) 的天花疫苗覆盖率,但不是最低的SEG. 这凸显了有针对性的干预措施的必要性,以改善服务不足社区的疫苗接种率.
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:
- 强制性疫苗接种法律对于解决疫苗犹至关重要.
- 疫苗法对不同社会经济群体 (SEGs) 的影响尚不清楚.
- 了解这些差异是确保公平公共卫生结果的关键.
研究的目的:
- 调查芬兰1883年疫苗接种法与不同SEG的天花疫苗接种覆盖率之间的联系.
- 在法律实施之前和之后分析疫苗接种覆盖率的变化.
- 确定法律有效性的潜在社会经济差异.
主要方法:
- 一项基于人口的队列研究,分析了芬兰45年 (1855-1900) 的天花疫苗接种数据.
- 包括40,008名婴儿 (年龄<1岁) 来评估疫苗接种情况.
- 在1883年法律之前和之后,对高,中,低SEG的疫苗接种覆盖率趋势的统计分析.
主要成果:
- 高SEG:疫苗接种覆盖率仍然很高 (平均90%),法律阻止了下降的趋势.
- 中级SEG:该法律与覆盖率增加26个百分点 (平均83%) 相相关.
- 低SEG:法律显示没有与覆盖率的关联,覆盖率保持在35%以下.
结论:
- 芬兰1883年的疫苗接种法有效地增加了高SEG的覆盖率,但未能改善最低SEG的吸收率.
- 这表明,普遍接种疫苗的任务可能无法消除疫苗接种中的社会经济差异.
- 需要采取额外的有针对性的干预措施,以提高低覆盖率社区的疫苗接种率和接种率.
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