秘鲁土著妇女对儿童疫苗接种状况的孕产妇教育的回报减少
Ali Al-Kassab-Córdova1, Edward Mezones-Holguin1, Jay S Kaufman2
1Centro de Excelencia en Investigaciones Económicas y Sociales en Salud, Universidad San Ignacio de Loyola, Lima, Peru.
母亲教育对秘鲁的土著儿童而不是梅斯蒂索儿童的儿童疫苗接种状况的好处较小. 越来越多的教育可能会扩大儿童免疫接种的种族差异.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 人口统计学 人口统计学
背景情况:
- 在秘鲁,儿童疫苗接种存在种族差异.
- 母亲教育是儿童健康结果的关键决定因素.
- 了解母亲教育在种族疫苗接种差距中的作用对于有针对性的干预至关重要.
研究的目的:
- 检查母亲教育如何影响秘鲁儿童疫苗接种状况的种族差异.
- 评估母亲教育对土著和混血儿儿童之间的疫苗接种差距的调解和缓解作用.
主要方法:
- 对2023年秘鲁人口与健康调查的横截面分析.
- 定义完整的BCG疫苗接种,3剂DPT/脊髓灰质炎和MMR疫苗接种在12个月内.
- 采用线性,Poisson回归和g-公式来根据种族进行调解/适度分析.
主要成果:
- 原住民儿童的不完整疫苗接种率 (27.6%) 比梅斯蒂索儿童 (21.6%) 高.
- 较高的母体教育显示,原住民 (4-5个百分点) 与混血儿 (8-11个百分点) 的不完全接种疫苗的减少较小.
- 调解分析显示了负面相互作用,表明土著母亲的教育利益减少.
结论:
- 孕产妇教育对儿童疫苗接种的积极影响,与土著母亲相比,土著母亲对儿童疫苗接种的影响较小.
- 旨在增加母亲教育的政策可能会无意中扩大儿童免疫覆盖范围的种族差异.
- 干预措施必须考虑种族背景,以有效减少疫苗接种差距.
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