在瑞典老年人中,COVID-19疫苗接种的区域差异及其决定因素
Yiyi Xu1, Fredrik Nyberg1, Ailiana Santosa1
1School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Public health
|April 3, 2025
概括
在瑞典的老年人中,COVID-19疫苗接种的区域差异在晚期剂量上有所增加. 个人因素,而不是地区,是关键预测因素,突出了针对性干预措施的必要性,以确保公平的疫苗接种.
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:
- 疫苗接种的区域差异可能会破坏公共卫生倡议.
- 了解影响不同地区COVID-19疫苗接种率的因素对于公平获取至关重要.
研究的目的:
- 研究瑞典65岁及以上成年人接种COVID-19疫苗的区域差异和贡献因素.
- 分析第一剂,第六剂和2023年季节性增剂的摄入量.
主要方法:
- 全国范围的基于登记的队列研究,包括瑞典超过200万的老年人.
- 根据年龄和性别标准化的区域疫苗接种率的计算.
- 混合效应的Poisson回归以确定疫苗接种的个人和区域水平预测因素.
主要成果:
- 总体吸收:95% (第一剂),66% (第六剂),73% (增强剂).
- 接种率的区域差异在第六剂和强剂中增加,较大地区的接种率较低.
- 个人因素 (男性性别,外国出生,低收入/教育) 比区域因素更强烈地预测了吸收率较低的因素.
结论:
- 随着国家协调减少,COVID-19疫苗接种的区域差异出现.
- 有针对性的干预措施对于减少区域差异和改善老年人群中疫苗公平性至关重要.
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