自愿接种疫苗未接种疫苗的风险评分:日本环境和儿童研究
Masashi Hotta1, Kimiko Ueda2, Satoyo Ikehara3,4
1Department of Neonatal Medicine, Osaka Women's and Children's Hospital, Osaka, Japan.
概括
一个新的自愿疫苗风险评分确定了婴儿不太可能接受关键疫苗接种. 该工具有助于针对干预措施,以改善轮状病毒,疹和流感疫苗接种覆盖率.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
背景情况:
- 在日本,自愿性疫苗的覆盖率低于常规疫苗,这是由于自付费用.
- 提高自愿接种疫苗率是一个公共卫生优先事项.
- 全国范围的出生队列数据可以用来识别未接种疫苗的个人.
研究的目的:
- 开发一种预测风险评分,用于识别未接种自愿疫苗的婴儿.
- 确定与自愿的疫苗不接种疫苗相关的关键人口和母亲因素.
主要方法:
- 分析了全国超过74,000名婴儿的出生队列数据.
- 后勤回归建模,以确定与未接种疫苗相关的因素.
- 基于回归系数的自愿疫苗风险评分的开发.
主要成果:
- 非接种疫苗的关键预测因素包括母亲的药物过敏,抑郁病史,生育治疗,母亲的饮酒和国籍.
- 开发的风险评分显示高灵敏度 (74.5-78.6%) 在预测不接种轮状病毒,病和流感疫苗的疫苗.
- 风险评分的特异性在37.1%至44.2%之间.
结论:
- 成功开发了10个领域的风险评分,以识别自愿不接种疫苗的高风险婴儿.
- 该分数具有很高的灵敏度,有助于识别未接种疫苗的婴儿.
- 可能需要进一步细化以提高乐谱的特异性.
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