联邦区的人类乳头瘤病毒疫苗接种,覆盖率和脱学率:时间序列研究,2013-2023年
Matheus Santos Melo1,2,3, Thaís Tâmara Castro E Minuzzi-Souza1, Laís de Morais Soares2
1Fundação Oswaldo Cruz, Núcleo de Saúde da Mulher, Brasília, DF, Brazil.
概括
从2013年到2023年,巴西联邦区的人类乳头瘤病毒 (HPV) 疫苗接种和覆盖率大幅下降. 放学率增加,特别是在女性中,迫切需要采取公共卫生战略.
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:
- 人类乳头瘤病毒 (HPV) 疫苗接种对于预防HPV相关癌症至关重要.
- 监测疫苗接种趋势对于公共卫生干预至关重要.
研究的目的:
- 分析2013年至2023年巴西联邦区HPV疫苗接种,覆盖率和脱学率的时间趋势.
主要方法:
- 来自巴西国家免疫计划和联邦区卫生部的数据的时间序列分析.
- 计算接种疫苗的准入,覆盖率和退学指标.
- 细分线性回归的应用,以评估时间趋势.
主要成果:
- 在2013年至2023年期间,HPV疫苗接种 (AAPC -4.6%) 和覆盖率 (AAPC -9.2%) 总体下降.
- 疫苗接种中断率显著增加 (AAPC 14.1%),女性疫苗接种中明显增加 (AAPC 8.9%).
- 虽然男性学率下降 (AAPC -7.7%),但女性学率呈上升趋势.
结论:
- 观察到HPV疫苗接种和覆盖率有所下降.
- 放学率的增加,特别是在女性中,构成了重大的公共卫生挑战.
- 优先考虑扭转这些负面趋势的战略是改善HPV预防的必要条件.
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