单次和多次医疗机构使用之间的常规儿童免疫接种率的差异:日本环境和儿童研究的科契辅助研究
Marina Minami1, Yoshihiko Terauchi2, Masamitsu Eitoku3
1Integrated Center for Advanced Medical Technologies (ICAM-Tech), Kochi Medical School Hospital.
Environmental health and preventive medicine
|June 29, 2025
概括
使用单一的医疗保健机构进行儿童免疫接种与更高的疫苗接种率有关. 这表明,在一个机构整合护理可能会改善常规儿童免疫接种覆盖率.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 儿童常规免疫接种对公共卫生至关重要.
- 疫苗接种量和设施使用模式影响免疫疗效.
- 了解儿童疫苗接种设施的使用是改善覆盖率的关键.
研究的目的:
- 检查儿科疫苗接种设施使用模式和常规儿童免疫接种之间的关联.
- 确定影响8岁以下儿童免疫完成的因素.
- 为提高儿童疫苗接种覆盖率的战略提供信息.
主要方法:
- 分析了来自日本环境和儿童研究 (JECS) 科契辅助研究的1,644名参与者的数据.
- 根据儿童疫苗接种设施使用模式,将参与者分为四组.
- 使用千平方测试和后勤回归来评估关联的统计分析.
主要成果:
- 总体而言,儿童常规免疫接种完成率为76.6%.
- 与使用多个设施相比,单个设施的使用与更高的免疫完成率有关.
- 在整个疫苗接种期间使用多个设施显示出最强的关联与更高的不完成率 (aOR=1.90).
结论:
- 单次儿科设施使用与更高的常规免疫接种率有关.
- 鼓励一个医疗机构的一贯使用可能有助于解决疫苗接种覆盖面的挑战.
- 这一发现支持了简化疫苗接种服务的战略,以改善公共卫生结果.
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