社区卫生组织的HPV疫苗接种:什么是正确的,如何复制?
Keely Ulmer1, Kristin Lyon-Scott2, Ngoc Wasson3
1Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Iowa Hospitals and Clinics Holden Comprehensive Cancer Center, Iowa City, USA. keelykro@gmail.com.
Cancer causes & control : CCC
|July 29, 2025
概括
人类乳头瘤病毒 (HPV) 疫苗接种率低于所有群体的国家目标,但随着时间的推移而增加. 西班牙裔个人,年龄较小,和更多的临床访问与更高的HPV疫苗完成有关. 疫苗接种中的性别差距已经缩小.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
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.
- 在医疗服务不足的人群中,疫苗接种率往往较低.
- 了解不同网络中的疫苗接种趋势对于公共卫生倡议至关重要.
研究的目的:
- 在全国范围的网络中评估最新的HPV疫苗接种率,为医疗服务不足的社区提供服务.
- 为了确定与HPV疫苗接种启动和完成相关的因素.
主要方法:
- 从2015年1月到2023年12月,对超过600万名公共或低保险患者的大型国家数据库 (OCHIN) 的分析.
- 检查HPV疫苗接种启动和完成率作为主要结局.
- 在研究队列中包括1,848,813名患者.
主要成果:
- 在所有人口统计数据中,HPV疫苗接种率总体低于2030年健康人群目标的80.0%.
- 西班牙裔个体的UTDHPV疫苗接种率最高.
- 在9-10岁开始的系列和每年至少两次临床访问的患者中,接种疫苗的完成率更高. 没有观察到疫苗接种率的性别差异.
结论:
- 在这个大队伍中,HPV疫苗接种完成率仍低于国家目标,尽管在研究期间总体上升.
- 与HPV疫苗接种积极相关的因素包括西班牙裔种族,开始时年龄较小 (9-10岁),以及医疗保健利用率较高 (每年≥2次).
- 进一步的研究应该探索服务于西班牙裔人口的诊所的成功策略,并确定方法,让年轻儿童和男性的照顾者参与改善疫苗接种覆盖率.
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