密歇根州儿童免疫率根据县区特征的变化:2017-2023年
Caroline Hogan1, Sijia He1, Kevin J Dombkowski1
1Susan B. Meister Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan.
Pediatrics
|August 10, 2025
概括
密歇根州儿童免疫率有所下降,特别是在低收入地区. 人类乳头瘤病毒 (HPV) 疫苗接种的增长也在放缓,这表明需要有针对性的公共卫生努力.
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:
- 儿童和青少年免疫率是关键的公共卫生指标.
- 了解疫苗接种范围的社会人口差异对于有针对性的干预措施至关重要.
研究的目的:
- 分析密歇根州儿童和青少年免疫率的趋势,从2017年到2023年.
- 检查这些免疫率如何根据县级社会人口统计学因素 (包括收入,农村和缺乏保险) 变化.
主要方法:
- 利用密歇根州的免疫注册数据进行县级分析.
- 儿童和青少年免疫复合剂的计算平均完成率,以及男性和女性人类乳头瘤病毒 (HPV) 疫苗接种系列的季度平均完成率.
- 评估了所有县的利率变化,并按家庭收入中位数,农村和无保险率分层.
主要成果:
- 儿童 (75.7%至66.8%) 和青少年 (80.7%至74.7%) 复合免疫接种的平均完成率有所下降.
- 男性 (35.1%至42.3%) 和女性 (43.4%至45.2%) 的HPV疫苗接种系列的平均完成率增加,但速度比预期的慢.
- 综合率的下降在低收入和高无保险县更为明显,而HPV疫苗接种增加在这些地区较小.
结论:
- 常规儿童和青少年免疫接种在密歇根州正在减少.
- 疫苗接种率的增加正在放缓,特别是在社会经济不利的地区.
- 建议采取有针对性的干预措施,以应对脆弱人群免疫覆盖率下降的问题.
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