新西兰的HPV疫苗接种:学校计划对青少年疫苗接种的影响
Sarah Cosgrove1, Phil Hider1, Andy Anglemyer2
1Department of Population Health, University of Otago, Christchurch, New Zealand.
Vaccine
|August 28, 2025
概括
在新西兰,基于学校的人类乳头瘤病毒 (HPV) 疫苗接种计划的覆盖率高于非基于学校的计划. 混合模式计划随着时间的推移改善了覆盖范围,在学校环境中,COVID-19后的恢复速度更快.
科学领域:
- 公共卫生
- 疫苗学
- 流行病学
背景情况:
- 在新西兰使用不同的人类乳头瘤病毒 (HPV) 疫苗接种计划模型.
- 了解疫苗接种范围的变化对于公共卫生战略至关重要.
研究的目的:
- 描述和比较新西兰学校接种疫苗计划 (SBVP) 和非学校接种疫苗计划 (初级保健或混合模式) 之间的单剂量HPV疫苗接种覆盖率.
- 分析青少年随着时间的推移以及与节目交付模式相关的覆盖趋势.
主要方法:
- 通过使用来自 Aotearoa 免疫注册的 HPV 疫苗接种数据进行了重复的横截面分析.
- 在13年前出生的青少年中,SBVP和非SBVP地区的覆盖率进行了比较.
主要成果:
- 在2014年至2018年期间,非SBVP地区的女性单剂量HPV疫苗接种覆盖率与SBVP地区相比普遍较低,但2013年有例外.
- 2016年推出混合模式计划改善了非SBVP地区的覆盖范围,到2019年至2023年实现类似覆盖范围.
- 从2018年至2023年,男性接种疫苗的覆盖率在SBVP地区较高,随着时间的推移,差异越来越大. 在COVID-19疫情期间覆盖率下降,但在SBVP地区恢复得更快.
结论:
- 在新西兰,学校提供HPV疫苗成功实现了高青少年疫苗接种率.
- 坎特伯雷的非SBVP方法最初显示覆盖率较低,但2016年推出的混合模式计划改善了吸收率.
- 计划交付模式显著影响HPV疫苗接种覆盖率,突显了基于学校的方法的有效性.
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