763 945名心力衰竭患者肺炎球菌疫苗接种的社会经济决定因素
F Roubille1, B Wyplosz2, J Fernandes3
1PhyMedExp, Cardiology Department, University of Montpellier, INSERM U1046, CNRS UMR, Montpellier, France.
ESC heart failure
|August 29, 2025
概括
心力衰竭患者的肺炎球菌疫苗接种覆盖率仍然很低,主要障碍是年龄,女性性别和社会贫困. 公共卫生倡议必须解决这些因素, 以提高这一脆弱群体的疫苗接种率.
科学领域:
- 心脏病学
- 公共卫生
- 传染性疾病
背景情况:
- 呼吸道感染显著增加心力衰竭患者的死亡率和住院时间.
- 建议对肺炎球菌和流感进行疫苗接种,但在HF群体中仍未充分使用.
- 在HF患者中,疫苗接种率低导致健康状况不佳,医疗负担增加.
研究的目的:
- 确定与法国心力衰竭患者的肺炎球菌疫苗接种相关的因素.
- 分析年龄,性别和社会贫困对HF患者疫苗接种状况的影响.
- 为提高这一高风险群体的疫苗接种率制定有针对性的公共卫生战略.
主要方法:
- 使用了2020年法国全国健康索赔数据库的数据.
- 包括763, 945名心力衰竭患者,其疫苗接种情况以PCV13接种方式确定.
- 使用多变量逻辑回归来确定与疫苗接种相关的因素.
主要成果:
- 肺炎球菌 (PCV13) 疫苗接种率低至12. 6%,尽管经常与医疗保健人员接触.
- 年龄较大 (76 - 85岁和> 85岁),女性性别,社会贫困程度较高与PCV13摄入量较低有关.
- 肺炎球菌疫苗接种与流感疫苗接种以及更好的医疗服务相关.
结论:
- 在心力衰竭患者中,肺炎球菌疫苗接种存在重大障碍,包括年龄,性别和社会经济因素.
- 目前的疫苗接种覆盖率不足以减轻这一群体的呼吸道感染风险.
- 针对年龄,性别和社会贫困的定制公共卫生干预措施对于提高虚弱肺炎患者肺炎球菌疫苗接种率至关重要.
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