摩加迪沙境内流离失所者免疫覆盖的教育决定因素:一项横截面研究
Yusuf Hared Abdi1,2, Yakub Burhan Abdullahi3, Mohamed Sharif Abdi3
1Department of Environmental Science, Faculty of Geoscience & Environment, Hormuud Univeristy, Mogadishu, Somalia. yusuf.hared@hu.edu.so.
Archives of public health = Archives belges de sante publique
|September 1, 2025
概括
教育差异对索马里境内流离失所者的免疫率产生重大影响. 在受冲突影响的地区提高接种疫苗的机会至关重要.
科学领域:
- 公共卫生
- 流行病学
- 全球健康
背景情况:
- 索马里在实现公平的疫苗接种方面面临重大挑战,尤其是国内流离失所者 (IDPs).
- 由于冲突和脆弱的医疗保健基础设施,国家对白喉咳 (DTP3),麻疹和脊髓灰质炎的免疫率仍低于50%.
- 国内流离失所者面临的障碍包括过度拥挤和有限的医疗服务, 破坏了接种疫苗的连续性.
研究的目的:
- 研究索马里境内流离失所者和城市居民免疫覆盖率的差异.
- 确定国内流离失所者接种疫苗的社会人口和态度决定因素.
- 为改善受冲突影响地区接种疫苗的目标战略提供信息.
主要方法:
- 2025年3月在索马里巴纳迪尔地区的两个境内流离失所者营地进行了一项横截面研究.
- 通过索马里语的结构化问卷收集数据,对384名参与者进行了分层系统抽样.
- 统计分析包括基平方测试和多变量逻辑回归,以确定疫苗吸收的决定因素.
主要成果:
- 发现免疫差异很大,主要与教育水平有关.
- 中等教育 (AOR=3. 82) 和高等教育 (AOR=7. 95) 是全面接种疫苗的强有力的预测因素.
- 家庭收入和接种疫苗的态度在调整后的模型中没有显著的关联.
结论:
- 在索马里境内流离失所者中, 教育差异是免疫接种的最大障碍.
- 需要综合干预,包括社区主导的教育和移动疫苗接种诊所.
- 在疫苗接种方面,改善教育机会可能比单独的经济干预更有影响.
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