影响撒哈拉以南非洲五岁以下儿童免疫状况的父亲因素:系统审查和元分析
Godfrey Musuka1, Enos Moyo2, Oscar Mano3
1International Initiative for Impact Evaluation, Harare, Zimbabwe.
Vaccine
|September 10, 2025
概括
父亲教育在撒哈拉以南非洲地区显著影响儿童免疫接种,拥有小学教育或更高学历的父亲几乎使儿童完全免疫接种的可能性增加了三倍. 让父亲参与进来对于提高疫苗接种率至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 社会学 社会学 社会学
背景情况:
- 在撒哈拉以南非洲 (SSA) 的儿童免疫接种上,母亲的影响得到了充分的研究.
- 父亲社会经济因素对疫苗接种结果的影响仍未得到充分研究.
- 了解父亲的角色对于提高儿童免疫覆盖率至关重要.
研究的目的:
- 系统地审查和分析SSA中影响完全儿童免疫的父亲特征的证据.
- 综合有关父亲教育,就业和与儿童疫苗接种有关的决策权力的数据.
主要方法:
- 在PubMed,谷歌学者,Embase和Scopus (2014年1月至2025年3月) 进行了系统的文献搜索.
- 在SSA.中包括16项检查父亲因素和儿童免疫 (5岁以下) 的研究.
- 使用MetaXL和IBM SPSS进行的元分析;使用Downs和Black检查清单评估偏差风险.
主要成果:
- 在SSA中,儿童完全免疫接种的综合流行率为60% (95% CI: 37-81%).
- 具有小学教育或更高教育程度的父亲的孩子几乎有三倍的可能性完全免疫 (OR = 2.72,95% CI: 1.22-6.03).
- 共同的父母决策与更高的免疫覆盖率有关;父亲的就业显示不显著的关联,但影响了寻求健康的行为.
结论:
- 父亲教育是SSA中儿童完全免疫的重要预测因素.
- 干预措施应让父亲参与,促进共同决策,并解决性别规范,以提高疫苗接种率.
- 需要进一步的研究来阐明SSA中父亲对疫苗接种的影响机制.
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