在英格兰儿童流感疫苗接种范围中的种族不平等 2013-2021:观察性队列研究
Claire X Zhang1, Maria A Quigley1, Clare Bankhead2
1National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, United Kingdom.
Vaccine
|September 30, 2025
概括
儿童流感疫苗接种率很低,特别是在伦敦. 存在持续的种族不平等,加勒比和其他少数民族群体的吸收率最低,随着时间的推移,差距越来越大.
科学领域:
- 公共卫生 公共卫生
- 疫苗接种权益股权
- 儿童疫苗接种 儿童疫苗接种
背景情况:
- 针对2-3岁儿童的季节性流感疫苗接种在2013年在英国推出.
- 种族不平等是常规儿童疫苗的已知问题.
- 了解流感疫苗接种差异对于计划的成功至关重要.
研究的目的:
- 分析英格兰2-3岁儿童季节性流感疫苗接种范围中的种族不平等.
- 从2013年到2021年追踪这些不平等现象.
主要方法:
- 利用了来自临床实践研究数据库Datalink Aurum的母婴初级保健记录.
- 按母亲的种族计算季节性流感疫苗接种覆盖率.
- 员工修改了波桑回归来估计风险比率,与白色英国人群相比.
主要成果:
- 在2-3岁儿童中,整体流感疫苗接种覆盖率很低 (英格兰<60%,伦敦<50%).
- 在2013-2021年期间,观察到持续的种族不平等,大多数少数群体的覆盖率低于英国白人儿童.
- 加勒比族裔儿童的覆盖率最低 (20-27%),随着时间的推移,几个少数群体的不平等程度扩大.
结论:
- 基于地方和参与的战略对于了解这些不平等的根本原因至关重要.
- 需要政策制定者,医疗保健提供者和公共卫生团队采取紧急的多层次行动,以解决发现的差异.
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