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Updated: Jan 16, 2026

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儿童疫苗接种覆盖率的下降及其社会人口统计学决定因素,荷兰,2008年至2020年的出生队列
Joyce Pijpers1, Annika van Roon1, Maarten Schipper1
1RIVM, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
概括
荷兰的儿童接种疫苗覆盖率,包括麻疹-疹-红疹 (MMR) 和腹膜炎-疹-百日咳-脊髓灰质炎 (DTaP-IPV) 疫苗,在荷兰下降. 各种社会人口统计学群体的覆盖率差异在增加.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科 儿科 儿科
背景情况:
- 儿童接种疫苗的覆盖率最近在许多国家下降,包括荷兰.
- 了解不同人口子群体疫苗接种覆盖率的趋势对于公共卫生干预至关重要.
研究的目的:
- 为了调查与麻疹-疹-红疹 (MMR) 和疹-疹-百日咳-脊髓灰质炎 (DTaP-IPV) 相关的社会人口统计因素,荷兰的疫苗接种覆盖范围随着时间的推移.
- 为了确定不同人口子组之间的疫苗接种覆盖率的差异.
主要方法:
- 通过使用2008年至2020年间出生儿童的数据,进行了国家追溯数据库研究.
- 用个人级别的数据链接来检查社会人口统计学变量与2岁时的疫苗接种情况之间的关联.
- 使用多变量波桑回归来评估独立的关联和随时间的覆盖范围的变化.
主要成果:
- 总的来说,MMR疫苗接种率从2008年队列中的95%下降到2020年队列中的89%.
- 覆盖率下降在非荷兰人 (尤其是摩洛哥人和土耳其人) 的孩子,不参加托儿所的孩子,大家庭的孩子,自雇母亲的孩子和最低收入家庭的孩子中更为明显.
- 对于DTaP-IPV疫苗接种范围的趋势几乎与MMR疫苗接种范围相同.
结论:
- 荷兰儿童接种疫苗的覆盖率大幅下降,伴随着社会人口群体之间的差距越来越大.
- 有针对性的疫苗接种工作是必要的,以解决这些不平等,并保护公共健康.
- 优先考虑弱势群体的疫苗接种战略对于确保公平的健康结果至关重要.
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