在东非12-23个月的儿童中免疫接种覆盖率及其决定因素:基于DHS的贝叶斯分层建模方法 2019-2022年
Simachew Getaneh Endalamew1, Ejigu Gebeye2, Solomon Keflie Assefa2
1Department of Veterinary Epidemiology and Public Health, School of Veterinary Medicine, Bahir Dar University, Bahir Dar, Ethiopia, bdu.edu.et.
在东非,儿童接种疫苗的覆盖率很低,73.81%的儿童只有部分免疫. 影响疫苗接种的关键因素包括孕产妇教育,医疗机构分娩和产前护理访问.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 疫苗对公共卫生至关重要,但在东非尚未充分利用.
- 疫苗接种率低导致该地区儿童因可预防疾病死亡率高.
研究的目的:
- 评估东非儿童疫苗接种覆盖率.
- 用贝叶斯阶层模型识别与疫苗接种覆盖率相关的决定因素.
主要方法:
- 来自五个东非国家的人口和健康调查 (DHS) 数据 (2019-2022) 的分析.
- 应用贝叶斯等级回归模型来识别影响疫苗接种的因素.
- 模型选择使用交叉验证和显著性通过95%后置信区间进行评估.
主要成果:
- 在15703名12-23个月龄的儿童中,73.81%的儿童获得了部分免疫.
- 较高的疫苗接种率与居住在肯尼亚 (与埃塞俄比亚相比),孕产妇媒体接触,更高的孕产妇教育,医疗机构的分娩,产后护理,熟练的分娩人员和≥4次产前护理访问有关.
- 在疫苗接种覆盖率方面观察到显著的区域差异.
结论:
- 在整个东非,儿童疫苗接种覆盖率仍然低于最佳水平.
- 需要在高风险地区采取有针对性的干预措施,以解决已识别的决定因素并提高疫苗接种率.
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