出生顺序和流感疫苗接种:对第一次和第二次中国父母之间的行为和意图的比较研究
Kan Chen1,2, Zhexin Xu1,2, Yi Zhou1,2
1Institute of Infectious Disease and Vaccine, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China.
Expert review of vaccines
|October 17, 2025
概括
首次成为父母的儿童在3岁以下的儿童中,流感疫苗接种率较低,犹率更高. 解决社会规范和疫苗供应可靠性问题可以改善儿童免疫公平.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
背景情况:
- 调查出生顺序对儿童流感疫苗接种行为的影响.
- 确定了导致6岁以下儿童接种疫苗差异的因素.
- 旨在为减少免疫接种健康不平等的战略提供信息.
研究的目的:
- 检查出生顺序对父母流感疫苗接种决定的影响.
- 确定疫苗犹和疫苗接种率的关键预测因素.
- 通知有针对性的干预措施,以提高疫苗公平性.
主要方法:
- 在中国 (N=3,569) 采用分层抽样进行全国横截面调查.
- 使用了世界卫生组织的疫苗犹矩阵的决定因素.
- 采用了对数回归,随机森林分析和ANOVA.
主要成果:
- 第一个孩子的接种率比第二个孩子的接种率低 (64.9%),比40个月前的第二个孩子 (71.7%).
- 第一次父母在49个月前表现出更高的疫苗犹 (58.6%).
- 关键预测因素包括"免疫作为社会规范"和"疫苗供应可靠性".
结论:
- 首次父母的疫苗接种率降低,幼儿的犹增加.
- 接种疫苗的差异在三岁后会减少.
- 这些发现支持特定于出生顺序的策略,以改善疫苗公平.
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