2005-2021年印度五岁以下儿童免疫导致发育迟缓的负担,印度,2005-2021年
Junaid Khan1, Sanjay K Mohanty2, Parul Puri3
1Department of Statistics, Vivekananda College, Thakurpukur, Kolkata, 700063, India. statjun@gmail.com.
BMC pediatrics
|October 22, 2025
概括
印度的全面免疫 (FI) 显著减少了儿童发育迟缓. 在社会经济群体中观察到的衰老负担的下降凸显了免疫计划对儿童健康结果的影响.
科学领域:
- 儿童健康与营养
- 公共卫生干预 公共卫生干预
- 健康的社会经济决定因素
背景情况:
- 儿童发育迟缓仍然是印度的一个重大公共卫生挑战,不成比例地影响来自不同社会经济背景的儿童.
- 了解完整免疫 (FI) 状态在不同社会经济层面缓解衰退中的作用,对于有针对性的干预至关重要.
研究的目的:
- 根据印度儿童的完全免疫 (FI) 状态和社会经济特征,检查印度儿童中发育迟缓的差异.
- 评估随着时间的推移以及各个社会经济群体中完全免疫的儿童中衰老负担的趋势.
主要方法:
- 利用了来自国家家庭健康调查 (NFHS) 轮 (2005-06,2015-16,2019-21) 对12-59个月龄的儿童的数据.
- 采用了双变量交叉表格,后勤回归,人口归因风险 (PAR),Blinder-Oaxaca和Fairlie分解分析.
- 检查了完整免疫接种的未调整和调整的几率,并量化了免疫接种导致的衰老差距.
主要成果:
- 在完全免疫的儿童中,发育迟缓的发病率从2005-06年的60%下降到2019-21年的38%.
- 母亲的教育和家庭的经济福利显示,随着时间的推移和免疫状况,缩的流行率呈现明显的梯度.
- 分解分析显示,在各种社会经济阶层中,免疫免疫导致的儿童发育迟缓负担大幅减少.
结论:
- 在2005年至2021年期间,全面免疫 (FI) 已有助于减少印度异质儿童人口的衰老负担.
- 持续监测跨社会经济层面的免疫覆盖率对于进一步降低儿童发育迟缓的患病率至关重要.
- 专注于免疫的有针对性的策略对于改善儿童健康状况和解决社会经济差异至关重要.
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