在流行病期间优化移民疫苗分配的基于公平性的技术:范围审查
Sera Şimşek1, Sevval Altay2, F Sibel Salman3
1Department of Public Health, Koc University, Istanbul, Turkey.
PeerJ
|November 4, 2025
概括
移民面临着严重的疫苗接种障碍,需要以公平为基础的战略和包容性的医疗保健来实现公平的免疫. 针对有针对性的疫苗接种模式需要进一步的研究,优先考虑移民人口.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 流行病学 流行病学
背景情况:
- 移民在接种疫苗方面遇到重大障碍,包括接种和覆盖的差异.
- 公平的免疫接种,特别是在流行病期间,需要基于公平的战略和移民人口的包容性医疗保健基础设施.
研究的目的:
- 在流行病期间调查移民人口的基于公平的疫苗接种策略.
- 分析针对移民的疫苗分发模式及其有效性.
主要方法:
- 根据PRISMA和ECLIPSE指南进行了范围审查.
- 在多个数据库 (PubMed,Scopus,Web of Science,Cochrane,Ovid) 搜索了2000-2022年的英语文章.
- 包括关于移民接种疫苗的研究,犹,建模和公平原则,选择19个进行全文评估.
主要成果:
- 移民疫苗接种率 (42.7%-87%) 低于东道国人口,尽管 ~70%的意愿.
- 关键的障碍包括语言,医疗保健准入和信息差距.
- 公平通过卫生服务 (19项研究),社区参与 (4) 和建模 (2) 来定义;策略包括社区参与和数字健康信息.
结论:
- 移民的挑战 (医疗保健,语言,生活条件) 阻碍了公平的疫苗分配.
- 缺乏针对移民的系统的国家疫苗分配计划.
- 有针对性的,以公平为基础的方法和对移民优先政策和交付模式的进一步研究是必不可少的.
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