社会不平等和24个月全面接种疫苗 - 2017-2018活产队列:2020年全国接种疫苗覆盖率调查
Rita Barradas Barata1, Ana Paula França1, Ione Aquemi Guibu1
1Faculdade de Ciências Médicas da Santa Casa de São Paulo, Department of Collective Health - São Paulo (SP), Brazil.
概括
在巴西,所有社会经济群体中,两岁以下儿童的接种疫苗覆盖率很低,社会经济层次较高的儿童接种率较低. 诸如出生顺序和家庭拥挤等因素影响了完整的免疫接种计划.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会医学 社会医学
背景情况:
- 社会经济不平等显著影响健康结果,包括儿童疫苗接种覆盖率.
- 了解这些差异对于制定有针对性的公共卫生干预措施至关重要.
- 到24个月完整免疫接种是儿童健康和生存的关键指标.
研究的目的:
- 分析24个月龄的完全免疫接种计划覆盖的社会不平等现象.
- 检查社会经济层面,家庭,母亲和儿童特征对疫苗接种状况的影响.
- 确定与巴西儿童免疫接种差异相关的因素.
主要方法:
- 关于巴西城市 (2017-2018) 活产儿的回顾性队列研究.
- 通过采访和疫苗卡审查 (2020-2021) 收集的数据.
- 根据收入和识字程度分层的人口普查区域;使用波松回归分析.
主要成果:
- 在所有社会经济阶层中,总体疫苗接种率低于50%.
- 在社会经济层A和B (更高的生活水平) 中观察到更低的覆盖率.
- 与覆盖率较低相关的因素包括出生顺序较高,家庭拥挤和进入障碍;公共服务使用与覆盖率较高相关.
结论:
- 在较高的社会经济阶层 (A/B) 中,疫苗接种率矛盾地较低.
- 影响疫苗接种的家庭,母亲和儿童因素在社会经济层面上有很大差异.
- 疫苗接种覆盖率决定因素的普遍模式并不显而易见,需要分层特定的策略.
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