日本的母体RSV疫苗接种范围和决定因素:一项全国性调查
Yusuke Okubo1, Risa Honjo1, Shinya Tsuzuki2
1Department of Social Medicine, National Center for Child Health and Development, Tokyo, Japan.
概括
日本的母体RSV疫苗接种覆盖率很低,社会经济和地区差异很大. 高昂的成本和缺乏意识是吸收的主要障碍.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 卫生经济学 卫生经济学
背景情况:
- 呼吸道同胞性病毒 (RSV) 构成了全球健康负担,特别是在儿童群体.
- 母亲RSV疫苗接种是保护婴儿的最新策略,但由于成本和公平性问题,其在日本的采用是不确定的.
研究的目的:
- 评估日本母亲的RSV疫苗接种覆盖率.
- 确定疫苗接种中的社会经济和区域差异.
- 确定疫苗接种障碍和对成本的态度.
主要方法:
- 全国性产后妇女调查 (2024年7月至2025年8月).
- 调查问卷评估了疫苗接种情况,负担能力,态度 (5C模型) 和人口统计数据.
- 多变量修改的波桑回归分析了与吸收相关的因素.
主要成果:
- 在1279名受访者中,11.6%接受了母亲RSV疫苗接种.
- 覆盖范围因收入,教育,地区和平等而异;受不孕症治疗和其他疫苗接种的影响.
- 高昂的自费费用 (87.2%) 和缺乏意识 (28.9%) 是主要的障碍,77.5%的人会接受免费.
结论:
- 日本的母体RSV疫苗接种覆盖率很低,社会经济和地区不平等的特点.
- 解决成本障碍和标准化建议对于增加采用至关重要.
- 减轻财务负担和提高意识可以提高疫苗公平性和覆盖率.
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