在三个学术初级保健中心的儿科RSV保护和社会风险
Mary Carol Burkhardt1, Melissa E Day2, Anne K Jackson3
1Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Academic pediatrics
|February 16, 2026
概括
在2023-24年和2024-25年季节,婴儿的呼吸道同胞性病毒 (RSV) 保护增加. 具有积极社会风险因素的婴儿更有可能获得RSV保护,这表明健康结果可能公平.
科学领域:
- 儿童传染病 儿童传染病
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 呼吸道同胞性病毒 (RSV) 对婴儿造成重大健康负担.
- 随着RSV治疗药物的可用性,提供了改善保护率的机会.
- 了解获得预防措施的差异对于公平的健康结果至关重要.
研究的目的:
- 调查婴儿中社会风险和呼吸道共病毒 (RSV) 保护之间的关联.
- 分析2023-24和2024-25赛季RSV保护的趋势及其与健康的社会决定因素的关系.
- 评估新型RSV治疗对不同婴儿群体平等保护的影响.
主要方法:
- 这是一项回顾性研究,利用三家儿科初级保健实践的电子健康记录.
- 纳入标准:在RSV季节8个月以下的婴儿,具有记录的RSV保护状态 (nirsevimab或母体疫苗接种).
- 统计分析包括奇平方测试和多变量后勤回归来评估社会风险,社会人口统计因素和RSV保护之间的关联.
主要成果:
- RSV保护率从2023-24年的47.7%增加到2024-25年的60.5% (p<0.001).
- 具有积极社会风险查的婴儿在两个季节都更有可能获得RSV保护 (p=0.018在2023-24年; p=0.007在2024-25年).
- 在调整后,积极的社会风险仍然与RSV保护的更高几率相关 (OR 1.25-1.36).
结论:
- 在2023-24和2024-25赛季之间,RSV保护率显著提高.
- 社会风险因素与获得RSV保护有积极的关联,这表明这些疗法可能正在到达弱势群体.
- 这些发现支持了新型RSV疗法的潜力,以促进更公平的健康结果.
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