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甲型H1N1流感大流行疫苗的分配:需更多考虑小型监狱

Distribution of A(H1N1)pdm09 Influenza Vaccine: Need for Greater Consideration of Smaller Jails.

作者信息

Lee Alice S, Berendes David M, Seib Katherine, Whitney Ellen A S, Chavez R Scott, Meyer Patricia Lynn, Berkelman Ruth L, Omer Saad B, Spaulding Anne C

机构信息

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

出版信息

J Correct Health Care. 2014 Jul;20(3):228-239. doi: 10.1177/1078345814532223. Epub 2014 Jun 16.

DOI:10.1177/1078345814532223
PMID:24934841
Abstract

To identify factors associated with vaccine receipt among correctional facilities during the A(H1N1)pdm09 influenza pandemic, this study surveyed one third of U.S. correctional facilities. Analysis of the association of average daily population (ADP) on A(H1N1)pdm09 influenza vaccine receipt found that an ADP increase of 100 inmates resulted in a 32% increased likelihood of receiving influenza vaccine among smaller jails. Zero percent of large jails, 14% of federal prisons, 11% of nonfederal prisons, and 57% of small jails reported never receiving pandemic influenza vaccine. A qualitative assessment identified barriers to vaccine delivery, lessons learned from pandemic response, and recommendations for public health partners. Building stronger relationships between public health entities and correctional facilities to collaborate in influenza pandemic preparedness efforts may help protect correctional and community populations.

摘要

为了确定甲型H1N1流感大流行期间惩教设施中与疫苗接种相关的因素,本研究对美国三分之一的惩教设施进行了调查。对平均每日在押人数(ADP)与甲型H1N1流感疫苗接种之间关联的分析发现,在较小的监狱中,平均每日在押人数每增加100名囚犯,接种流感疫苗的可能性就会增加32%。大型监狱中0%、联邦监狱中14%、非联邦监狱中11%以及小型监狱中57%的机构报告从未接种过甲型H1N1流感大流行疫苗。一项定性评估确定了疫苗接种的障碍、从应对大流行中吸取的经验教训以及对公共卫生合作伙伴的建议。在公共卫生实体与惩教设施之间建立更牢固的关系,以便在流感大流行防范工作中开展合作,可能有助于保护惩教机构人员和社区居民。

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