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2009 - 2010流感季节美国儿童甲型H1N1流感大流行疫苗接种情况建模:2010年国家健康访谈调查结果

Modeling receipt of influenza A(H1N1)pdm09 vaccinations among US children during the 2009-2010 flu season: findings from the 2010 National Health Interview Survey.

作者信息

Blackwell Debra L

机构信息

National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), Hyattsville, MD.

出版信息

Med Care. 2015 Feb;53(2):191-8. doi: 10.1097/MLR.0000000000000290.

DOI:10.1097/MLR.0000000000000290
PMID:25517073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4658650/
Abstract

OBJECTIVE

Using 32 weeks of data from the 2010 National Health Interview Survey, factors associated with receipt of influenza A(H1N1)pdm09 vaccinations among US children during October 2009 through February 2010 are examined.

METHODS

Logistic models estimated receipt of first dose by January 1, 2010 for all children aged 4.5 months through 17 years and receipt of second dose by February 1, 2010 for children aged 6 months through 9 years who received a first dose, using demographic characteristics and measures of family structure, parental education, family income, access to health care, and chronic condition status. All analyses were weighted to yield nationally representative results for the US child population.

RESULTS

Receipt of a seasonal influenza vaccination in the 12 months before October 2009 as well as race/ethnicity, family structure, and various measures representing family socioeconomic status were statistically significant correlates of receipt of the first pH1N1 dose, whereas children's asthma and chronic condition status were not.

CONCLUSIONS

In the event of future pandemics, public health officials may utilize these findings to target particular segments of the US child population that may have been underserved during the 2009 influenza pandemic.

摘要

目的

利用2010年国家健康访谈调查的32周数据,研究2009年10月至2010年2月期间美国儿童接种甲型H1N1流感大流行疫苗相关因素。

方法

采用逻辑模型估计所有4.5个月至17岁儿童在2010年1月1日前接种第一剂疫苗的情况,以及6个月至9岁已接种第一剂疫苗的儿童在2010年2月1日前接种第二剂疫苗的情况,使用人口统计学特征以及家庭结构、父母教育程度、家庭收入、获得医疗保健的机会和慢性病状况等指标。所有分析均进行加权处理,以得出美国儿童人口具有全国代表性的结果。

结果

2009年10月前12个月内接种季节性流感疫苗以及种族/族裔、家庭结构和代表家庭社会经济地位的各种指标与接种第一剂甲型H1N1流感疫苗在统计学上显著相关,而儿童哮喘和慢性病状况则不然。

结论

在未来发生大流行时,公共卫生官员可利用这些研究结果,针对2009年流感大流行期间可能未得到充分服务的美国儿童特定群体。