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[四种疫苗在成人中的使用评估:阿根廷的一项人群调查]

[Assessment of the use in adults of four vaccines: a population survey in Argentina].

作者信息

Vizzotti Carla, Katz Nathalia, Stecher Daniel, Aquino Analía, Juárez María Del Valle, Urueña Analía

机构信息

Dirección de Control de Enfermedades Inmunoprevenibles (DiCEI), Ministerio de Salud de la Nación, Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 2018;78(2):76-82.

Abstract

Vaccination is one of the most effective strategies for disease prevention. Argentina initiated the transition from child vaccination to family vaccination through the incorporation of an adult schedule. One of the difficulties with this last group is to assess the percentage of use (PU) of the vaccines. With the aim of determining the PU of adult vaccines in Argentina, a vaccination module was included in the National Survey of Risk Factors carried out in 2013 by the National Ministry of Health. The sampling had a stratified multistage design. A total of 32 365 people = 18 year-old were surveyed about the use of four vaccines included in the National Vaccination Calendar: hepatitis B, tetanus, influenza, and pneumococcus. The entire population was surveyed for tetanus and hepatitis B while certain groups at risk were evaluated for influenza and pneumococcus, according to current recommendations. PU varied according to the vaccine analyzed: tetanus 49.8%, hepatitis B 21.7%, influenza 51.6% and pneumococcus 16.2%. The main information sources on adult vaccination were media (television, internet, etc.) followed by health personnel (70.8% and 27.9%, respectively). The survey is a suitable tool to assess the use of vaccines by adults, identify low coverage populations, and to plan and implement strategies to improve coverage.

摘要

疫苗接种是疾病预防最有效的策略之一。阿根廷通过纳入成人疫苗接种计划,启动了从儿童疫苗接种到家庭疫苗接种的转变。这一群体面临的困难之一是评估疫苗的使用百分比(PU)。为了确定阿根廷成人疫苗的PU,在2013年由国家卫生部开展的全国风险因素调查中纳入了一个疫苗接种模块。抽样采用分层多阶段设计。总共对32365名18岁及以上的人进行了关于国家疫苗接种计划中四种疫苗使用情况的调查:乙肝、破伤风、流感和肺炎球菌。根据当前建议,对全体人群进行了破伤风和乙肝疫苗接种情况调查,而对某些高危人群进行了流感和肺炎球菌疫苗接种情况评估。PU因所分析的疫苗而异:破伤风为49.8%,乙肝为21.7%,流感为51.6%,肺炎球菌为16.2%。成人疫苗接种的主要信息来源是媒体(电视、互联网等),其次是卫生人员(分别为70.8%和27.9%)。该调查是评估成人疫苗使用情况、识别低覆盖率人群以及规划和实施提高覆盖率策略的合适工具。

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