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影响印度那瓦西姆市 2018 年儿童伤寒疫苗接种活动中疫苗接种率的因素。

Factors Influencing Vaccine Receipt During a 2018 Pediatric Typhoid Conjugate Vaccine Campaign in Navi Mumbai, India.

机构信息

World Health Organization-Country Office for India, National Public Health Surveillance Project, New Delhi, India.

Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California.

出版信息

Am J Trop Med Hyg. 2024 Sep 3;111(5):1060-1065. doi: 10.4269/ajtmh.24-0182. Print 2024 Nov 6.

Abstract

In 2018, the Navi Mumbai Municipal Corporation implemented phase 1 of a public sector typhoid conjugate vaccine campaign in Navi Mumbai, India, targeting all children aged 9 months to 14 years within its administrative boundaries. To assess associations with receipt of vaccine in phase 1, we used generalized estimating equations to calculate estimates of vaccination by child-, household-, and community-level demographics (child education and age; household head education, income, and occupation; community informal settlement percent). Campaign vaccine receipt was most associated with children enrolled in school (odds ratio [OR] = 3.84, 95% CI: 2.18-6.77), the lowest household income tertile when divided into three equal parts (OR = 1.64, 95% CI: 1.43-1.84), and lower community-level socioeconomic status (OR = 1.06, 95% CI: 1.04-1.08 per 10% informal settlement proportion). The campaign was successful in reaching the most underserved populations of its target communities.

摘要

2018 年,印度那瓦西 Municipal Corporation 在那瓦西实施了第一阶段公立部门伤寒结合疫苗活动,目标是针对其行政区域内所有 9 个月至 14 岁的儿童。为了评估与第一阶段疫苗接种的相关性,我们使用广义估计方程计算了儿童、家庭和社区人口统计学(儿童教育和年龄;家庭户主教育、收入和职业;社区非正规住区比例)特征与疫苗接种的估计相关性。疫苗接种活动与入学儿童最相关(比值比[OR] = 3.84,95%CI:2.18-6.77),当将家庭收入分为三部分时,收入最低的三分之一与疫苗接种最相关(OR = 1.64,95%CI:1.43-1.84),社区社会经济地位越低(每 10%非正规住区比例,OR = 1.06,95%CI:1.04-1.08)。该活动成功地覆盖了目标社区中服务最不足的人群。

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