罗德岛州早期地区 COVID-19 疫苗优先接种政策评估。

IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
American journal of public health Pub Date : 2024-10-01 Epub Date: 2024-08-28 DOI:10.2105/AJPH.2024.307741
Taylor M Fortnam, Laura C Chambers, Alyssa Bilinski, Roberta DeVito, Lisa Gargano, Michelle Wilson, Joseph W Hogan
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引用次数: 0

摘要

目的确定按地域优先供应有限的 COVID-19 疫苗是否能有效减少病例发生率的地域差异。方法。罗得岛州将 COVID-19 疫苗的部分初始供应量分配给了中央瀑布社区的居民,该社区已经受到结构性政策和不完善制度的影响,导致健康不平等现象长期存在,COVID-19 发病率和死亡率过高。该政策在实施过程中制定了文化和语言上适当的社区参与计划,旨在减少观察到的差异。利用贝叶斯因果分析法和人口监测数据,我们评估了这项优先政策在随后 16 周内对记录病例的影响。结果显示对中部瀑布地区进行早期地域优先接种加速了疫苗的吸收,在 16 周内估计避免了 520 例病例(95% 置信区间 = 22, 1418),并在此期间减少了约 34% 的病例(避免 520 例病例与未进行早期优先接种的预计 1519 例病例)。结论。早期地域优先原则提高了中部瀑布地区的疫苗接种率并减少了病例,从而缩小了地域差异。对公共卫生的影响。公共卫生机构应考虑对有限的疫苗供应进行地域优先排序,以减少病例发生率的地域差异。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307741 )。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Rhode Island's Early Geographic COVID-19 Vaccine Prioritization Policy.

Objectives. To determine whether geographic prioritization of limited COVID-19 vaccine supply was effective for reducing geographic disparities in case rates. Methods. Rhode Island allocated a portion of the initial COVID-19 vaccine supply to residents of Central Falls, a community already affected by structural policies and inadequate systems that perpetuate health inequities and experiencing disproportionately high COVID-19 morbidity and mortality. The policy was implemented with a culturally and linguistically appropriate community engagement plan and was intended to reduce observed disparities. Using a Bayesian causal analysis with population surveillance data, we evaluated the impact of this prioritization policy on recorded cases over the subsequent 16 weeks. Results. Early geographic prioritization of Central Falls accelerated vaccine uptake, averting an estimated 520 cases (95% confidence interval = 22, 1418) over 16 weeks and reducing cases by approximately 34% during this period (520 averted vs 1519 expected without early prioritization). Conclusions. Early geographic prioritization increased vaccine uptake and reduced cases in Central Falls, thereby reducing geographic disparities. Public Health Implications. Public health institutions should consider geographic prioritization of limited vaccine supply to reduce geographic disparities in case rates. (Am J Public Health. 2024;114(S7):S580-S589. https://doi.org/10.2105/AJPH.2024.307741).

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来源期刊
American journal of public health
American journal of public health 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.50
自引率
3.90%
发文量
1109
审稿时长
2-4 weeks
期刊介绍: The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.
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