Individual and neighborhood factors associated with being unvaccinated against COVID-19 among pregnant persons.
Individual and neighborhood factors associated with being unvaccinated against COVID-19 among pregnant persons.
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DOI：
10.1080/21645515.2023.2256042
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发表时间：
2023-08-01
影响因子：
4.8
通讯作者：
中科院分区：
文献类型：
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作者：
我们调查了未接种疫苗的孕妇是否在地理上聚集，并使用空间和多元逻辑回归分析确定了与未接种疫苗相关的因素。包括 2020 年 12 月 15 日至 2022 年 9 月 30 日期间在北加州 Kaiser Permanente 分娩的孕妇。在该研究中的 85,852 名孕妇中，46.6% 的人在怀孕前和怀孕期间未接种疫苗。空间分析确定了 5 个未接种疫苗的孕妇患病率较高的集群。在这些集群内，未接种疫苗的比例从 53% 到 62% 不等，而集群外则为 39%。在协变量调整分析中，居住在集群中会使未接种疫苗的几率增加 1.64（95% 置信区间 (CI)：1.59,1.69）。与年龄≥35岁的人相比，16-24岁的人未接种疫苗的几率增加（比值比[OR] = 2.69，CI：2.55，2.83），25-34岁的人（OR = 1.59，CI：1.54，1.64），黑人种族（OR = 1.45，CI：1.37，1.54）和补贴保险（OR = 1.32，CI：1.26，1.38）。对于居住在高中及以下学历成年人比例超过 20% 的社区的孕妇，未接种疫苗的几率也有所增加。未接种疫苗的孕妇的地理聚集表明需要针对特定人群采取干预措施以提高疫苗覆盖率。
We investigated whether unvaccinated pregnant persons cluster geographically and determined factors associated with being unvaccinated using spatial and multivariate logistic regression analyses. Pregnant persons with deliveries from December 15, 2020, through September 30, 2022, at Kaiser Permanente Northern California were included. Of the 85,852 pregnant persons in the study, 46.6% were unvaccinated before and during pregnancy. Spatial analysis identified 5 clusters with high prevalence of unvaccinated pregnant persons. Within these clusters, the proportion of unvaccinated varied from 53% to 62% versus 39% outside the clusters. In covariate-adjusted analyses, residence in a cluster increased the odds of being unvaccinated by 1.64 (95% confidence interval (CI): 1.59,1.69). The odds of being unvaccinated increased among those aged 16–24 years (odds ratio [OR] = 2.69, CI: 2.55, 2.83), aged 25–34 years (OR = 1.59, CI: 1.54, 1.64) compared with age ≥ 35 years, black race (OR = 1.45, CI:1.37, 1.54), and subsidized insurance (OR = 1.32, CI: 1.26, 1.38). The odds of being unvaccinated also increased for pregnant persons living in neighborhoods where the proportion of adults with high school education or less was greater than 20%. Geographic clustering of unvaccinated pregnant persons suggests a need for population-specific-interventions to increase vaccine coverage.
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怀孕期间和早产儿或小于胎龄儿期间接受 COVID-19 疫苗 - 美国八个综合医疗保健组织，2020 年 12 月 15 日至 2021 年 7 月 22 日。
DOI：
10.15585/mmwr.mm7101e1
发表时间：
2022-01-07
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Lipkind HS;Vazquez-Benitez G;DeSilva M;Vesco KK;Ackerman-Banks C;Zhu J;Boyce TG;Daley MF;Fuller CC;Getahun D;Irving SA;Jackson LA;Williams JTB;Zerbo O;McNeil MM;Olson CK;Weintraub E;Kharbanda EO
通讯作者：
Kharbanda EO
DOI：
10.1056/nejmoa2035389
发表时间：
2021-02-04
期刊：
The New England journal of medicine
影响因子：
--
作者：
Baden LR;El Sahly HM;Essink B;Kotloff K;Frey S;Novak R;Diemert D;Spector SA;Rouphael N;Creech CB;McGettigan J;Khetan S;Segall N;Solis J;Brosz A;Fierro C;Schwartz H;Neuzil K;Corey L;Gilbert P;Janes H;Follmann D;Marovich M;Mascola J;Polakowski L;Ledgerwood J;Graham BS;Bennett H;Pajon R;Knightly C;Leav B;Deng W;Zhou H;Han S;Ivarsson M;Miller J;Zaks T;COVE Study Group
通讯作者：
COVE Study Group
怀孕期间接种 COVID-19 疫苗：覆盖范围和安全性。
影响因子：
9.8
作者：
Blakeway H;Prasad S;Kalafat E;Heath PT;Ladhani SN;Le Doare K;Magee LA;O'Brien P;Rezvani A;von Dadelszen P;Khalil A
通讯作者：
Khalil A
影响因子：
39
作者：
Ferrara, Assiamira;Hedderson, Monique M.;Greenberg, Mara
通讯作者：
Greenberg, Mara
影响因子：
9.8
作者：
Lokken, Erica M.;Walker, Christie L.;Waldorf, Kristina M. Adams
通讯作者：
Waldorf, Kristina M. Adams