National and State-Specific Td and Tdap Vaccination of Adult Populations.
National and State-Specific Td and Tdap Vaccination of Adult Populations.
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DOI：
10.1016/j.amepre.2015.09.033
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发表时间：
2016-05
影响因子：
5.5
通讯作者：
Williams WW
中科院分区：
文献类型：
--
作者：
Lu PJ;O'Halloran A;Ding H;Liang JL;Williams WW
对于成年人，免疫实践咨询委员会 (ACIP) 建议接种单剂破伤风、白喉和无细胞百日咳疫苗 (Tdap)，此后每 10 年接种一次破伤风和白喉类毒素 (Td) 加强剂量。评估成年人群中最近的 Td 和 Tdap 疫苗接种情况。 2015 年对 2013 年 BRFSS 数据进行了分析，以评估国家和州一级成年人的 Td 和 Tdap 疫苗接种覆盖率。进行多变量逻辑回归和预测边际模型来确定与疫苗接种独立相关的因素。总体而言，全国 18 岁以上成年人 Td 疫苗接种覆盖率为 57.5%，Tdap 疫苗接种覆盖率为 28.9%。各州中，Td 疫苗接种覆盖率从内华达州的 47.8% 到明尼苏达州的 73.1%，Tdap 疫苗接种覆盖率从密西西比州的 17.7% 到明尼苏达州的 47.6%。与 18 岁以上成年人接种 Tdap 疫苗的可能性增加独立相关的特征是： 年龄较小；是女性；美洲印第安人/阿拉斯加原住民（AIAN）种族；从未结婚；高等教育；没有工作，家庭收入≥75,000 美元；居住在美国西部或中西部；报告健康状况极好、非常好、良好或一般；有健康保险；有医疗保健提供者；上一年进行过例行检查；上一年接受过流感疫苗接种；并曾接受过肺炎球菌疫苗接种。到2013年，Td和Tdap疫苗接种覆盖率分别为57.5%和28.9%。覆盖范围因州而异。需要实施循证计划来提高成年人口的 Td 和 Tdap 疫苗接种水平。
For adults, the Advisory Committee on Immunization Practices (ACIP) recommends a single dose of tetanus, diphtheria and acellular pertussis vaccine (Tdap) followed by tetanus and diphtheria toxoids (Td) booster doses every 10 years thereafter. To assess recent Td and Tdap vaccination among adult populations. The 2013 BRFSS data were analyzed in 2015 to assess Td and Tdap vaccination coverage among adults at national and state levels. Multivariable logistic regression and predictive marginal models were performed to identify factors independently associated with vaccination. Overall, national vaccination coverage among adults ≥18 years for Td was 57.5% and for Tdap was 28.9%. Among states, Td vaccination coverage ranged from 47.8% in Nevada to 73.1% in Minnesota, and Tdap coverage ranged from 17.7% in Mississippi to 47.6% in Minnesota. Characteristics independently associated with an increased likelihood of Tdap vaccination among adults ≥18 years were: younger age; being female; American Indian/Alaska Native (AIAN) race; being never married; higher education; not being in the workforce, reporting a household income ≥$75,000; living in the West or Midwest of the United States; reporting excellent, very good, good, or fair health; having health insurance; having a healthcare provider; having a routine checkup in the previous year; receipt of influenza vaccination in the previous year; and having ever received pneumococcal vaccination. By 2013, Td and Tdap vaccination coverage were 57.5% and 28.9%, respectively. Coverage varied by state. Implementation of evidence-based programs are needed to improve Td and Tdap vaccination levels among adult populations.
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