Immunization equity
Immunization equity
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DOI：
10.1016/j.vaccine.2015.09.033
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发表时间：
2015-11-27
期刊：
影响因子：
5.5
通讯作者：
McKinlay, Mark A.
中科院分区：
文献类型：
--
作者：
Hinman, Alan R.;McKinlay, Mark A.
卫生不平等是指不同社会群体在卫生方面的不公平差别。不幸的是，在健康状况以及获得和使用卫生服务方面，不公平现象是常态。儿童免疫可减少疫苗可预防疾病的发病率，是促进卫生公平的一种具有成本效益的方式。本文反映了2015年对2005年至2011年在发展中国家进行的调查数据的审查，这些调查显示免疫接种覆盖率存在重大不公平现象，并讨论了目前正在进行的旨在增加儿童免疫接种或减少或消除总体卫生不公平现象的若干举措（包括全球疫苗免疫联盟）。这些举措已经对疾病负担和儿童死亡率产生了重大影响，并使人们乐观地认为，免疫方面的投资可能进一步缩小保健差距，实现保健公平。(C) 2015由美国预防医学杂志和爱思唯尔有限公司版权所有。
Health inequities are the unjust differences in health among different social groups. Unfortunately, inequities are the norm, both in terms of health status and access to, and use of, health services. Childhood immunizations reduce the incidence of vaccine-preventable diseases and represent a cost-effective way to foster health equity. This paper reflects a 2015 review of data from surveys conducted in developing countries from 2005 to 2011 that show significant inequities in immunization coverage and discusses several initiatives currently underway (including Gavi, the Vaccine Alliance) that are directed at increasing childhood immunizations or reducing or abolishing overall health inequities. These initiatives have already had a significant impact on disease burden and childhood mortality and give rise to optimism that health disparities may further be reduced and health equity achieved as a result of investments made in immunization. (C) 2015 by American Journal of Preventive Medicine and Elsevier Ltd. All rights reserved.