Effect of Hurricane Maria on HPV, Tdap, and meningococcal conjugate vaccination rates in Puerto Rico, 2015-2019.
Effect of Hurricane Maria on HPV, Tdap, and meningococcal conjugate vaccination rates in Puerto Rico, 2015-2019.
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DOI：
10.1080/21645515.2021.2004809
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发表时间：
2021-12-02
影响因子：
4.8
通讯作者：
Suárez EL
中科院分区：
文献类型：
--
作者：
Colón-López V;Díaz-Miranda OL;Medina-Laabes DT;Soto-Abreu R;Vega-Jimenez I;Ortiz AP;Suárez EL
2017年9月，飓风玛丽亚摧毁了加勒比海地区，其中包括美国领土波多黎各（PR）。疫苗接种的分布和吸收受到影响。本研究评估了2015 - 2019年青少年人乳头瘤病毒（HPV）、百白破（Tdap）和脑膜炎球菌结合（MenACWY）疫苗每月接种率的趋势，在此期间有可能观察和分析飓风玛丽亚对疫苗接种的影响。估计每月的起始率。估计年龄标准化起始率比（SRR）和95% CI。该分析包括85,340名青少年；男性占52.3%，女性占47.7%。2017年9月显示，在所有研究的疫苗中，HPV疫苗的启动率较低，灾难发生后的启动率为75%（2017年7月的启动率接近90%）。同期，百白破和麻疹疫苗接种率保持在90%以上。2017年9月和10月HPV疫苗的SRR显示，当2016年为参考年时，每个月的疫苗启动率估计分别降低了5%和8% （p >.05）。以2015年和2016年为参照年，2017年11月Tdap和MenACWY疫苗的SRR显著降低（p < 0.05）。HPV疫苗接种率受飓风玛丽亚影响最为严重。自然灾害后方案应加强现有规划，促进免疫接种。
In September 2017, Hurricane Maria devastated the Caribbean region, among them the US territory of Puerto Rico (PR). Vaccination distribution and uptake suffered from the impact. This study evaluated the trends in monthly vaccination initiation rates for human papilloma virus (HPV), Tdap and meningococcal conjugate (MenACWY) adolescent vaccines from 2015 to 2019, during which it was possible to observe and analyze the impact of Hurricane Maria on vaccine initiation. Monthly initiation rates were estimated. Age-standardized initiation rate ratio (SRR) and 95% CI were estimated. The analysis included 85,340 adolescents; 52.3% were male, and 47.7% were females. September 2017 showed HPV vaccine initiation had the lower rates of all the studied vaccines, with a rate of 75% after the disaster (from a rate of almost 90% in July 2017). Tdap and MenACWY vaccines rates remained above 90% in the same period. The SRR of HPV vaccine for September and October 2017 showed an estimated reduction of 5% and 8% in vaccine initiation rates, respectively for each month, when 2016 was the reference year (p > .05). The SRR of Tdap and MenACWY vaccines for November 2017 showed significant reductions when 2015 and 2016 were reference years (p < .05). HPV vaccine initiation rate was the most severely affected by the Hurricane Maria. Post-natural disaster protocols should strengthen existing programs for facilitate immunization access.
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影响因子：
4.8
作者：
Consonni, Dario;Coviello, Enzo;Mensi, Carolina
通讯作者：
Mensi, Carolina
影响因子：
33.9
作者：
Havers, Fiona P.;Moro, Pedro L.;Bernstein, Henry
通讯作者：
Bernstein, Henry
影响因子：
5.5
作者：
Colón-López V;Vázquez-Otero C;Rivera-Figueroa V;Arroyo-Morales GO;Medina-Laabes DT;Soto-Abreu R;Díaz-Miranda OL;Rivera Á;Cardona I;Ortiz AP;VOCESPR;Hull PC
通讯作者：
Hull PC
影响因子：
2.3
作者：
Macias, R. Lillianne;LeBron, Alana;Silva, Michelle
通讯作者：
Silva, Michelle
影响因子：
2.7
作者：
Brown W 3rd;Lopez Rios J;Sheinfil A;Frasca T;Cruz Torres C;Crespo R;Dolezal C;Giguere R;Lentz C;Balán IC;Rael CT;Febo I;Carballo-Diéguez A
通讯作者：
Carballo-Diéguez A