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首页> 外文期刊>BMC International Health and Human Rights >Effect of the conditional cash transfer program Oportunidades on vaccination coverage in older Mexican people
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Effect of the conditional cash transfer program Oportunidades on vaccination coverage in older Mexican people

机译：有条件现金转移计划Oportunidades对墨西哥老年人的疫苗接种覆盖率的影响

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Background Immunization is one of the most effective ways of preventing illness, disability and death from infectious diseases for older people. However, worldwide immunization rates are still low, particularly for the most vulnerable groups within the elderly population. The objective of this study was to estimate the effect of the Oportunidades -an incentive-based poverty alleviation program- on vaccination coverage for poor and rural older people in Mexico. Methods Cross-sectional study, based on 2007 Oportunidades Evaluation Survey, conducted in low-income households from 741 rural communities (localities with Oportunidades effect. Results 12,146 older people were interviewed, and 7% presented cognitive impairment. Among remaining, 4,628 were matched. Low coverage rates were observed for the vaccines analyzed. For Oportunidades and non-Oportunidades populations were 46% and 41% for influenza, 52% and 45% for pneumococcal disease, and 79% and 71% for tetanus, respectively. Oportunidades effect was significant in increasing the proportion of older people vaccinated: for complete schedule 5.5% (CI95% 2.8-8.3), for influenza 6.9% (CI95% 3.8-9.6), for pneumococcal 7.2% (CI95% 4.3-10.2), and for tetanus 6.6% (CI95% 4.1-9.2). Conclusions The results of this study extend the evidence on the effect that conditional transfer programs exert on health indicators. In particular, Oportunidades increased vaccination rates in the population of older people. There is a need to continue raising vaccination rates, however, particularly for the most vulnerable older people.
机译：背景技术免疫是预防老年人因传染病生病，致残和死亡的最有效方法之一。但是，全世界的免疫率仍然很低，特别是对于老年人群中最脆弱的人群。这项研究的目的是评估机会计划（一项基于激励的扶贫计划）对墨西哥贫困人口和农村老年人的疫苗接种覆盖率的影响。方法基于2007年机会评估评估调查，对来自741个农村社区（有机会效应的地区）的低收入家庭进行横断面研究。结果对12 146名老年人进行了访谈，其中7％存在认知障碍，其余4 628人被配对。所分析的疫苗的覆盖率很低，对于机会类和非机会类人群，流感分别为46％和41％，肺炎球菌疾病分别为52％和45％，破伤风为79％和71％。在增加老年人接种疫苗的比例方面：完整时间表为5.5％（CI 95％ 2.8-8.3），流感6.9％（CI 95％ 3.8-9.6），肺炎球菌为7.2％（CI 95％ 4.3-10.2），破伤风为6.6％（CI 95％ 4.1-9.2）。结论本研究的结果扩展了证据有条件转移计划对健康指标产生的影响，尤其是机会虫的疫苗接种量增加老年人口的信息化率。但是，有必要继续提高疫苗接种率，特别是对于最脆弱的老年人。

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