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首页> 外文期刊>Journal of public health management and practice: JPHMP >Pandemics and health equity: lessons learned from the H1N1 response in Los Angeles County.
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Pandemics and health equity: lessons learned from the H1N1 response in Los Angeles County.

机译：大流行和健康公平：从洛杉矶县的H1N1应对中吸取的教训。

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BACKGROUND: Pandemic preparedness and response (as with all public health actions) occur within a social, cultural, and historical context of preexisting health disparities and, in some populations, underlying mistrust in government. Almost 200,000 people received H1N1 vaccine at 109 free, public mass vaccination clinics operated by the Los Angeles County Department of Public Health between October 23, 2009, and December 8, 2009. Wide racial/ethnic disparities in vaccination rates were observed with African Americans having the lowest rate followed by whites. METHODOLOGY/PRINCIPAL FINDINGS: Demographic information, including race/ethnicity, was obtained for 163 087 of the Los Angeles County residents who received vaccine. This information was compared with estimates of the Los Angeles County population distribution by race/ethnicity. Rate ratios of vaccination were as follows: white, reference; African American, 0.5; Asian, 3.2; Hispanic, 1.5; Native American, 1.9; and Pacific Islander, 4.3. SIGNIFICANCE: Significant political challenges and media coverage focused on equity in vaccination access specifically in the African American population. An important challenge was community-level informal messaging that ran counter to the official response to the challenges, to improve outreach and build trust and engagement with African Americans in Los Angeles County.
机译：背景：大流行的防范和应对措施（与所有公共卫生行动一样）发生在社会，文化和历史背景下，既有健康差异，在某些人群中还存在着对政府的不信任感。在2009年10月23日至2009年12月8日之间，洛杉矶县公共卫生局运营的109个免费公共疫苗接种诊所中，将近有200,000人接种了H1N1疫苗。最低的比率是白人。方法/主要发现：获得了接受疫苗的洛杉矶县居民163 087的人口统计信息，包括种族/民族。将该信息与根据种族/民族对洛杉矶县人口分布的估计进行了比较。疫苗接种率如下：白色，参考;非裔美国人，0.5;亚洲人3.2;西班牙裔，1.5;美国原住民，1.9;和太平洋岛民，4.3。意义：重大的政治挑战和媒体报道着重于尤其在非裔美国人中获得疫苗接种的公平性。一个重要的挑战是社区级别的非正式消息传递，与官方对这些挑战的回应背道而驰，这是为了扩大宣传范围并与洛杉矶县的非洲裔美国人建立信任和互动。

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