Community Engagement in Vaccination Promotion: Systematic Review and Meta-Analysis

作者：Yao Jie Xie, Xiaoli Liao, Meijuan Lin, Lin Yang, Kin Cheung, Qingpeng Zhang, Yan Li, Chun Hao, Haoxiang Wang, Yang Gao, Dexing Zhang, Alex Molassiotis, G. G. Siu, Angela Yee Man Leung · 发表于：JMIR Public Health and Surveillance · 年份：2024 · DOI：10.2196/49695 · 被引用次数：43 · 研究领域：Vaccine Coverage and Hesitancy、COVID-19 and Mental Health、Health Policy Implementation Science

Background Community engagement plays a vital role in global immunization strategies, offering the potential to overcome vaccination hesitancy and enhance vaccination confidence. Although there is significant backing for community engagement in health promotion, the evidence supporting its effectiveness in vaccination promotion is fragmented and of uncertain quality. Objective This review aims to systematically examine the effectiveness of different contents and extent of community engagement for promoting vaccination rates. Methods This study was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A comprehensive and exhaustive literature search was performed in 4 English databases (PubMed, Embase, Web of Science, and Cochrane Library) and 2 Chinese databases (CNKI and Wan Fang) to identify all possible articles. Original research articles applying an experimental study design that investigated the effectiveness of community engagement in vaccination promotion were eligible for inclusion. Two reviewers independently performed the literature search, study selection, quality assessment, and data extraction. Discrepancies were resolved through discussion, with the arbitration of a third reviewer where necessary. Results A total of 20 articles out of 11,404 records from 2006 to 2021 were retrieved. The studies used various designs: 12 applied single-group pre-post study designs, 5 were cluster randomized contro...