Introduction: Low levels of adult vaccination have been documented in the United States and globally. Research has been conducted to identify reasons for low immunization rates; however, the most useful studies are those that implemented interventions for identified barriers to evaluate their impact on rates of immunization. Identifying successful interventions provides immunization providers with evidence-based methods that can be utilized to increase the uptake of recommended vaccines.Areas covered: This review focuses on known barriers to adult immunizations and the interventions available in the literature to overcome these barriers. It outlines interventions that may increase vaccine uptake in the adult population through addressing barriers related to lack of vaccine knowledge, cost, access, provider and practice-based challenges, and racial and ethnic disparities.Expert opinion: Improving adult immunization rates is critical to protecting a population against vaccine-preventable diseases. Those interventions that appeared to increase immunization rates in the adult population included education and reminders about vaccination using text and telephone calls, low-cost or subsidized vaccines, easy access to immunization services, and understanding the cultural and social needs of different racial and ethnic populations. It is likely that an evidence-based multimodal approach using different categories of interventions is necessary to significantly improve adult immunization rates.

中文翻译：

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解决成人免疫中的常见障碍：干预措施综述。

简介：在美国和全球范围内，成人疫苗接种水平较低。已经进行了研究以确定免疫率低的原因；但是，最有用的研究是对确定的障碍实施干预措施以评估其对免疫率的影响的研究。识别成功的干预措施可为免疫提供者提供基于证据的方法，可用于增加推荐疫苗的摄取。涵盖范围：本综述着重于成人免疫的已知障碍以及文献中为克服这些障碍而可用的干预措施。它概述了通过解决与缺乏疫苗知识，成本，获取，提供者和实践相关的挑战有关的障碍，可以增加成年人口疫苗摄入的干预措施，专家意见：提高成人的免疫率对于保护人群免受疫苗可预防的疾病至关重要。那些似乎增加了成年人免疫接种率的干预措施包括教育和提醒使用文字和电话进行疫苗接种，低成本或有补贴的疫苗，易于获得的免疫服务以及了解不同种族和族裔人口的文化和社会需求。可能有必要使用基于证据的多模式方法来使用不同类别的干预措施，以显着提高成人免疫率。那些似乎增加了成年人免疫接种率的干预措施包括教育和提醒使用文字和电话进行疫苗接种，低成本或有补贴的疫苗，易于获得的免疫服务以及了解不同种族和族裔人口的文化和社会需求。可能有必要使用基于证据的多模式方法来使用不同类别的干预措施，以显着提高成人免疫率。那些似乎增加了成年人免疫接种率的干预措施包括教育和提醒使用文字和电话进行疫苗接种，低成本或有补贴的疫苗，易于获得的免疫服务以及了解不同种族和族裔人口的文化和社会需求。可能有必要使用基于证据的多模式方法来使用不同类别的干预措施，以显着提高成人免疫率。