Accuracy of adult reported pneumococcal vaccination status of children
Accuracy of adult reported pneumococcal vaccination status of children
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DOI：
10.1016/j.annepidem.2004.07.091
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发表时间：
2005-04-01
影响因子：
5.6
通讯作者：
Metlay, JP
中科院分区：
文献类型：
--
作者：
Czaja, C;Crossette, L;Metlay, JP
目的：肺炎球菌结合疫苗于2000年获准用于儿童。为评价成人回忆儿童肺炎球菌疫苗接种情况的准确性，作者于2003年1月至12月对费城县成人进行了横断面调查。方法：通过随机数字拨号确定受试者，并就所有与他们有重要接触的6岁或以下儿童的年龄和接种情况进行访谈。确定疫苗状态报告的准确性的金标准是儿童免疫接种数据库/跟踪系统（KIDS）在费城市公共卫生部门。结果：185名儿童收集的疫苗接种数据完成了122次访谈。166名儿童（90%）与KIDS登记处的记录相匹配。成人报告儿童疫苗接种状态的敏感性和特异性分别为0.65（95%CI，0.55，0.74）和0.47（95%CI，0.34，0.61）。成人报告和KIDS登记处之间的一致性为59%。协议的显着变化没有被发现与人口统计学特征的成人subjects.CONCLUSION：成人报告的肺炎球菌疫苗接种状况的儿童被认为是相对不准确的，并没有改变已知的人口统计学特征。(c)2004年爱思唯尔公司All rights reserved.
PURPOSE: A pneumococcal conjugate vaccine was licensed in 2000 for use in children. To evaluate the accuracy of an adult's recall of children's vaccination status with the pneumococcal vaccine, the authors conducted a cross-sectional survey of adults in Philadelphia County from January to December 2003.METHODS: Subjects were identified by random digit dialing and interviewed regarding the age and vaccination status of all children 6 years old or younger with whom they had significant contact. The gold standard for determining the accuracy of vaccine status reports was the Kids Immunization Database/ Tracking System (KIDS) at the City of Philadelphia Department of Public Health.RESULTS: One hundred twenty-two interviews were completed with vaccination data collected on 185 children. One hundred sixty-six children (90%) were matched with records in the KIDS registry. The sensitivity and specificity of adult reported child vaccine status were 0.65 (95% CI, 0.55, 0.74) and 0.47 (95% CI, 0.34, 0.61), respectively. Agreement between adult report and the KIDS registry was 59%. Significant variation in agreement was not found to be related to demographic characteristics of the adult subjects.CONCLUSION: Adult report of the pneumococcal vaccination status of children was found to be relatively inaccurate and did not vary by known demographic characteristics. (c) 2004 Elsevier Inc. All rights reserved.