Children who have received no routine polio vaccines in Nigeria: Who are they and where do they live?
Children who have received no routine polio vaccines in Nigeria: Who are they and where do they live?
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DOI：
10.1080/21645515.2017.1336590
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发表时间：
2017-01-01
影响因子：
4.8
通讯作者：
Wiysonge, Charles S.
中科院分区：
文献类型：
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作者：
Uthman, Olalekan A.;Adedokun, Sulaimon T.;Wiysonge, Charles S.
尼日利亚在抗击脊髓灰质炎方面取得了显著进展，但2016年8月报告了2例野生脊髓灰质炎病毒病例;结束了2年来没有报告病例的局面。我们检查了未接种脊髓灰质炎疫苗的儿童的地理差异程度，并检查了尼日利亚未接种疫苗的个人和社区水平的预测因素。我们应用多层次逻辑回归模型，最近的尼日利亚人口和健康调查。尼日利亚未常规接种脊髓灰质炎疫苗的儿童比例差异很大，并在地理上集中，主要集中在东北部各州，在这些州内传播的风险很大，并有可能出口到邻国和邻国。只有大约三分之一的人接受了所有推荐的4剂常规口服脊髓灰质炎疫苗。未接种疫苗的儿童的母亲往往没有受过正规教育，目前没有工作，生活在较贫困的家庭，来自孕产妇文盲率较高的社区。
Nigeria has made remarkable progress against polio, but 2 wild polio virus cases were reported in August 2016; putting an end to 2 y without reported cases. We examined the extent of geographical disparities in childhren not vaccinated against polio and examined individual- and community-level predictors of non-vaccination in Nigeria. We applied multilevel logistic regression models to the recent Nigeria Demographic and Health Survey. The percentage of children not routinely vaccinated against polio in Nigeria varied greatly and clustered geographically, mainly in north-eastern states, with a great risk of spread of transmission within these states and potential exportation to neighboring states and countries. Only about one-third had received all recommended 4 routine oral polio vaccine doses. Non-vaccinated children tended to have a mother who had no formal education and who was currently not working, live in poorer households and were from neighborhoods with higher maternal illiteracy rates.