Determinants of childhood immunization uptake among socio-economically disadvantaged migrants in East China.
Determinants of childhood immunization uptake among socio-economically disadvantaged migrants in East China.
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DOI：
10.3390/ijerph10072845
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发表时间：
2013-07-09
影响因子：
--
通讯作者：
Qi X
中科院分区：
文献类型：
--
作者：
Hu Y;Li Q;Chen E;Chen Y;Qi X
目的：确定居住在华东地区的社会经济弱势新近流动人口的适龄儿童免疫接种覆盖率，并确定这些流动儿童充分免疫接种的决定因素。方法：这是一项横断面调查，对 1,426 名子女≤24 个月的流动母亲进行了预测试问卷访谈。收集了各种疫苗、移民历史以及其他一些社会人口和收入详细信息。应用单水平逻辑回归分析来确定完全免疫状态的决定因素。结果：流动人口的免疫覆盖率较低，新移民的免疫覆盖率更低。孩子接受全面免疫的可能性随着父母的教育水平和母亲使用医疗保健的频率而增加。较高的家庭收入也显着增加了充分免疫的可能性，因为卫生工作者在产后就诊时接种了疫苗。结论：近期的移民身份导致免疫接种率较低，特别是在疏远和生计不安全的脆弱背景下。提供的服务必须重点关注新移民。需要对教育、社会经济发展和保障生计进行投资，以改善和维持公平的医疗保健服务。
Objective: To determine the coverage of childhood immunization appropriate for age among socio-economically disadvantaged recent migrants living in East China and to identify the determinants of full immunization uptake among these migrant children. Methods: This is a cross-sectional survey of 1,426 migrant mothers with a child aged ≤24 months, who were interviewed with a pretested questionnaire. Various vaccines, migration history and some other social-demographic and income details were collected. Single-level logistic regression analyses were applied to identify the determinants of full immunization status. Results: Immunization coverage rates are lower among migrants and even lower among recent migrants. The likelihood of a child receiving full immunization rise with parents’ educational level and the frequency of mother’s utilization of health care. Higher household income also significantly increase the likelihood of full immunization, as dose post-natal visits by a health worker. Conclusions: Recent migrant status favours low immunization uptake, particularly in the vulnerability context of alienation and livelihood insecurity. Services must be delivered with a focus on recent migrants. Investments are needed in education, socio-economic development and secure livelihoods to improve and sustain equitable health care services.
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影响因子：
15.8
作者：
Obrist B;Iteba N;Lengeler C;Makemba A;Mshana C;Nathan R;Alba S;Dillip A;Hetzel MW;Mayumana I;Schulze A;Mshinda H
通讯作者：
Mshinda H
影响因子：
4.5
作者：
Antai D
通讯作者：
Antai D
影响因子：
4.5
作者：
Jani JV;De Schacht C;Jani IV;Bjune G
通讯作者：
Bjune G
影响因子：
1
作者：
Ibnouf, A. H.;Van den Borne, H. W.;Maarse, J. A. M.
通讯作者：
Maarse, J. A. M.
影响因子：
2.8
作者：
Do M;Hotchkiss D
通讯作者：
Hotchkiss D