Effect of several sociodemographic factors on measles immunization in children of Eastern Turkey

Effect of several sociodemographic factors on measles immunization in children of Eastern Turkey
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DOI:
10.1016/j.puhe.2004.01.004
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发表时间:
2004-12-01
期刊:
影响因子:
5.2
通讯作者:
Kiliç, A
Kiliç, A
中科院分区:
医学3区
文献类型:
--
作者:
Altinkaynak, S;Ertekin, V;Kiliç, A

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本研究采用整群抽样的方法,从土耳其东部3个省随机抽取663名健康儿童,以确定麻疹免疫接种的状况以及几个社会人口学因素对10个月至6岁儿童免疫接种的影响。这些儿童的免疫史从他们的免疫卡中获得。关于他们的疫苗接种状况,儿童被分为接种疫苗、未接种疫苗或未知。在这些儿童中,81.6%的儿童接种了疫苗,15.1%的儿童未接种疫苗。3.3%的儿童不知道疫苗接种情况。在10-12个月的儿童中,接种率为68.6%。1-2岁、2-3岁、3 ~ 4岁、4 ~ 5岁、5 -6岁组的接种率分别为84.2%、82.2%、85.3%、82.1%、76.8%,但差异均不显著。母亲文化程度越高,疫苗接种率越高(P = 0.009)。此外,接种率与定居面积显著相关(P = 0.036),城市地区高于郊区和农村地区。在接种率方面没有性别差异,父亲的教育水平,兄弟姐妹的数量和社会经济地位,这项研究的结果表明,免疫水平必要的消除麻疹尚未达到在土耳其东部。应优先将儿童的免疫接种率提高到90-95%。(C)2004年由Elsevier Ltd代表皇家公共卫生研究所出版。
This study was performed to determine the status of measles immunization and the effect of several sociodemographic factors on immunization in children aged between 10 months and 6 years.Using cluster sampling, 663 healthy children were selected at random from three provinces in Eastern Turkey. The immunization histories of these children were obtained from their immunization cards. With respect to their vaccination status, children were categorized as vaccinated, unvaccinated or unknown. If the child had no immunization card, he or she was classified as unknown.Of these children, 81.6% were vaccinated and 15.1% were unvaccinated. The vaccination status was not known in 3.3% of the children. In children aged 10-12 months, the vaccination rate was 68.6%. Foragegroupsof 1-2, 2-3, 3-4,4-5and5-6 years, the vaccination rates were 84.2, 82.2, 85.3, 82.1 and 76.8%, respectively, but these differences were not significant. The vaccination rates increased in parallel with maternal education level (P = 0.009). Also, vaccination rates were significantly correlated with settlement area (P = 0.036), and were higher in urban regions than suburban and rural regions. There was no difference in vaccination rates with respect to gender, paternal education level, number of siblings and socio-economic status.The results of this study show that the level of immunization necessary for measles elimination has not yet been reached in Eastern Turkey. Priority should be given to increase the immunization levels to 90-95% among children. (C) 2004 Published by Elsevier Ltd on behalf of The Royal Institute of Public Health.