Measles vaccine coverage and factors related to uncompleted vaccination among 18-month-old and 36-month-old children in Kyoto, Japan.
Measles vaccine coverage and factors related to uncompleted vaccination among 18-month-old and 36-month-old children in Kyoto, Japan.
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DOI：
10.1186/1471-2458-5-59
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发表时间：
2005-06-04
影响因子：
4.5
通讯作者：
Ito H
中科院分区：
文献类型：
--
作者：
Matsumura T;Nakayama T;Okamoto S;Ito H
由于疫苗覆盖率低，日本不仅爆发了麻疹疫情，还不断向海外输出麻疹。本研究旨在调查社区儿童麻疹疫苗接种率以及未完成疫苗接种的因素。对象是2001年11月至2002年1月期间接受过京都市公开提供的18个月或36个月检查的孩子的父母。进行了匿名自填式问卷调查。 18月龄儿童（n=2707）和36月龄儿童（n=2340）的覆盖率分别为73.2%和88.9%。母亲的以下特征与未完成麻疹疫苗接种有关：年龄在30岁以下、在职、担心疫苗不良事件、知识不足。同样，儿童的以下特征与未完成麻疹疫苗接种有关：不是第一个出生的孩子，在群体环境中与其他儿童互动。在母亲对麻疹及其疫苗接种缺乏适当了解的情况下担心疫苗不良事件的儿童中，覆盖率最低。为了提高儿童疫苗接种率，应提高家长尤其是职业母亲对麻疹和疫苗接种的认识。有必要努力提高疫苗接种服务的可及性，并就改变疫苗接种时间表与家长进行沟通。
Due to low vaccine coverage, Japan has not only experienced outbreaks of measles but has also been exporting it overseas. This study aims to survey measles vaccine coverage and the factors uncompleted vaccination among community-living children. Subjects were the parents whose children had undergone either an 18-month or a 36-month checkup publicly provided by Kyoto City during November 2001 to January 2002. An anonymous self-administered questionnaire survey was conducted. The coverage was 73.2% among the 18-month-old children (n = 2707) and 88.9% among the 36-month-old children (n = 2340), respectively. The following characteristics of mothers were related to uncompleted measles vaccination: aged below 30, working, concerned about the adverse events of the vaccine, and had insufficient knowledge. Similarly, the following characteristics among children were related to uncompleted measles vaccination: not the first-born child, interacting with other children in group settings. The coverage was the lowest among the children whose mothers were concerned about the adverse events of the vaccine without proper knowledge of measles and its vaccination. To increase vaccine coverage among children, parents' awareness about measles and vaccination against it should be promoted, especially for working mothers. Efforts to enhance access to vaccination services and to communicate with parents about changing vaccination schedules are necessary.
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影响因子：
12.7
作者：
LIEU, TA;BLACK, SB;ADLER, NE
通讯作者：
ADLER, NE
影响因子：
--
作者：
Hirose, M;Hidaka, Y;Yoshikawa, H
通讯作者：
Yoshikawa, H
影响因子：
3.6
作者：
FUJINAGA, T;MOTEGI, Y;KUROUME, T
通讯作者：
KUROUME, T
影响因子：
8
作者：
Halsey, NA;Abramson, JS;Rabinovich, NR
通讯作者：
Rabinovich, NR
影响因子：
2.2
作者：
Nakayama, Tetsuo;Zhou, Jianhui;Fujino, Motoko
通讯作者：
Fujino, Motoko