Disparities in preschool immunization coverage associated with maternal age.
Disparities in preschool immunization coverage associated with maternal age.
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DOI：
10.4161/hv.5.8.9009
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发表时间：
2009-08
期刊：
影响因子：
--
通讯作者：
Halsey NA
中科院分区：
文献类型：
--
作者：
Salmon DA;Smith PJ;Pan WK;Navar AM;Omer SB;Halsey NA
母亲年龄与学前免疫覆盖率之间的关联尚不清楚。本研究旨在确定母亲年龄是否与学前免疫覆盖率相关，以及母亲年龄与影响疫苗接种覆盖率的其他因素相比的重要性。 2001-2003 年国家免疫调查 (NIS) 的数据用于估计疫苗覆盖率。如果儿童接受了 ≥4 剂 DTaP、≥3 剂脊髓灰质炎、≥1 剂 MMR、≥3 剂 Hib 和 ≥3 剂 Hep B，则被认为是最新 (UTD)。对 UTD 覆盖率与孕产妇、儿童和家庭因素之间的双变量和多变量关系进行了评估。分类树分析评估了与 UTD 覆盖率相关的孕产妇、儿童和家庭因素之间复杂的相互作用，并分离出预测 UTD 覆盖率的最重要因素。 UTD 覆盖范围与母亲年龄显着相关：覆盖范围随着母亲年龄的增加而增加。 17岁母亲的子女覆盖率为64%； 17-26 岁母亲子女的覆盖率总体增加了 16.3%（每年约 1.8%）。 26岁以后，覆盖率并没有随着产妇年龄的增加而显着增加。在调整了广泛的孕产妇、儿童和家庭因素后，孕产妇年龄和 UTD 覆盖率之间的关系在统计上仍然显着。分类树分析表明，母亲年龄是与疫苗覆盖率相关的最重要因素。需要更多的研究来确定年轻母亲所生的孩子免疫不足的原因。
Associations between maternal age and preschool immunization coverage are unclear. This study aimed to determine if maternal age is associated with preschool immunization coverage and the importance of maternal age compared with other factors affecting vaccination coverage. Data from the 2001–2003 National Immunization Survey (NIS) were used to estimate vaccine coverage. Children were considered up-to-date (UTD) if they received ≥4 doses of DTaP, ≥3 doses of polio, ≥1 doses of MMR, ≥3 doses of Hib and ≥3 doses of Hep B. Bivariate and multivariate relationships between UTD coverage and maternal, child and household factors were evaluated. Classification tree analysis assessed complex interactions between maternal, child and household factors associated with UTD coverage and isolated the most important factors in predicting UTD coverage. UTD coverage was significantly associated with maternal age: coverage increased as maternal age increased. Coverage among children with 17 year old mothers was 64%; coverage among children of mothers 17–26 years old increased by 16.3% overall (approximately 1.8% per year). After 26 years of age, coverage did not increase significantly as maternal age increased. The relationship between maternal age and UTD coverage remained statistically significant after adjusting for a broad range of maternal, child and household factors. Classification tree analysis suggested that maternal age is the most important factor associated with vaccine coverage. More research is needed to determine the reasons for underimmunization of children born to young mothers.
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影响因子：
2.1
作者：
Moore, P;Fenlon, N;Hepworth, JT
通讯作者：
Hepworth, JT
影响因子：
3.7
作者：
MORGAN, JN;SONQUIST, JA
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SONQUIST, JA
影响因子：
5.5
作者：
Herrera, GA;Zhao, Z;Klevens, RM
通讯作者：
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影响因子：
5.1
作者：
HUMISTON, SG;RODEWALD, LE;HALL, CB
通讯作者：
HALL, CB
影响因子：
3
作者：
Hughart, N;Strobino, D;Ross, A
通讯作者：
Ross, A