Factors predicting BCG immunization status in northern Nigeria: a behavioral-ecological perspective
Factors predicting BCG immunization status in northern Nigeria: a behavioral-ecological perspective
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DOI：
10.1177/1367493508098380
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发表时间：
2009-03-01
影响因子：
1.9
通讯作者：
Lawan, Umar
中科院分区：
文献类型：
--
作者：
Babalola, Stella;Lawan, Umar
本研究使用行为生态模型检验了尼日利亚北部婴儿卡介苗 (BCG) 免疫状况的预测因素。研究结果显示，只有37.3%的儿童接种了卡介苗，这表明尼日利亚北部地区的卡介苗免疫状况受到儿童特征、父母或家庭因素、社区特征、疫苗供应和政策环境等多层次因素的影响。在儿童层面，出生地和免疫卡的拥有权是两个最重要的预测因素。卡介苗免疫状况的父母和家庭预测因素包括母亲对产前护理的使用、母亲对免疫接种的了解、母亲对儿童健康信息的接触、社会影响和父亲对免疫接种的认可。医疗机构疫苗供应的规律性和居住州都与 BCG 免疫状况独立相关。这些发现强调需要采取多层次的干预措施，以提高卡介苗的免疫状况。
This study examines the predictors of Bacille Calmette-Guerin (BCG) immunization status among infants in northern Nigeria using a behavioral-ecological model. The findings show only 37.3 percent of the children had received BCG vaccine, and reveal that BCG immunization status in northern Nigeria is influenced by multiple layers of factors, including child's characteristics, parental or household factors, community characteristics, vaccine supply and the policy environment. At the child's level, place of birth and ownership of an immunization card are the two most significant predictors. The parental and household predictors of BCG immunization status include maternal use of antenatal care, maternal knowledge about immunization, maternal exposure to child health information, social influence and paternal approval of immunization. Both the regularity of vaccine supply to the health facility and the state of residence are associated independently with BCG immunization status. These findings stress the need for interventions at multiple levels in order to increase BCG immunization status.