Vaccination coverage and reasons for non-vaccination in a district of Istanbul.

Vaccination coverage and reasons for non-vaccination in a district of Istanbul.
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DOI:
10.1186/1471-2458-6-125
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发表时间:
2006-05-05
期刊:
影响因子:
4.5
通讯作者:
Bakirci N
Bakirci N
中科院分区:
医学2区
文献类型:
--
作者:
Torun SD;Bakirci N

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为了控制和消除疫苗可预防疾病,了解疫苗接种覆盖率和不接种的原因是很重要的。本研究的主要目的是确定完全疫苗接种率;不接种疫苗的原因和影响儿童接种疫苗的预测因素。另一个目标是确定2005年麻疹免疫日期间土耳其伊斯坦布尔乌姆拉尼耶地区9个月至6岁儿童的麻疹疫苗接种覆盖率。采用‘30 × 7’整群抽样设计。从研究区随机选取30条街道。采用问卷法对221名儿童家长进行问卷调查。采用卡方检验和logistic回归进行统计分析。采用内容分析法对开放性问题进行评价。研究人群的完全疫苗接种率为84.5%,3.2%的儿童完全未接种疫苗。未接种疫苗儿童的兄弟姐妹也未接种疫苗。未接种疫苗的原因有:住在村里,无法获得卫生保健服务;对疫苗接种不了解的;孩子的父亲不允许接种疫苗;儿童在接种疫苗期间的并发疾病;错失的机会,比如不为一个孩子刮掉药瓶。在logistic回归分析中,发现父母双方的教育水平和父母双方移民伊斯坦布尔的时间影响儿童是否完全接种疫苗。中期麻疹疫苗接种率为79.3%。增加疫苗接种覆盖率的努力应考虑到不接种疫苗的原因。
In order to control and eliminate the vaccine preventable diseases it is important to know the vaccination coverage and reasons for non-vaccination. The primary objective of this study was to determine the complete vaccination rate; the reasons for non-vaccination and the predictors that influence vaccination of children. The other objective was to determine coverage of measles vaccination of the Measles Immunization Days (MID) 2005 for children aged 9 month to 6 years in a region of Umraniye, Istanbul, Turkey. A '30 × 7' cluster sampling design was used as the sampling method. Thirty streets were selected at random from study area. Survey data were collected by a questionnaire which was applied face to face to parents of 221 children. A Chi-square test and logistic regression was used for the statistical analyses. Content analysis method was used to evaluate the open-ended questions. The complete vaccination rate for study population was 84.5% and 3.2% of all children were totally non-vaccinated. The siblings of non-vaccinated children were also non-vaccinated. Reasons for non-vaccination were as follows: being in the village and couldn't reach to health care services; having no knowledge about vaccination; the father of child didn't allow vaccination; intercurrent illness of child during vaccination time; missed opportunities like not to shave off a vial for only one child. In logistic regression analysis, paternal and maternal levels of education and immigration time of both parents to Istanbul were found to influence whether children were completely vaccinated or non-vaccinated. Measles vaccination coverage during MID was 79.3%. Efforts to increase vaccination coverage should take reasons for non-vaccination into account.
DOI: 10.1177/000992280404300111
发表时间: 2004-01-01
影响因子: 1.6
作者:
AbdelSalam, HHM;Sokal, MM
通讯作者: Sokal, MM
DOI: 10.1001/archpedi.1996.02170360083014
发表时间: 1996-11-01
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作者:
Szilagyi, PG;Rodewald, LE;Woodin, KA
通讯作者: Woodin, KA
DOI: 10.1016/j.vaccine.2004.04.026
发表时间: 2004-10-22
期刊: VACCINE
影响因子: 5.5
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DOI: 10.1016/j.puhe.2004.01.004
发表时间: 2004-12-01
期刊: PUBLIC HEALTH
影响因子: 5.2
作者:
Altinkaynak, S;Ertekin, V;Kiliç, A
通讯作者: Kiliç, A
DOI: 10.1542/peds.101.2.e5
发表时间: 1998-02-01
期刊: PEDIATRICS
影响因子: 8
作者:
Morrow, AL;Rosenthal, J;Sirotkin, B
通讯作者: Sirotkin, B