Gender inequity and age-appropriate immunization coverage in India from 1992 to 2006
Gender inequity and age-appropriate immunization coverage in India from 1992 to 2006
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DOI：
10.1186/1472-698x-9-s1-s3
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发表时间：
2009-10-01
影响因子：
3
通讯作者：
Jha, Prabhat
中科院分区：
文献类型：
--
作者：
Corsi, Daniel J.;Bassani, Diego G.;Jha, Prabhat
背景：各种研究考虑了印度重男轻女对儿童死亡率、出生性别比和获得保健服务的性别差异的影响。较少的研究侧重于重男轻女对免疫覆盖率性别不平等的影响，以及这种影响如何随时间、区域和兄弟姐妹构成而变化。我们对印度免疫接种覆盖率趋势进行了系统检查，重点关注按性别、出生顺序、出生年份和州划分的覆盖率不平等。方法：我们分析了1992年至2006年间连续三轮印度全国家庭健康调查的数据。所有具有完整免疫史的5岁以下儿童均被纳入分析。确定了以下抗原的适龄免疫覆盖率：卡介苗（BCG）、口服脊髓灰质炎（OPV）、白喉、百日咳和破伤风（DPT）以及麻疹。结果：自20世纪90年代初以来，印度的免疫覆盖率有所提高，但全国完全的适龄免疫覆盖率仍低于50%。发现女孩的免疫接种率明显较低
Background: A variety of studies have considered the affects of India's son preference on gender differences in child mortality, sex ratio at birth, and access to health services. Less research has focused on the affects of son preference on gender inequities in immunization coverage and how this may have varied with time, and across regions and with sibling compositions. We present a systematic examination of trends in immunization coverage in India, with a focus on inequities in coverage by gender, birth order, year of birth, and state.Methods: We analyzed data from three consecutive rounds of the Indian National Family Health Survey undertaken between 1992 and 2006. All children below five years of age with complete immunization histories were included in the analysis. Age-appropriate immunization coverage was determined for the following antigens: bacille Calmette-Guerin (BCG), oral polio (OPV), diphtheria, pertussis (whooping cough) and tetanus (DPT), and measles.Results: Immunization coverage in India has increased since the early 1990s, but complete, age-appropriate coverage is still under 50% nationally. Girls were found to have significantly lower immunization coverage (p