USE OF ETHNOGRAPHIC RESEARCH FOR INSTRUMENT DEVELOPMENT IN A CASE-CONTROL STUDY OF IMMUNIZATION USE IN HAITI
USE OF ETHNOGRAPHIC RESEARCH FOR INSTRUMENT DEVELOPMENT IN A CASE-CONTROL STUDY OF IMMUNIZATION USE IN HAITI
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DOI：
10.1093/ije/18.supplement_2.s33
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发表时间：
1989-01-01
影响因子：
7.7
通讯作者：
HALSEY, NA
中科院分区：
文献类型：
--
作者：
COREIL, J;AUGUSTIN, A;HALSEY, NA
对使用保健服务的障碍进行了快速的人种学评估，以确定预测海地使用儿童疫苗的产妇因素。方法包括4次焦点小组访谈、4次自然小组访谈、对14名卫生服务提供者的个别访谈和在疫苗接种岗位的参与者观察。对质量数据的分析确定了与免疫接种使用有关的五类母体因素：相互竞争的优先事项、低积极性、社会经济限制、对服务可获得性的感知、对健康或社会后果的恐惧以及与疫苗有关的知识和民间信仰。在这些因素中选定的变量被纳入一个调查工具，该工具旨在比较完全接种疫苗儿童(病例)的母亲和未完全接种疫苗儿童的母亲(对照)。随机抽取299名母亲(217例，82名对照)进行问卷调查。双变量和多变量分析发现，在通过人种学研究确定的因素中，只有与疫苗相关的知识与免疫状况显著相关。讨论了在流行病学研究中使用人种学研究用于工具开发的效用和限制。
A rapid ethnographic assessment of barriers to health service utilization was conducted to identify maternal factors predicting use of child immunizations in Haiti. Methods included four focus group interviews, four natural group interviews, individual interviews with 14 health care providers and participant observation at vaccination posts. Analysis of qualitative data identified five categories of maternal factors associated with immunization use: competing priorities, low motivation, socioeconomic constraints, perceived accessibility of services, fears about health or social consequences and knowledge and folk beliefs related to vaccines. Selected variables among these factors were incorporated into a survey instrument designed to compare mothers of completely vaccinated children (cases) with mothers of incompletely vaccinated children (controls). The questionnaire was administered to 299 randomly selected mothers (217 cases, 82 controls). Bivariate and multivariate analyses found that of the factors identified through ethnographic research, only vaccine-related knowledge was significantly associated with immunization status. The utility and constraints of using ethnographic research for instrument development in epidemiological studies are discussed.