Migration and immunization: determinants of childhood immunization uptake among socioeconomically disadvantaged migrants in Delhi, India
Migration and immunization: determinants of childhood immunization uptake among socioeconomically disadvantaged migrants in Delhi, India
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DOI：
10.1111/j.1365-3156.2010.02628.x
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发表时间：
2010-11-01
影响因子：
3.3
通讯作者：
Gupta, Sanjeev K.
中科院分区：
文献类型：
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作者：
Kusuma, Yadlapalli S.;Kumari, Rita;Gupta, Sanjeev K.
目的确定儿童免疫接种的覆盖面，适合年龄在社会经济上处于不利地位的农村-城市移民生活在德里，并确定这些移民children.METHODS之间的充分免疫接种的决定因素，这是一个横断面调查的746个农村-城市移民的母亲与一个孩子的年龄最大为2岁，谁接受了采访，一个预先测试的问卷。收集了有关接受各种疫苗、移民史和其他一些社会、人口和收入细节的数据。进行多元Logistic回归分析，以确定全面免疫状态的决定因素。结果免疫接种覆盖率在移民中低于一般人口的德里，甚至更低，在最近的移民。儿童接受全面免疫接种的可能性随着母亲的年龄、教育程度和使用保健服务的频率而增加。户主有一个安全的受薪工作也显着增加了全面免疫接种的可能性，因为没有产后访问的卫生工作者。结论移民身份有利于低免疫接种率，特别是在脆弱的背景下，异化和生计不安全。提供服务时必须以最近的移徙者为重点;需要在教育、社会经济发展和生计保障方面进行投资，以改善和维持公平的保健服务。
OBJECTIVE To determine the coverage of childhood immunization appropriate for age among socioeconomically disadvantaged rural-urban migrants living in Delhi and to identify the determinants of full immunization uptake among these migrant children.METHODS This is a cross-sectional survey of 746 rural-urban migrant mothers with a child aged up to 2 years, who were interviewed with a pretested questionnaire. Data pertaining to the reception of various vaccines, migration history and some other social, demographic and income details were collected. Multiple logistic regression analyses were performed to identify the determinants of full immunization status.RESULTS Immunization coverage rates were lower among migrants than the general population of Delhi and even lower among recent migrants. The likelihood of a child receiving full immunization rose with age of the mother, her educational attainment and the frequency of her use of health care. The head of household having a secured salaried job also significantly increased the likelihood of full immunization, as did post-natal visits by a health worker.CONCLUSION Migrant status favours low immunization uptake particularly in the vulnerability context of alienation and livelihood insecurity. Services must be delivered with a focus on recent migrants; investments are needed in education, socio-economic development and secure livelihoods to improve and sustain equitable health care services.