Rural-urban disparity in category II vaccination among children under five years of age: evidence from a survey in Shandong, China.
Rural-urban disparity in category II vaccination among children under five years of age: evidence from a survey in Shandong, China.
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五岁以下儿童二类疫苗接种的城乡差异：来自中国山东省的调查证据
DOI：
10.1186/s12939-018-0802-4
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发表时间：
2018-06-22
影响因子：
4.8
通讯作者：
Zhou C
中科院分区：
文献类型：
--
作者：
Zhang X;Syeda ZI;Jing Z;Xu Q;Sun L;Xu L;Zhou C
研究背景与扩大免疫计划(EPI)疫苗相比，非EPI疫苗的覆盖率仍然较低。本研究旨在探讨我国5岁以下儿童二类疫苗接种的城乡差异及其影响因素。方法2013年8月至10月在山东省17个市进行横断面研究，共纳入1638名儿童进行分析。采用未调整和调整回归模型来识别二类疫苗接种的城乡差异。采用多因素logistic回归模型分别分析农村和城市儿童二类疫苗接种的影响因素。结果农村和城市儿童二类疫苗接种率分别为81.5%和69.4%。年龄和疫苗接种服务满意度等因素与农村和城市儿童的II类疫苗接种相关（P< 0.05）。研究还发现，四人以下的家庭农村儿童接种二类疫苗的可能性较高。结论城乡儿童二类疫苗的使用情况存在较大差异。政府应加强对二类疫苗的财政支持和监管。在针对城乡儿童制定针对性的疫苗接种政策时，应考虑已确定的风险因素，包括年龄、对疫苗接种服务的满意度、家庭规模等。
BackgroundCompared with the Expanded Program on Immunization (EPI) vaccines, the coverage rate of the non-EPI vaccines is still low. The aim of this study is to explore the rural-urban disparity in category II vaccine and its determinants among children under 5 years old in China.MethodsA cross-sectional study was conducted in 17 cities in Shandong province from August to October, 2013. A total of 1638 children were included in the analysis. Unadjusted and adjusted regression model were used to identify the rural-urban difference in vaccination of category II vaccine. Multivariate logistic regression models were employed to analyze the determinants associated with vaccination of category II vaccine in rural and urban areas respectively.ResultsThe coverage rates of category II vaccine in rural and urban children were 81.5 and 69.4% respectively. Factors including age and satisfaction with vaccination services were associated with category II vaccination both in rural and urban children (Ρ< 0.05). It was also found that the households with four or less members are more likely to vaccinate category II vaccine in rural children.ConclusionsThere was a big difference between rural and urban children in the use of category II vaccine. The government should strengthen financial support and regulation for the category II vaccine. The identified at-risk factors, including age, satisfaction with the vaccination services, and family size should be taken into account when designing targeted vaccination policies for rural and urban children.
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影响因子：
5.5
作者：
Marlow, Laura A. V.;Waller, Jo;Wardle, Jane
通讯作者：
Wardle, Jane
影响因子：
5.5
作者：
Dombkowski, KJ;Lantz, PM;Freed, GL
通讯作者：
Freed, GL
影响因子：
5.5
作者：
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通讯作者：
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影响因子：
5.5
作者：
Ganczak, Maria;Dmytrzyk-Danilow, Gabriela;Szych, Zbigniew
通讯作者：
Szych, Zbigniew
影响因子：
14.6
作者：
Ogilvie, Gina S.;Remple, Valencia P.;Patrick, David M.
通讯作者：
Patrick, David M.