Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study
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DOI：
10.1186/1471-2431-10-92
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发表时间：
2010-12-15
期刊：
影响因子：
2.4
通讯作者：
Sommerfelt, Halvor
中科院分区：
文献类型：
--
作者：
Nankabirwa, Victoria;Tylleskar, Thorkild;Sommerfelt, Halvor
背景：尽管提供免费的儿童疫苗接种，但不到一半的乌干达婴儿得到全面接种。这项研究比较了一些中学教育的妇女，只有小学教育方面，他们的婴儿的疫苗接种status.Methods：一个以社区为基础的前瞻性队列研究进行了2006年1月至2008年5月，其中696名孕妇进行了随访至产后24周。结果：在24周时，已收到以下疫苗接种：卡介苗（BCG）：92%;脊髓灰质炎-1：91%;白喉-百日咳-破伤风-乙型肝炎-流感嗜血杆菌B（DPT-HB-HiB）3和脊髓灰质炎-3：63%。大约51%的婴儿完全接种了疫苗（即，接受了所有计划的疫苗接种：卡介苗、脊髓灰质炎0、脊髓灰质炎1、DPT-HB-Hib 1、脊髓灰质炎2、DPT-HB-Hib 2、脊髓灰质炎3和DPT-HB-Hib 3）。在母亲受过5-7年小学教育的婴儿中，只有46%完全接种了疫苗，而在母亲受过一些中学教育的婴儿中，这一比例为65%。母亲受过中等教育的婴儿不太可能错过DPT-HB-Hib-2疫苗（RR：0.5，95% CI：0.3，0.8），脊髓灰质炎-2（RR：0.4，95% CI：0.3，0.7），脊髓灰质炎-3（RR：0.5，95% CI：0.4，0.7）和DPT-HB-Hib-3（RR：0.5，95% CI：0.4，0.7）。其他显示与漏接种风险降低有关的因素是在卫生设施分娩（RR = 0.8; 95% CI：0.7，1.0）和使用蚊帐（RR：0.8; 95% CI：0.7，1.0）。母亲受过中等教育的婴儿至少有50%与那些母亲只受过小学教育的人相比，不太可能错过预定的疫苗接种。儿童疫苗接种战略应特别针对正规教育程度低的妇女。
Background: Despite provision of free childhood vaccinations, less than half of all Ugandan infants are fully vaccinated. This study compares women with some secondary schooling to those with only primary schooling with regard to their infants' vaccination status.Methods: A community-based prospective cohort study conducted between January 2006 and May 2008 in which 696 pregnant women were followed up to 24 weeks post partum. Information was collected on the mothers' education and vaccination status of the infants.Results: At 24 weeks, the following vaccinations had been received: bacille Calmette-Guerin (BCG): 92%; polio-1: 91%; Diphteria-Pertussis-Tetanus-Hepatitis B-Haemophilus Influenza b (DPT-HB-Hib) 3 and polio-3: 63%. About 51% of the infants were fully vaccinated (i.e., had received all the scheduled vaccinations: BCG, polio 0, polio 1, DPT-HB-Hib1, polio 2, DPT-HB-Hib 2, polio 3 and DPT-HB-Hib 3). Only 46% of the infants whose mothers' had 5-7 years of primary education had been fully vaccinated compared to 65% of the infants whose mothers' had some secondary education. Infants whose mothers had some secondary education were less likely to miss the DPT-HB-Hib-2 vaccine (RR: 0.5, 95% CI: 0.3, 0.8), Polio-2 (RR: 0.4, 95% CI: 0.3, 0.7), polio-3 (RR: 0.5, 95% CI: 0.4, 0.7) and DPT-HB-Hib-3 (RR: 0.5, 95% CI: 0.4, 0.7). Other factors showing some association with a reduced risk of missed vaccinations were delivery at a health facility (RR = 0.8; 95% CI: 0.7, 1.0) and use of a mosquito net (RR: 0.8; 95% CI: 0.7, 1.0).Conclusion: Infants whose mothers had a secondary education were at least 50% less likely to miss scheduled vaccinations compared to those whose mothers only had primary education. Strategies for childhood vaccinations should specifically target women with low formal education.