FACTORS AFFECTING UPTAKE OF MEASLES, MUMPS, AND RUBELLA IMMUNIZATION
FACTORS AFFECTING UPTAKE OF MEASLES, MUMPS, AND RUBELLA IMMUNIZATION
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DOI：
10.1136/bmj.307.6897.168
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发表时间：
1993-07-17
影响因子：
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通讯作者：
TAYLOR, B
中科院分区：
文献类型：
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作者：
LI, J;TAYLOR, B
研究影响麻疹、腮腺炎和风疹免疫接种率的因素。设计队列研究，使用计算机化儿童卫生系统的数据。设置-泰晤士河东北部和西北部地区的10个卫生区。受试者-7841名1990年1月至3月出生的儿童，1991年10月底以前居住在这些地区。主要结果指标-麻疹、腮腺炎、风疹的总体接种率。和风疹免疫接种，儿童群体之间的吸收变化，接种麻疹，腮腺炎和风疹疫苗的优势比。结果-麻疹，腮腺炎和风疹免疫接种的研究队列在10个区的整体摄取率为82%。在具有不同人口统计学特征的儿童中发现了很大的差异。较低的吸收与缺乏或不完全的初级免疫有关，包括百日咳疫苗的遗漏。其他影响摄取的因素包括居民区的类型，出生顺序，在那里登记免疫接种（全科医生或诊所），和单亲家庭status. Conclusions，许多地区有困难，在满足90%的目标麻疹，腮腺炎，风疹免疫接种，主要是因为他们当地人口的特点。为了提高总体覆盖率，卫生服务应针对有不利因素的家庭，特别是那些孩子以前没有接种疫苗的家庭。
Objective-To study factors affecting uptake of measles, mumps, and rubella immunisation.Design-Cohort study using data from computerised child health systems.Setting-10 health districts in North East Thames and North West Thames regions.Subjects-7841 children born in January to March 1990 and resident in the districts up till the end of October 1991.Main outcome measures-Overall uptake of measles, mumps, and rubella immunisation, variation of uptake among groups of children, and odds ratio of being vaccinated against measles, mumps, and rubella.Results-The overall uptake rate of measles, mumps, and rubella immunisation for the study cohort in the 10 districts was 82%. Wide variation was identified among children with different demographic characteristics. Lower uptake was associated with absent or incomplete primary immunisation, including omission of pertussis vaccine. Other factors affecting uptake included the type of resident district, birth order, where registered for immunisation (general practitioner or clinic), and one parent family status.Conclusions-Many districts have difficulties in meeting the 90% target for measles, mumps, and rubella immunisation, mainly because of the characteristics of their local population. To increase overall coverage, the health service should target families with adverse factors, especially those whose children have missed previous immunisations.