Are parents' knowledge and practice regarding immunization related to pediatrics' immunization compliance? a mixed method study
Are parents' knowledge and practice regarding immunization related to pediatrics' immunization compliance? a mixed method study
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DOI：
10.1186/1471-2431-14-20
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发表时间：
2014-01-25
期刊：
影响因子：
2.4
通讯作者：
Elkalmi, Ramadan M.
中科院分区：
文献类型：
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作者：
Al-Lela, Omer Qutaiba B.;Bahari, Mohd Baidi;Elkalmi, Ramadan M.
背景：免疫率是过去100年来最好的公共卫生成果和服务指标之一。家长有关免疫接种的决定对于提高免疫率非常重要。本研究的目的是评估家长知识实践（KP）与儿童免疫完整性之间的相关性。方法：本研究采用混合方法：回顾性队列研究评价免疫完整性；采用前瞻性横断面研究来评估父母的免疫KP。从伊拉克摩苏尔的五个公共卫生诊所随机抽取了2003年1月1日至2008年6月31日期间出生的528名儿童。从每个儿童的免疫记录/卡中回顾性收集其免疫史。结果：大约一半的研究儿童（n = 286，56.3%）接种了所有疫苗剂量；这些儿童被认为已经完成了免疫接种。 66.1%的家长具有足够的KP分数。发现免疫完整性与 KP 组总数存在显着相关性 (p < 0.05)。结论：未来需要努力提高免疫率以及家长的知识和实践。研究结果强化了关于定期评估免疫率和利用教育计划来提高免疫率、知识和实践的建议。
Background: Immunization rate is one of the best public health outcome and service indicators of the last 100 years. Parental decisions regarding immunization are very important to improve immunization rate. The aim of this study was to evaluate the correlation between parental knowledge-practices (KP) and children's immunization completeness.Methods: A mixed method has been utilized in this study: a retrospective cohort study was used to evaluate immunization completeness; a prospective cross-sectional study was used to evaluate immunization KP of parents. 528 children born between 1 January 2003 and 31 June 2008 were randomly selected from five public health clinics in Mosul, Iraq. Immunization history of each child was collected retrospectively from their immunization record/card.Results: About half of studied children (n = 286, 56.3%) were immunized with all vaccination doses; these children were considered as having had complete immunization. 66.1% of the parents was found to have adequate KP scores. A significant association of immunization completeness with total KP groups (p < 0.05) was found.Conclusions: Future efforts are required to improve immunization rate and parents' knowledge and practice. The study results reinforce recommendations for the periodic assessment of immunization rate and the use of educational programmes to improve the immunization rate, knowledge and practice.