Vaccination coverage and sociodemographic determinants of measles-mumps-rubella vaccination in three different age

Corinne Vandermeulen1, Mathieu Roelants, Heidi Theeten

  • 1Centre for Youth Health Care, Katholieke Universiteit Leuven, Kapucijnenvoer 35, Block D, Box 7001, 3000, Leuven, Belgium. corinne.vandermeulen@med.kuleuven.be

Insights

Achieving 95% measles, mumps, and rubella (MMR) vaccination coverage is crucial for elimination. While toddlers in Flanders approach this goal, documentation issues and lower rates in older children and adolescents require attention.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • The World Health Organization (WHO) European region aims to eliminate measles and rubella by 2010, necessitating 95% coverage for both doses of the measles, mumps, and rubella (MMR) vaccine.
  • Belgian vaccination schedules recommend the first MMR vaccine at 12 months and a second dose at 10-12 years of age.

Purpose of the Study:

  • To assess the MMR vaccination coverage rates among toddlers, primary school children, and adolescents in Flanders, Belgium.
  • To identify sociodemographic factors associated with lower MMR vaccination coverage.

Main Methods:

  • A cross-sectional study utilizing a two-stage random cluster sampling method was conducted in Flanders, Belgium, in 2005.
  • The study included 1,500 toddlers (18-24 months), 900 primary school children (born in 1997), and 1,500 adolescents (born in 1991).
  • Data on MMR vaccination status and sociodemographic factors were collected through home interviews and verified with medical records.

Main Results:

  • Overall MMR first-dose coverage was 94.0% in toddlers, 88.0% in 7-year-olds, and 80.6% in adolescents.
  • Documentation of the second MMR dose was a concern, with only 74.6% of adolescents having proof of both vaccinations.
  • Lower coverage was associated with factors such as single/divorced parents, larger families, non-Belgian parental origin, lower parental education or unemployment, low family income, and vaccination by a general practitioner.

Conclusions:

  • The target MMR vaccination coverage of 95% is nearly achieved in toddlers in Flanders.
  • Vaccination documentation is a significant issue in older age groups, potentially leading to underestimated coverage rates.
  • Children from less privileged backgrounds require targeted interventions to improve MMR vaccination uptake and ensure disease elimination goals are met.

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