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Immunization coverage and predictive factors for complete and age-appropriate vaccination among preschoolers in

Ioanna D Pavlopoulou1, Koralia A Michail, Evangelia Samoli

  • 1Pediatric Clinic, "P & A Kyriakou" Children's Hospital, National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece. idpavlop@yahoo.gr.

BMC Public Health
|October 3, 2013
PubMed

Insights

Childhood vaccination coverage in Athens is high for traditional vaccines but lags for newer ones, with delays in booster doses. Immigrant status, household size, and maternal education impact vaccination timeliness, requiring targeted interventions.

Area of Science:

  • Pediatric Public Health
  • Vaccinology
  • Epidemiology

Background:

  • Recent introduction of new childhood vaccines in Greece with gradual reimbursement.
  • Need to assess immunization coverage and influencing factors in Athenian children.

Purpose of the Study:

  • To evaluate immunization coverage for various vaccines in children attending public nurseries in Athens.
  • To identify factors associated with complete and age-appropriate vaccination.

Main Methods:

  • Cross-sectional study utilizing stratified sampling.
  • Data collected from vaccination booklets, school registries, and telephone interviews.
  • Logistic regression analysis used to determine associations with vaccination status.

Main Results:

  • High coverage (>90%) for traditional vaccines (DTP, polio, Hib, HBV, MMR), but delayed booster doses.
  • Lower coverage for newer vaccines (Men C, PCV7, varicella, hepatitis A) ranging from 61-92%.
  • Significant delays in timely administration of Men C, PCV7, and HBV vaccines.
  • Child's age, immigrant status, household size, and maternal education were significant factors influencing vaccination.

Conclusions:

  • Urgent need to monitor new vaccine uptake and improve timely administration of booster doses and early Hepatitis B vaccination.
  • Immigrant status, larger household size, and higher maternal education require targeted interventions to improve vaccination rates.
Abstract

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