Delayed vaccination the children up to 2 years of age

Érica Marvila Garcia1, Eliseu Alves Waldman1, Aurea Tamami Minagawa Toriyama2

  • 1School of Public Health, University of Sao Paulo, Sao Paulo, SP, 01246-904, Brazil.

Insights

High rates of delayed childhood vaccination were observed. Factors like maternal health issues, child hospitalization, and poor mother-provider relationships significantly impact vaccination timeliness.

Area of Science:

  • Pediatric Health
  • Public Health
  • Epidemiology

Background:

  • Vaccination is crucial for child health and disease prevention.
  • Understanding factors contributing to vaccination delays is essential for improving coverage rates.
  • Previous research indicates various socioeconomic and healthcare-related factors influence immunization schedules.

Purpose of the Study:

  • To identify and analyze factors associated with delayed vaccination in children up to two years of age.
  • To provide insights for interventions aimed at improving timely childhood immunizations.

Main Methods:

  • A cross-sectional study utilizing primary data from 388 children born in 2015.
  • Descriptive statistics (absolute and relative frequencies) were used for data summarization.
  • Cox proportional risk regression analysis was employed to identify factors associated with vaccination delay.

Main Results:

  • A high delayed vaccination rate of 88.66% was found.
  • Significant factors associated with delayed vaccination included: maternal health problems (HR: 0.68), child hospitalization (HR: 1.52), poor mother-healthcare professional bond (HR: 1.75), and parental decision to delay vaccination (HR: 1.56).
  • Maternal health issues were associated with a reduced risk of delay, while child hospitalization and maternal perception of care were associated with increased risk.

Conclusions:

  • Healthcare-related factors, including maternal health during delivery, child hospitalization, and the mother's relationship with healthcare providers, significantly influence the timeliness of childhood vaccinations.
  • Targeted interventions addressing these factors are necessary to improve vaccine uptake and protect child health.
  • The findings underscore the importance of a strong mother-provider relationship in ensuring adherence to immunization schedules.
Abstract

Related Concept Videos

Vaccinations01:51

Vaccinations

Overview
45.4K
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
466
Factors Affecting Drug Response: Overview01:21

Factors Affecting Drug Response: Overview

When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.4K
Preventive Healthcare Services01:30

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.5K
Immunological Memory01:23

Immunological Memory

Immunological memory, a pivotal pillar of the adaptive immune system, is responsible for the body's ability to remember and respond more swiftly and effectively to previously encountered pathogens. This remarkable feature is what makes vaccines so effective in preventing diseases.
What is Immunological Memory?
Immunological memory is an integral function of the immune system that allows it to recognize and react more rapidly and effectively to pathogens previously encountered. This feature...
6.4K