イエメンの内戦後の12~35ヶ月の子どものワクチン接種率と決定要因: 全国の人口調査からの洞察
Omid Dadras1, Christina El Saaidi2
1Research Center for Child Psychiatry, University of Turku, Lemmkaisenkatu 3, 20520, Turku, Finland. omid.dadras@utu.fi.
Maternal and child health journal
|September 1, 2025
まとめ
イエメン
科学分野:
- 公衆衛生
- 小児科
- エピデミオロジー
背景:
- 子どものワクチン接種は 特に紛争地域では 重要な公衆衛生指標です
- イエメンのワクチン接種率は 既知の利点にもかかわらず 最適ではない.
- この研究では,12〜35ヶ月のイエメンの子供のワクチン接種率と影響要因を調査した.
研究 の 目的:
- イエメンの子どものワクチン接種率を評価する.
- 12~35ヶ月の子供における完全免疫の主要な予測要因を特定する.
- イエメンにおける児童予防接種率の改善のための公衆衛生戦略を策定する.
主な方法:
- イエメンの複数の指標集群調査 (MICS) の2022-23年のデータを活用した.
- 22の自治体の7,796人の子どもを対象に 2段階の家庭選択を行いました
- 完全ワクチン接種の予測要因を特定するために,多層のロジスティック回帰を用いた.
主要な成果:
- 都市部 (41%) の割合は農村部 (25%) よりも高い.
- 母親の教育,産前ケア,新聞読者数は 重要なポジティブな予測要因でした
- 高い父親の教育,小規模な家庭 (5歳未満の子供の数),より大きな家庭の富も高いワクチン接種率と関連していました.
結論:
- イエメンでは,特に農村部では,子供の予防接種率に大きな差がある.
- 保護者向けの教育プログラムや 医療インフラの改善や 医療に関するコミュニケーションの強化が必要です
- 標的を絞った介入は,ワクチン接種率の不足を補うために不可欠です.
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