撒哈拉以南非洲的常规儿童免疫接种:解决父母对疫苗的犹
N Fadl1, S A Abdelmoneim2, A Gebreal3
1Family Health Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Public health
|November 26, 2023
概括
父母对疫苗的犹 (VH) 影响了撒哈拉以南非洲21.2%的父母. 针对城市居民,儿童健康和产前护理等母亲因素的干预措施对于改善儿童免疫覆盖率至关重要.
科学领域:
- 全球健康 全球健康
- 儿科 儿科 儿科
- 公共卫生政策 公共卫生政策
背景情况:
- 父母对疫苗的犹 (VH) 构成了全球实现高儿童免疫率的重大挑战.
- 了解不同人群中VH的特定决定因素对于制定有效的公共卫生战略至关重要.
研究的目的:
- 确定导致家长VH向常规儿童免疫接种的关键因素.
- 在撒哈拉以南非洲地区分析VH在母亲特征和疫苗接种率之间的关系中扮演的调解角色.
主要方法:
- 一项横截面研究涉及5032名来自撒哈拉以南非洲12个国家的19个月至6岁儿童的父母.
- 通过匿名在线调查和面对面采访收集的数据,使用家长态度关于儿童疫苗量表.
- 使用多变量回归和调解分析来确定决定因素和调解效应.
主要成果:
- 21.2%的家长表现出对常规儿童免疫接种的犹.
- 增加VH的因素包括城市居住,非长子儿童和慢性病儿童.
- 更高的孕产妇教育,产前护理 (ANC) 访问和以设施为基础的分娩与VH的减少有关.
- 疫苗病毒调解了ANC和母亲年龄对接种疫苗的影响,降低了接种疫苗的可能性.
结论:
- 需要有针对性的,特定于环境的干预措施来解决家长VH的问题.
- 改善获得ANC和基于设施的分娩的机会可能有助于减少VH并增加疫苗接受率.
- 战略应考虑影响家长对疫苗接种决定的社会人口统计学和儿童特定因素.
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