影响尼泊尔伊拉姆地区儿童免疫接种遵守的因素; 一项病例控制研究
Bina Sigdel1, Yan Jin2, Pushpa Dhakal3
1Kanti Children's Hospital, Kathmandu, Nepal.
Dialogues in health
|March 22, 2024
概括
在尼泊尔,父母的知识不足和负面态度显著阻碍了儿童免疫接种的遵守. 改善健康教育和整合服务对于实现免疫目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 流行病学 流行病学
背景情况:
- 儿童免疫是公共卫生的基石,对于减少儿童发病率和死亡率至关重要.
- 实现全面免疫覆盖对于尼泊尔实现其可持续发展目标 (SDGs) 是必不可少的.
研究的目的:
- 确定影响尼泊尔16至36个月龄段儿童免疫接种遵守的因素.
- 为提高疫苗接种率提供有针对性的干预信息.
主要方法:
- 在尼泊尔的伊拉姆地区进行了一项基于社区的,无与伦比的病例控制研究.
- 250名受访者 (83例,167对照) 通过多阶段集群抽样随机选择.
- 通过结构化问卷收集数据,并使用后勤回归分析数据.
主要成果:
- 66.8%的儿童得到了充分的免疫接种; 19.3%的儿童未接种麻疹-红疹疫苗.
- 阻碍遵守的关键因素包括缺乏关于疫苗和时间表的知识,父亲的教育,错过的约会和消极的态度.
- 多变量分析为每个阻碍因素确定了特定的赔率比率.
结论:
- 建议在家庭层面进行有针对性的健康促进,以改善免疫接种的遵守.
- 将免疫服务整合到初级卫生保健中,对于持续覆盖和实现可持续发展目标至关重要.
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