Children who have received no routine polio vaccines in Nigeria: Who are they and where do they live?

被引:18
作者
Uthman, Olalekan A. [1 ,2 ]
Adedokun, Sulaimon T. [1 ,3 ]
Olukade, Tawa [4 ]
Watson, Samuel [1 ]
Adetokunboh, Olatunji [5 ]
Adeniran, Adeyinka [6 ]
Oyetoyan, Solomon A. [7 ]
Gidado, Saheed [8 ,9 ]
Lawoko, Stephen [10 ,11 ]
Wiysonge, Charles S. [2 ,12 ]
机构
[1] Univ Warwick, Med Sch, Div Hlth Sci, WCAHRD, Coventry, W Midlands, England
[2] Stellenbosch Univ, Fac Med & Hlth Sci, Ctr Evidence based Hlth Care, Cape Town, South Africa
[3] Obafemi Awolowo Univ, Dept Demog & Social Stat, Ife, Nigeria
[4] Ctr Evidence Based Global Hlth, Ilorin, Kwara State, Nigeria
[5] Stellenbosch Univ, Fac Med & Hlth Sci, Dept Global Hlth, Cape Town, South Africa
[6] Lagos State Univ, Coll Med, Dept Community Hlth & Primary Healthcare, Lagos, Nigeria
[7] Lagos State Primary Hlth Care Board, Lagos, Nigeria
[8] Lagos Mainland Local Govt, Lagos, Nigeria
[9] Nigeria Field Epidemiol & Lab Training Programme, Abuja, Nigeria
[10] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden
[11] Victoria Univ, Fac Hlth Sci, Kampala, Uganda
[12] South African Med Res Council, Cochrane South Africa, Cape Town, South Africa
关键词
SPATIAL DATA-ANALYSIS; MULTILEVEL ANALYSIS; FUNNEL PLOTS; VARIABLES; SMOKING; DETERMINANTS; IMMUNIZATION; ERADICATION; REGRESSION; DISEASE;
D O I
10.1080/21645515.2017.1336590
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Nigeria has made remarkable progress against polio, but 2 wild polio virus cases were reported in August 2016; putting an end to 2 y without reported cases. We examined the extent of geographical disparities in childhren not vaccinated against polio and examined individual- and community-level predictors of non-vaccination in Nigeria. We applied multilevel logistic regression models to the recent Nigeria Demographic and Health Survey. The percentage of children not routinely vaccinated against polio in Nigeria varied greatly and clustered geographically, mainly in north-eastern states, with a great risk of spread of transmission within these states and potential exportation to neighboring states and countries. Only about one-third had received all recommended 4 routine oral polio vaccine doses. Non-vaccinated children tended to have a mother who had no formal education and who was currently not working, live in poorer households and were from neighborhoods with higher maternal illiteracy rates.
引用
收藏
页码:2111 / 2122
页数:12
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