Community Participation in Two Vaccination Trials in Slums of Kolkata, India: A Multi-level Analysis

被引:11
作者
Ali, Mohammad [1 ]
Sur, Dipika [2 ]
Lopez, Anna Lena [1 ]
Kanungo, Suman [2 ]
Ochiai, R. Leon [1 ]
Manna, Byomkesh [2 ]
Kim, Deok Ryun [1 ]
Deen, Jacqueline [1 ]
Bhattacharya, Sujit K. [3 ]
Clemens, John D. [1 ]
机构
[1] Int Vaccine Inst, Seoul 151818, South Korea
[2] Natl Inst Cholera & Enter Dis, Kolkata 700010, India
[3] Indian Council Med Res, New Delhi 110029, India
基金
比尔及梅琳达.盖茨基金会;
关键词
Cholera; Cholera vaccines; Typhoid fever; Typhoid-paratyphoid vaccines; Vaccination; India; VI CAPSULAR POLYSACCHARIDE; DEVELOPING-COUNTRIES; SALMONELLA-TYPHI; FEVER; EFFICACY; VACCINES; HIV;
D O I
10.3329/jhpn.v28i5.6153
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
This study aims at understanding the individual and community-level characteristics that influenced participation in two consecutive vaccine trials (typhoid and cholera) in urban slums of Kolkata, India. The study area was divided into 80 geographic clusters (communities), with 59,533 subjects aged >= 2 years for analysis. A multi-level model was employed in which the individuals were seen nested within the cluster. Rates of participation in both the trials were nearly the same; those who participated in the initial trial were likely to participate in the subsequent cholera vaccine trial. Communities with predominantly Hindu population, lower percentage of households with an educated household head, or lower percentage of households owning a motorbike had higher participation than their counterparts. At individual scale, higher participation was observed among younger subjects, females, and individuals from households with a household head who had no or minimal education. Geographic patterns were also observed m participation in the trials. The results illustrated that participation in the trial was mostly influenced by various individual and community-level factors, which need to be addressed for a successful vaccination campaign.
引用
收藏
页码:450 / 457
页数:8
相关论文
共 21 条
[11]  
MARSHALL RJ, 1991, J R STAT SOC C-APPL, V40, P283
[12]   Enrolling women into HIV preventive vaccine trials: An ethical imperative but a logistical challenge [J].
Mills, E ;
Nixon, S ;
Singh, S ;
Dolma, S ;
Nayyar, A ;
Kapoor, S .
PLOS MEDICINE, 2006, 3 (03) :308-311
[13]   VACCINATIONS IN THE THIRD-WORLD - A CONSIDERATION OF COMMUNITY DEMAND [J].
NICHTER, M .
SOCIAL SCIENCE & MEDICINE, 1995, 41 (05) :617-632
[14]  
Nichter M., 1990, ANTHR PRIMARY HLTH C, P196
[15]  
Stanton BF, 2004, J HEALTH POPUL NUTR, V22, P286
[16]   Introduction of a HIV vaccine in developing countries: social and cultural dimensions [J].
Streefland, PH .
VACCINE, 2003, 21 (13-14) :1304-1309
[17]   The burden of cholera in the slums of Kolkata, India: data from a prospective, community based study [J].
Sur, D ;
Deen, JL ;
Manna, B ;
Niyogi, SK ;
Deb, AK ;
Kanungo, S ;
Sarkar, BL ;
Kim, DR ;
Danovaro-Holliday, MC ;
Holliday, K ;
Gupta, VK ;
Ali, M ;
von Seidlein, L ;
Clemens, JD ;
Bhattacharya, SK .
ARCHIVES OF DISEASE IN CHILDHOOD, 2005, 90 (11) :1175-1181
[18]  
WIGGINS RD, 1991, J ROY STAT SOC D-STA, V40, P225
[19]  
Yang HH, 2001, B WORLD HEALTH ORGAN, V79, P625
[20]  
Youlong Gong, 2004, Southeast Asian Journal of Tropical Medicine and Public Health, V35, P97