Determinants and Coverage of Vaccination in Children in Western Kenya from a 2003 Cross-Sectional Survey

被引：33

作者：

Calhoun, Lisa M. ^{[4
]}

van Eijk, Anna M. ^{[1
]}

Lindblade, Kim A. ^{[2
]}

Odhiambo, Frank O. ^{[3
]}

Wilson, Mark L. ^{[5
]}

Winterbauer, Elizabeth ^{[6
]}

Slutsker, Laurence ^{[7
]}

Hamel, Mary J. ^{[2
]}

机构：

[1] Univ Liverpool, Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England

[2] Ctr Dis Control & Prevent, Ctr Global Hlth, Div Parasit Dis & Malaria, Malaria Branch, Atlanta, GA USA

[3] Kenya Govt Med Res Ctr, Ctr Dis Control & Prevent, Ctr Global Hlth Res, Res & Publ Hlth Collaborat, Kisumu, Kenya

[4] Univ N Carolina, Carolina Populat Ctr, Chapel Hill, NC 27510 USA

[5] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA

[6] Quality Hlth Care Inc, Vermont Program, Montpelier, VT USA

[7] Ctr Dis Control & Prevent, Ctr Global Hlth, Div Parasit Dis & Malaria, Atlanta, GA USA

来源：

AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE | 2014年 / 90卷 / 02期

关键词：

CONDITIONAL CASH TRANSFERS; IMMUNIZATION COVERAGE; CHILDHOOD VACCINATION; RISK-FACTORS; HEALTH; MEASLES; AREA;

D O I：

10.4269/ajtmh.13-0127

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This study assesses full and timely vaccination coverage and factors associated with full vaccination in children ages 12-23 months in Gem, Nyanza Province, Kenya in 2003. A simple random sample of 1,769 households was selected, and guardians were invited to bring children under 5 years of age to participate in a survey. Full vaccination coverage was 31.1% To among 244 children. Only 2.2% received all vaccinations in the target month for each vaccination. In multivariate logistic regression, children of mothers of higher parity (odds ratio [OR] = 0.27, 95% confidence interval [95% CI] = 0.13-0.65, P <= 0.01), children of mothers with lower maternal education (OR = 0.35, 95% CI = 0.13-0.97, P <= 0.05), or children in households with the spouse absent versus present (OR = 0.40,95% CI = 0.17-0.91, 0.05) were less likely to be fully vaccinated. These data serve as a baseline from which changes in vaccination coverage will be measured as interventions to improve vaccination timeliness are introduced.

引用

页码：234 / 241

页数：8

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