孟加拉国 12-23 月龄儿童全面接种疫苗的决定因素：高绩效区与低绩效区之间的比较

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-05-15 DOI:10.1155/2024/7787593

Moriam Khanam, N. A. Jahan

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引用次数: 0

摘要

导言。更好地了解儿童疫苗接种背后的重要因素对于制定提高疫苗接种覆盖率、降低儿童死亡率和发病率的战略非常重要。本研究旨在确定孟加拉国 12-23 个月儿童全面接种疫苗覆盖率的决定因素，并对表现好的地区和表现差的地区的决定因素进行比较。方法。本研究使用了最新的 2017-18 年孟加拉国人口与健康调查数据。本研究纳入了 1678 名儿童的加权样本。使用卡方检验确定了全面疫苗接种覆盖率与解释性变量之间的关联。采用多变量逻辑回归分析来确定全面疫苗接种率的相关因素。结果显示结果显示，约 88% 的儿童接种了全部疫苗。与未受过正规教育的母亲的子女相比，受过中等教育的母亲的子女接种全部疫苗的几率明显更高（AOR=2.07，95%CI=1.16 至 3.70）。母亲的工作状况是影响全面接种率的另一个重要因素（AOR=1.53，95%CI=1.002 至 2.34）。此外，我们还发现，母亲年龄越大（20-34 岁年龄组的 AOR=2.76，95%CI=1.28-5.96；35 岁及以上年龄组的 AOR=12.14，95%CI=1.21-122.41），以及属于中等收入家庭（AOR=4.66，95%CI=1.33-16.34），与高绩效地区的全面疫苗接种率显著相关。另一方面，中等教育水平（AOR=2.31，95%CI=1.86 至 4.49）和接触媒体（AOR=1.58，95%CI=1.001 至 2.50）的母亲的子女在表现较差地区有较高的全面疫苗接种率。结论。本研究确定了儿童全面接种的相关因素。研究结果表明，母亲教育和母亲就业对儿童接种疫苗非常重要。在表现较差的地区，教育投资和提高意识的举措可能会对实现疫苗接种全覆盖起到促进作用。

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Determinants of Full Vaccination Coverage among Children Aged 12-23 Months in Bangladesh: A Comparison between High- and Low-Performing Divisions

Introduction. A better understanding of the significant factors behind childhood vaccination is important for designing strategies to increase vaccination coverage and reduce child mortality and morbidity. The study is aimed at identifying the determinants of full vaccination coverage among children aged 12-23 months in Bangladesh and at comparing the determinants between high- and low-performing areas. Methods. This study used the latest available Bangladesh Demographic and Health Survey 2017-18 data. A weighted sample of 1678 children was included in this study. The association between full vaccination coverage and explanatory variables was identified using chi-square test. Multivariable logistic regression analysis was employed to identify associated factors of full vaccination coverage. Results. Findings showed that about 88% of the children had full vaccination coverage. The odds of full vaccination coverage was significantly higher among children of mothers with secondary education compared to children of mothers with no formal education (AOR=2.07, 95%CI=1.16 to 3.70). Mother’s working status was another significant factor behind full vaccination coverage (AOR=1.53, 95%CI=1.002 to 2.34). In addition, we identified that higher age of mother (AOR=2.76, 95%CI=1.28 to 5.96 for 20-34 years group and AOR=12.14, 95%CI=1.21 to 122.41 for 35 and above age group) and being in middle-income household (AOR=4.66, 95%CI=1.33 to 16.34) were significantly associated with full vaccination coverage in high-performing areas. On the other hand, children of mothers with secondary education level (AOR=2.31, 95%CI=1.86 to 4.49) and exposure to media (AOR=1.58, 95%CI=1.001 to 2.50) had higher odds of having full vaccination coverage in low-performing areas. Conclusions. This study identified the associated factors of full vaccination coverage among children. The findings indicate the importance of maternal education and mothers’ employment for children’s vaccination uptake. In low-performing areas, investment in education and awareness raising initiatives may play instrumental role in achieving full vaccination coverage.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.