父母教育与儿童传染病的关系及其中介因素:日本环境与儿童研究(JECS)。

IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Masami Narita, Midori Yamamoto, Kenichi Sakurai, Chisato Mori
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引用次数: 0

摘要

背景据推测,父母的教育背景会通过他们对疫苗接种的决定和其他家庭生活方式的选择影响儿童可预防疾病的发病率。在自愿接种疫苗方面,家庭经济状况也可能与不接种疫苗有关。因此,本研究调查了父母教育程度与儿童疫苗可预防疾病(水痘、流行性腮腺炎、流感、百日咳、麻疹和风疹)之间的关系,而这一关系目前仍难以确定。方法我们使用了日本环境与儿童研究的数据集,其中包括 104,062 份胎儿记录;我们的研究人群包括 80,930 名三岁以下的儿童。我们使用二项式逻辑回归分析法研究了父母教育背景与儿童传染病之间的关系。结果 对于水痘、流行性腮腺炎和自愿接种疫苗的流感,父亲受教育程度越高,感染率越低。母亲受教育程度与儿童感染率之间的关系有限。父母受教育程度与自愿接种疫苗之间既存在收入中介关系,也存在非收入中介关系。对于百日咳、麻疹和风疹这三种常规疫苗,父母的教育程度与儿童感染率之间没有关联。此外,为疫苗接种提供经济支持,并以各种教育水平的家长都能理解的方式宣传疫苗接种的益处,将有助于降低儿童传染病的发病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Associations of parental education with children's infectious diseases and their mediating factors: the Japan Environment and Children's Study (JECS).

BackgroundParents' educational background is presumed to influence the incidence of vaccine-preventable diseases in children through their decisions about vaccinations and other family lifestyle choices. Regarding voluntary vaccination, a household's economic situation may also be associated with non-vaccination. Therefore, this study investigated the association between parental education and vaccine-preventable diseases (varicella, mumps, influenza [flu], pertussis, measles, and rubella) in children, which currently remains elusive.MethodsWe used datasets from the Japan Environment and Children's Study, which included 104,062 fetal records; our study population comprised 80,930 children up to the age of three years. The associations between parental educational background and children's infectious diseases were examined using binomial logistic regression analysis. The mediating effects of household income, vaccination, and smoking were examined using a path analysis.ResultsFor varicella, mumps, and influenza covered by voluntary vaccination, a higher education level of the father was associated with a lower incidence of infection. The association between mothers' education and children's infection was limited. There were both income-mediated and non-income-mediated pathways between parental education and voluntary vaccination. For pertussis, measles, and rubella, which are covered by routine vaccines, there was no association between parental education and the child's infection.ConclusionAn association between parental education and childhood infections was observed. Additionally, providing financial support for vaccination and communicating the benefits of vaccination in a way that parents at all levels of education can understand will help reduce the incidence of infectious diseases among children.

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来源期刊
Journal of Epidemiology
Journal of Epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.50
自引率
4.30%
发文量
172
审稿时长
6-12 weeks
期刊介绍: The Journal of Epidemiology is the official open access scientific journal of the Japan Epidemiological Association. The Journal publishes a broad range of original research on epidemiology as it relates to human health, and aims to promote communication among those engaged in the field of epidemiological research and those who use epidemiological findings.
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