Immunization coverage,knowledge,satisfaction,and associated factors of non-National Immunization Program vaccines among migrant and left-behind families in China:evidence from Zhejiang and Henan provinces  

作　　者：Yaguan Zhou Duanhui Li Yuan Cao Fenhua Lai Yu Wang Qian Long Zifan Zhang Chuanbo An Xiaolin Xu 

机构地区：[1]School of Public Health,The Second Afliated Hospital,Zhejiang University School of Medicine,Yuhangtang Road 866,Hangzhou 310058,Zhejiang,China [2]The Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province,Hangzhou,Zhejiang,China [3]Songxian Center for Disease Control and Prevention,Luoyang,Henan,China [4]Department of Immunoprophylaxis,Xiaoshan Center for Disease Control and Prevention,Hangzhou,Zhejiang,China [5]Global Health Research Center,Division of Social Sciences,Duke Kunshan University,Kunshan,Jiangsu,China [6]Global Health Research Center,Duke Kunshan University,Kunshan,Jiangsu,China [7]School of Public Health,Faculty of Medicine,The University of Queensland,Brisbane,Australia

出　　处：《Infectious Diseases of Poverty》2023年第5期69-80,共12页贫困所致传染病（英文）

基　　金：This study was funded by the Bill&Melinda Gates Foundation(INV-034554)。

摘　　要：Background Migrant and left-behind families are vulnerable in health services utilization,but little is known about their disparities in immunization of non-National Immunization Program(NIP)vaccines.This study aims to evaluate the immunization coverage,knowledge,satisfaction,and associated factors of non-NIP vaccines among local and migrant families in the urban areas and non-left-behind and left-behind families in the rural areas of China.Methods A cross-sectional survey was conducted in urban areas of Zhejiang and rural areas of Henan in China.A total of 1648 caregivers of children aged 1-6 years were interviewed face-to-face by a pre-designed online questionnaire,and their families were grouped into four types:local urban,migrant,non-left-behind,and left-behind.Non-NIP vaccines includedHemophilus influenza b(Hib)vaccine,varicella vaccine,rotavirus vaccine,enterovirus 71 vaccine(EV71)and 13-valent pneumonia vaccine(PCV13).Log-binomial regression models were used to calculate prevalence ratios(PRs)and 95%confidence intervals(CIs)for the difference on immunization coverage of children,and knowledge and satisfaction of caregivers among families.The network models were conducted to explore the interplay of immunization coverage,knowledge,and satisfaction.Logistic regression models with odds ratios(ORs)and 95%CIs were used to estimate the associated factors of non-NIP vaccination.Results The immunization coverage of all non-NIP vaccines and knowledge of all items of local urban families was the highest,followed by migrant,non-left-behind and left-behind families.Compared with local urban children,thePRs(95%CIs)for getting all vaccinated were 0.65(0.52-0.81),0.29(0.22-0.37)and 0.14(0.09-0.21)among migrant children,non-left-behind children and left-behind children,respectively.The coverage-knowledge-satisfaction network model showed the core node was the satisfaction of vaccination schedule.Non-NIP vaccination was associated with characteristics of both children and caregivers,including age of children(>2 years-OR:1.

关 键 词：Non-National Immunization Program vaccines Migrant family Left-behind family Immunization coverage Immunization knowledge Immunization satisfaction China 

分 类 号：R186[医药卫生—流行病学]