Paterson Janis, Percival Teuila, Butler Sarnia, Williams Maynard
Faculty of Health Studies, Auckland University of Technology, Auckland, New Zealand.
N Z Med J. 2004 Aug 6;117(1199):U994.
To identify the proportion of infants who had not received their first dose of the primary immunisation series at approximately 6 weeks of age, and to identify the maternal and demographic factors associated with non-immunisation.
The data were gathered as part of the Pacific Islands Families (PIF): First Two Years of Life Study in which 1376 mothers were interviewed about the immunisation status of their infant. Mothers responded to questions about whether their child had been immunised, who administered the vaccines, and how satisfied they were with the care and treatment of their child in that context.
Twenty-seven percent of the mothers reported that they had not had their infant immunised at approximately six-weeks of age. Factors significantly associated (p<0.05) with non-immunisation were ethnic group, maternal birth place, parity, difficulty with transport, and age of the baby at the time of the interview.
These findings demonstrate the need for education about the importance of the primary immunisation series and the current schedules, together with community resources to support mothers in the context of this infant health care initiative. Improving immunisation uptake through education may not be sufficient with the more widespread issues of deprivation and social equity needing to be addressed.
确定在约6周龄时未接种第一剂基础免疫系列疫苗的婴儿比例，并确定与未接种疫苗相关的母亲和人口统计学因素。
这些数据是作为太平洋岛屿家庭（PIF）：生命最初两年研究的一部分收集的，在该研究中，对1376名母亲就其婴儿的免疫状况进行了访谈。母亲们回答了关于她们的孩子是否接种过疫苗、谁接种的疫苗以及她们在这种情况下对孩子的护理和治疗的满意度等问题。
27%的母亲报告说她们的婴儿在约6周龄时未接种疫苗。与未接种疫苗显著相关（p<0.05）的因素有族裔、母亲出生地、胎次、交通困难以及访谈时婴儿的年龄。
这些发现表明，需要开展关于基础免疫系列疫苗及其当前接种程序重要性的教育，并在这项婴儿保健倡议中提供社区资源以支持母亲们。通过教育提高疫苗接种率可能并不足够，还需要解决更广泛的贫困和社会公平问题。
