儿童免疫接种未达最佳效果的潜在因素。

Factors underlying suboptimal childhood immunisation.

作者信息

Tickner Sarah, Leman Patrick J, Woodcock Alison

机构信息

Department of Psychology, Royal Holloway, University of London, Egham, Surrey TW20 0EX, UK.

出版信息

Vaccine. 2006 Nov 30;24(49-50):7030-6. doi: 10.1016/j.vaccine.2006.06.060. Epub 2006 Jul 13.

DOI:10.1016/j.vaccine.2006.06.060

PMID:16890330

Abstract

This review considers possible reasons behind parents' missed vaccination opportunities in the context of the latest immunisation coverage rates for England. Suboptimal uptake is not exclusive to measles, mumps and rubella (MMR). A substantial proportion of children also miss diphtheria, tetanus and polio vaccination. For MMR and diphtheria, tetanus and polio, uptake of primary plus booster immunisation is lower than for the primary course alone. Several reasons for suboptimal uptake are identified from the international literature. These provide insights into parental decision-making and potential barriers to immunisation that may need to be addressed in efforts to improve coverage rates.

摘要

本综述结合英格兰最新的免疫接种覆盖率，探讨了父母错过疫苗接种机会背后可能的原因。接种率未达最佳并非仅存在于麻疹、腮腺炎和风疹（MMR）疫苗方面。相当一部分儿童也错过了白喉、破伤风和脊髓灰质炎疫苗的接种。对于MMR疫苗以及白喉、破伤风和脊髓灰质炎疫苗，初次接种加加强免疫的接种率低于仅进行初次接种疗程的接种率。国际文献中确定了接种率未达最佳的几个原因。这些原因有助于深入了解父母的决策过程以及免疫接种可能存在的潜在障碍，而在提高疫苗接种覆盖率的努力中，可能需要解决这些障碍。