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6至59个月龄儿童流感疫苗接种家长报告的有效性。

Validity of parental report of influenza vaccination in children 6 to 59 months of age.

作者信息

Shinall Myrick C, Plosa Erin J, Poehling Katherine A

机构信息

Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

出版信息

Pediatrics. 2007 Oct;120(4):e783-7. doi: 10.1542/peds.2007-0052.

Abstract

OBJECTIVE

The objective of this study was to assess the validity of parental report of influenza vaccinations.

PATIENTS AND METHODS

A cross-sectional study of children who were 6 to 59 months of age and presented to a large, pediatric residency clinic from February through April 2005 was performed. A standardized, parental questionnaire ascertained the influenza vaccination status of children during the 2004-2005 influenza season and was compared with the medical chart, the criterion standard. Children were classified as being at high risk when they had a specific influenza vaccine recommendation in 2004-2005 by age (6-23 months of age) or by chronic medical condition.

RESULTS

Of 218 parents approached in the pediatric residency clinic, 198 (95%) children who were 6 to 59 months of age were enrolled, and 84 (42%) were vaccinated according to the medical chart. More children who were 6 to 23 months than those who were 24 to 59 months of age were vaccinated (63% vs 21%). Children with chronic medical conditions were more likely to be vaccinated than healthy children who were 24 to 59 months of age (57% vs 11%), but no difference was observed for children who were 6 to 23 months of age (79% vs 60%). In comparison with the medical chart, parental report of influenza vaccination had a sensitivity of 88%, a specificity of 90%, and a kappa coefficient of 0.78. For children who were 6 to 23 months of age or had a chronic medical condition (n = 123), parental report had a sensitivity of 89%, a specificity of 81%, and a kappa coefficient of 0.71.

CONCLUSIONS

Parental report of influenza vaccination among children who were 6 to 59 months of age had reasonable sensitivity, specificity, and reliability as compared with the medical chart in this study population.

摘要

目的

本研究的目的是评估家长报告的流感疫苗接种情况的有效性。

患者与方法

对2005年2月至4月到一家大型儿科住院医师诊所就诊的6至59个月大的儿童进行了一项横断面研究。一份标准化的家长调查问卷确定了儿童在2004 - 2005年流感季节的流感疫苗接种状况,并与作为标准对照的病历进行比较。根据2004 - 2005年的年龄(6至23个月)或慢性疾病情况,有特定流感疫苗接种建议的儿童被归类为高危人群。

结果

在儿科住院医师诊所接触的218名家长中,198名(95%)6至59个月大的儿童被纳入研究,根据病历记录,84名(42%)儿童接种了疫苗。6至23个月大的儿童接种疫苗的比例高于24至59个月大的儿童(63%对21%)。患有慢性疾病的儿童比24至59个月大的健康儿童更有可能接种疫苗(57%对11%),但6至23个月大的儿童中未观察到差异(79%对60%)。与病历相比,家长报告的流感疫苗接种情况的灵敏度为88%,特异度为90%,kappa系数为0.78。对于6至23个月大或患有慢性疾病的儿童(n = 123),家长报告的灵敏度为89%,特异度为81%,kappa系数为0.71。

结论

在本研究人群中,6至59个月大儿童的家长报告的流感疫苗接种情况与病历相比具有合理的灵敏度、特异度和可靠性。

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