Service des Maladies Infectieuses et Tropicales, Hôpital Nord, AP-HM, Marseille, France.
Eur J Public Health. 2010 Aug;20(4):438-42. doi: 10.1093/eurpub/ckp196. Epub 2009 Dec 3.
It has been observed that Muslim pilgrims departing France for Mecca have low national immunization rates against tetanus, diphtheria and poliomyelitis (TdP). Our purpose is to identify immigration, socio-economic and socio-cultural determinants of vaccination coverage against TdP.
A cross-sectional survey study was conducted in late 2006 among 580 pilgrims in preparation who attended the Infectious and Tropical Medicine ward in Hôpital Nord at Marseille to receive their N. meningitidis vaccine required for travel to Mecca.
Total vaccination rates for tetanus (18.9%), diphtheria (14.7%) and poliomyelitis (15.0%) were comparable. Pilgrim's characteristic lower socio-economic and social status, in addition to their unifying linguistic, cultural and religious identity defines them as a particularly disadvantageous group in France. French citizenship, higher level of education, better French fluency and no previous travel to country of origin were the strongest and most significant determinants of TdP vaccination status.
These results suggest that the Muslim community in France is at risk from inequities of national preventive care efforts.
观察发现，前往麦加的法国穆斯林朝圣者的破伤风、白喉和脊髓灰质炎（TdP）国家免疫接种率较低。我们的目的是确定移民、社会经济和社会文化因素对 TdP 疫苗接种覆盖率的影响。
2006 年末，在马赛 Nord 医院传染病和热带医学病房，对 580 名准备前往麦加的朝圣者进行了横断面调查研究，以接种 N. meningitidis 疫苗。
破伤风（18.9%）、白喉（14.7%）和脊髓灰质炎（15.0%）的总疫苗接种率相当。朝圣者较低的社会经济和社会地位，以及他们统一的语言、文化和宗教身份，使他们在法国成为一个特别不利的群体。法国公民身份、更高的教育水平、更好的法语流利程度和没有去过原籍国是 TdP 疫苗接种状况的最强和最重要的决定因素。
这些结果表明，法国的穆斯林社区面临国家预防保健工作不平等的风险。
